Visits & medical services prices at HealthAlliance-Clinton Hospital (Leominster and Clinton campuses)

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $137 $137 3.1×
Aep hearing status deter broadband stimuli i&r (92651) $505 $505 2.0×
Aep neurodiagnostic interpretation and report (92653) $882 $882 3.4×
Aep Thrshld Est Mlt Freq I&R (92652) $882 $882 3.4×
Airway inhalation treatment (94640) $273 $273 1.0×
Analyze neurostim no prog (95970) $383 $383 2.4×
Analyze neurostim simple (95971) $285 $285 2.5×
Appl modality 1+lllt po pain (97037) $143 $143 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $184 $184 12.8×
Application on-body injector (96377) $163 $163 2.9×
Assessment of aphasia per hr (96105) $592 $592 6.1×
Auditory Function, 60 Min (92620) $730 $730 4.7×
Basic vestibular evaluation (92540) $1,151 $1,151 4.4×
Bedside Swallowing Eval (92610) $513 $513 6.0×
Behavioral and qualitative analysis of voice and resonance (92524) $363 $363 3.3×
Breath Hydrogen/Methane Test (91065) $529 $529 2.0×
Brief Emotional/Behavioral Assessment (96127) $138 $138 3.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $799 $799 1.8×
Caloric vestibular test w/rec bi bithermal (92537) $469 $469 3.0×
Caloric vestibular test w/rec bi monothermal (92538) $386 $386 1.5×
Canalith Repositioning Procedure (95992) $231.50 $231.50 5.7×
Cardiac Stress Tst,Tracing Only (93017) $1,179 $1,179 4.6×
Cardiopulmonary resuscitation (92950) $1,671 $1,671 6.5×
Cardioversion (92960) $6,243.73 $6,243.73 7.9×
Cbt 1st hour (94644) $396 $396 2.5×
Cervical & ocular vemp testing w/i&r (92519) $946 $946 3.7×
Cervical vemp testing w/i&r (92517) $505 $505 3.3×
Chemo Admin Peritoneal Cavity (96446) $1,177 $1,177 3.0×
Chemo Hormon Antineopl Sq/Im (96402) $585 $585 6.8×
Chemo IV push addl drug (96411) $617 $617 7.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,259 $1,259 3.2×
Chemother, IV infusion, 1 hr (96413) $1,138 $1,138 2.9×
Chemother, IV infusion, ea add hr (96415) $478 $478 5.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $473 $473 5.5×
Chemotherapy into cns (96450) $1,216 $1,216 3.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $623 $623 7.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $810 $810 2.0×
Color/duplex Doppler, complete (93975) $2,887 $2,887 10.1×
Color/duplex Doppler, limited (93976) $1,059 $1,059 8.5×
Comprehensive Hearing Test (92557) $451 $451 2.9×
Conditioning Play Audiometry (92582) $688 $688 4.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $431 $431 6.1×
Continuous Glucose Monitoring (95250) $459 $459 2.9×
Cpap/bipap (94660) $749 $749 2.9×
Cpt initial (94667) $301 $301 1.9×
Critical care (99291) $2,826 $2,826 2.9×
Debridement Open Wound 20 Sq Cm< (97597) $512 $512 2.1×
Developmental tst admin phys/qhp 1st hour (96112) $584 $584 3.8×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $528 $528 3.4×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming Facility (92601) $528 $528 3.4×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $455 $455 1.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $585 $585 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,304 $1,304 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $994 $994 7.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,148.50 $1,148.50 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $770.50 $770.50 6.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $812.50 $812.50 6.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,362 $1,362 4.8×
Dup-scan xtr veins unilateral/limited study (93971) $1,001 $1,001 8.0×
Duplex scan extracranial art compl bi study (93880) $1,617 $1,617 5.7×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $385 $385 2.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $528 $528 3.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $528 $528 3.4×
Echo Heart Xthoracic,Limited (93308) $941 $941 3.3×
Echo r-t 2d w/probe placement only (93313) $2,065 $2,065 3.2×
Echo transesophageal (93312) $9,154.50 $9,154.50 14.0×
EEG awake and asleep (95819) $982 $982 3.8×
EEG awake drowsy (95816) $1,304 $1,304 5.0×
EEG cerebral death evaluation (95824) $804 $804 1.8×
EEG coma or sleep only (95822) $983 $983 3.8×
Elec alys implt brn npgt prgrmg 1st 15 min (95983) $273 $273 2.4×
Elec alys implt cplx cn npgt prgrmg (95977) $273 $273 2.4×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $176 $176 3.9×
Electrocardiogram Tracing (93005) $176 $176 2.5×
Electrocochleography (92584) $727 $727 4.7×
Electroconvulsive Therapy (90870) $2,212 $2,212 2.1×
EMG four extremities (95864) $1,321 $1,321 8.6×
EMG one extremity (95860) $606 $606 3.8×
