Supplies, drugs & other prices at HealthAlliance-Clinton Hospital (Leominster and Clinton campuses)

Leominster, MA · every code in this section with a posted price and a Medicare benchmark.

35 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $2,790 $2,790 3.0×
2d tte w or w/o fol w/con,fu (C8924) $941 $941 2.3×
Admin hepatitis b vaccine (G0010) $146 $146 2.6×
Admin influenza virus vac (G0008) $146 $146 2.6×
Admin pneumococcal vaccine (G0009) $146 $146 2.6×
Ca screen;flexi sigmoidscope (G0104) $2,546 $2,546 2.3×
Ca screen;pelvic/breast exam (G0101) $293 $293 2.4×
Catheterize for urine spec (P9612) $49 $49 5.2×
Colon ca scrn not hi rsk ind (G0121) $7,564.06 $7,564.06 6.8×
Colorectal scrn; hi risk ind (G0105) $7,577.08 $7,577.08 6.8×
Cysto impl 4 or more (C9740) $62,987.21 $62,987.21 5.6×
Diab manage trn per indiv (G0108) $372 $372 6.7×
Diab manage trn ind/group (G0109) $139 $139 8.7×
Eia hiv-1/hiv-2 screen (G0432) $65 $65 3.3×
Extracorporeal shock wave involving musculoskeletal system, not otherwise specified (0101T) $100 $100 0.3×
Fecal blood scrn immunoassay (G0328) $125 $125 6.9×
Group mnt 2 or more 30 mins (G0271) $86 $86 5.0×
Hiv combination assay (G0475) $87 $87 3.6×
Ig paraprotein qual bld/ur (0077U) $156 $156 3.6×
Initial preventive exam (G0402) $449 $449 2.8×
Inj for sacroiliac jt anesth (G0260) $2,069 $2,069 2.4×
Mnt subs tx for change dx (G0270) $169 $169 5.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $222 $222 0.4×
Oth resp proc, indiv (G0238) $311 $311 9.0×
Pemivibart infusion (M0224) $1,080 $1,080 2.0×
Prostate biopsy, any mthd (G0416) $966 $966 2.2×
Psa screening (G0103) $144 $144 7.5×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $696 $696 0.6×
Scr c/v cyto,thinlayer,rescr (G0145) $421 $421 15.9×
Screen cerv/vag thin layer (G0123) $165 $165 8.1×
Tee w or w/o fol w/cont,cong (C8926) $2,601 $2,601 2.8×
Therapeutic procd strg endur (G0237) $460 $460 13.3×
Trim nail(s) (G0127) $213 $213 3.0×
Tte w or wo fol wcon,doppler (C8929) $2,647 $2,647 2.8×
Unsched dialysis esrd pt hos (G0257) $2,515.50 $2,515.50 3.1×