Supplies, drugs & other prices at Fairview Hospital
Great Barrington, MA · every code in this section with a posted price and a Medicare benchmark.
29 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Annual alcohol screen 15 min (G0442) | $57.95 | $61 | 1.3× |
| Behavior counsel obesity 15m (G0447) | $80.75 | $85 | 0.7× |
| Brief alcohol misuse counsel (G0443) | $80.75 | $85 | 0.7× |
| Ca screen;flexi sigmoidscope (G0104) | $2,539.90 | $2,673.58 | 2.3× |
| Ca screen;pelvic/breast exam (G0101) | $31.35 | $33 | 0.3× |
| Catheterize for urine spec (P9612) | $17.76 | $18.69 | 1.9× |
| Depression screen annual (G0444) | $47.50 | $50 | 1.1× |
| Diab manage trn per indiv (G0108) | $245.80 | $258.74 | 4.4× |
| Diab manage trn ind/group (G0109) | $147.43 | $155.19 | 9.2× |
| Direct refer hospital observ (G0379) | $99.75 | $105 | 0.1× |
| Ed svc ckd ind per session (G0420) | $91.20 | $96 | 0.8× |
| Hbot, full body chamber, 30m (G0277) | $447.65 | $471.21 | 2.7× |
| Initial preventive exam (G0402) | $204.25 | $215 | 1.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,415.85 | $2,543 | 5.8× |
| Mri w/o fol w/cont, breast, (C8908) | $3,138.78 | $3,303.98 | 7.5× |
| Mri w/o fol w/cont, brst, un (C8905) | $3,138.78 | $3,303.98 | 7.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $648.38 | $682.50 | 1.2× |
| Obtaining screen pap smear (Q0091) | $33.25 | $35 | 1.0× |
| Oth resp proc, group (G0239) | $108.51 | $114.22 | 2.4× |
| Ppps, initial visit (G0438) | $498.75 | $525 | 2.9× |
| Ppps, subseq visit (G0439) | $336.30 | $354 | 2.4× |
| Prostate biopsy, any mthd (G0416) | $424.21 | $446.54 | 1.0× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $3,365.80 | $3,542.95 | 3.0× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,985.40 | $2,089.89 | 1.8× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $336.40 | $354.11 | 3.2× |
| Trauma respons w/hosp criti (G0390) | $2,536.25 | $2,669.74 | 1.6× |
| Trim nail(s) (G0127) | $59.38 | $62.50 | 0.8× |
| Unsched dialysis esrd pt hos (G0257) | $2,480.88 | $2,611.45 | 3.0× |
| Visit to determ ldct elig (G0296) | $87.40 | $92 | 0.7× |