EMG three extremities (95863) $1,125 $1,125 7.3×
EMG two extremities (95861) $949 $949 6.0×
Er level 1 (99281) $469 $469 4.6×
Er level ii (99282) $622 $622 3.4×
Er level iii (99283) $1,339 $1,339 4.1×
Er level IV (99284) $1,828 $1,828 3.7×
Er level v (99285) $2,135 $2,135 3.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $366 $366 2.4×
Eval speech sound production (92522) $363 $363 3.2×
Eval to use/fit voice prosth (92597) $534 $534 7.5×
Evaluate Pt Use Of Inhaler (94664) $299.50 $299.50 1.1×
Evaluation of speech fluency (92521) $376 $376 2.8×
Exercise tst brncspsm (94617) $440 $440 2.8×
Exhaled Air Analysis (94690) $254 $254 3.6×
External Ecg Scanning Analysis Report (93226) $712 $712 10.1×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $287.20 $287.20 1.4×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $714.40 $714.40 3.1×
Group Therapeutic Procedures (97150) $92 $92 5.1×
Hemodialysis (90935) $2,340 $2,340 2.8×
Holter Monitor (93225) $436 $436 2.7×
Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) $249 $249 3.5×
Imm admn sarscov2 vaccine single dose (90480) $134 $134 2.8×
Immune Admin Oral/Nasal (90473) $203 $203 2.4×
Immunization Admin (90471) $181 $181 2.1×
Inhalation bronchial challenge testing (95070) $925 $925 2.1×
Ins swan ganz bedside (93503) $5,311 $5,311 2.8×
Interrog dev eval scrms phys/qhp in person (93291) $127 $127 3.7×
Interrog device eval heart (93289) $424 $424 9.5×
Iontophoresis 15 min (97033) $260 $260 13.7×
Irrig drug delivery device (96523) $577.50 $577.50 8.2×
IV infusion hydration each additional hour (96361) $499 $499 8.9×
IV infusion hydration initial 31 min-1 hour (96360) $602 $602 2.4×
IV infusion ther proph addl sequential to 1 hr (96367) $480.50 $480.50 5.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $677 $677 2.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $499 $499 8.9×
IV push ea addl new drug (96375) $437 $437 7.8×
IV push initial (96374) $455 $455 1.8×
Manual therapy 15 min (97140) $241 $241 8.7×
Massage 15 min (97124) $179.50 $179.50 6.0×
Maximum voluntary ventilation (94200) $225 $225 3.2×
Mechanical chest wall oscillation (94669) $301 $301 1.1×
Mechanical traction (97012) $195 $195 13.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $177 $177 5.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $193 $193 5.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $92 $92 5.4×
Methacholine challenge (94070) $824 $824 1.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $513 $513 5.6×
Nasopharyngoscopy (92511) $417 $417 1.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $215 $215 1.3×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $518 $518 2.0×
Needle Emg W/1 Fiber Electrode Quan Meas Jitter (95872) $465 $465 1.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,162 $1,162 2.4×
Nerve Conduction Studies 11-12 Studies (95912) $3,794 $3,794 8.5×
Nerve conduction studies 13/> studies (95913) $5,109 $5,109 11.4×
Nerve Conduction Studies 3-4 Studies (95908) $718 $718 2.8×
Nerve Conduction Studies 5-6 Studies (95909) $1,459 $1,459 5.6×
Nerve Conduction Studies 7-8 Studies (95910) $1,896 $1,896 4.2×
Nerve Conduction Studies 9-10 Studies (95911) $2,480 $2,480 5.5×
Nerve conduction studies; 1-2 studies (95907) $718 $718 2.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $457 $457 3.0×
Nitric oxide expired gas determination (95012) $154 $154 3.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $650 $650 4.2×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $1,011 $1,011 2.3×
Ocular vemp testing w/i&r (92518) $505 $505 3.3×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $497 $497 3.2×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $568 $568 8.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $169 $169 3.7×
Oscillating Tracking Test (92545) $790 $790 3.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $164 $164 6.3×
Osteopathic manipulative tx 3-4 body regions (98926) $245 $245 9.5×
Osteopathic manipulative tx 5-6 body regions (98927) $287 $287 11.1×
Osteopathic manipulative tx 7-8 body regions (98928) $333 $333 12.9×
Osteopathic manipulative tx 9-10 body regions (98929) $357.50 $357.50 13.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $140 $140 4.4×
Ot eval high complex 60 min (97167) $756 $756 7.5×
Ot eval low complex 30 min (97165) $756 $756 7.5×
Ot eval mod complex 45 min (97166) $756 $756 7.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $169 $169 3.4×
Ot Prosthetic Training, Each 15 Min (97761) $132 $132 3.3×
Ot re-evaluation (97168) $422 $422 6.2×
Ot therapeutic activity 15 min (97530) $243 $243 6.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $371 $371 2.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $368 $368 2.4×
Paraffin bath pt (97018) $146 $146 24.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $717 $717 2.7×
Phlebotomy therapeutic (99195) $283 $283 1.8×
Plethysmography (94726) $583 $583 1.3×
Pm device eval in person (93288) $424 $424 9.5×
Pm device progr eval dual (93280) $424 $424 9.5×
Pm device progr eval multi (93281) $424 $424 9.5×
Pm device progr eval sngl (93279) $424 $424 9.5×
Positional Nystagmus Test (92542) $458 $458 2.9×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $424 $424 9.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $153 $153 2.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $153 $153 2.7×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $424 $424 9.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $424 $424 9.5×
Psych diag eval w/med srvcs (90792) $801 $801 3.8×
Psychiatric diagnostic evaluation (90791) $986 $986 4.6×
Psycl/nrpsycl tst elec platform auto result (96146) $74 $74 2.1×
Psytx crisis initial 60 min (90839) $532 $532 2.5×
Pt Electrical Stimulation (97032) $233 $233 15.9×
Pt eval high complex 45 min (97163) $767 $767 7.8×
Pt eval low complex 20 min (97161) $670 $670 6.8×
Pt eval mod complex 30 min (97162) $700 $700 7.2×
Pt gait training 15 min (97116) $190 $190 6.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $184 $184 5.6×
Pt Physical Performance Test (97750) $146 $146 4.3×
Pt re-evaluation (97164) $461 $461 6.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $219.50 $219.50 6.8×
Pt Whirlpool Therapy (97022) $86 $86 5.5×
Pulm function test by gas (94727) $395 $395 1.5×
Pulmonary Service/Procedure (94799) $534 $534 3.5×
Pulmonary stress test simple (94618) $440 $440 2.8×
Pure Tone Audiometry Air & Bone (92553) $340 $340 2.2×
Pure Tone Audiometry Air Only (92552) $175 $175 1.1×
Refill/Maint Portable Pump (96521) $974 $974 3.8×
Refill/Maint Pump/Resvr Syst (96522) $690 $690 2.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $436 $436 9.7×
Respiratory flow volume loop (94375) $417 $417 1.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $325.50 $325.50 1.4×
Rt Chest Wall Manipulation,Subsequent (94668) $162 $162 1.0×
Sensory Integration Ea 15 Min (97533) $152 $152 2.5×
Short-latency somatosens ep std upr limbs (95925) $518 $518 2.0×
Sinusoidal Vertical Axis Rotational Testing (92546) $460 $460 3.0×
Smoking cessation > 10 min (99407) $229 $229 5.1×
Speech Audiometry Complete (92556) $182 $182 2.6×
Speech audiometry threshold (92555) $149 $149 2.1×
Speech sound lang comprehen (92523) $632 $632 2.8×
Spirometry (94010) $411 $411 1.6×
Spontaneous nystagmus test (92541) $614 $614 3.9×
Standardized Cognitive Performance Testing (96125) $480 $480 4.7×
Stenger Test, Pure Tone (92565) $180 $180 2.5×
Temp transcutaneous pacing (92953) $1,104 $1,104 1.4×
Testing Autonomic Nervous System Function (95923) $383 $383 2.4×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $181 $181 8.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $181 $181 8.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $399 $399 3.9×
Therapeutic prophylactic/dx injection subq/im (96372) $271 $271 3.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $117 $117 2.6×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $316 $316 2.5×
Tstg Ans Funcj Cardiovagal Innervaj Parasymp (95921) $465 $465 3.0×
Tstg ans funcj parasymp&symp w/5 min pasive tilt (95924) $518 $518 2.0×
Tstg Ans Funcj Vasomotor Adrenergic Innervaj (95922) $383 $383 2.4×
Tte w/doppler, complete (93306) $2,558 $2,558 3.9×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,611 $1,611 5.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $448 $448 5.9×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $85 $85 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $430 $430 5.1×
Tympanometry (92567) $185 $185 4.1×
Tympanometry And Reflex Threshold Measurements (92550) $186 $186 0.7×
Unlisted noninvasive vascular diagnostic study (93998) $222 $222 6.4×
Unlisted otorhinolaryngological service (92700) $75 $75 2.2×
Vasc Duplex Scan Extracranial,Limited (93882) $858 $858 6.8×
Vent mgmt inpat init day (94002) $1,143 $1,143 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,039 $1,039 1.4×
Visual Evoked Potential Test (95930) $518 $518 2.0×
Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent… (92081) $31 $31 0.4×
Visual reinforcement audiometry (vra) (92579) $422 $422 1.6×
Vital capacity, total (94150) $537 $537 3.5×
Wheelchair Mgmt Ea 15 Min (97542) $157 $157 5.1×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $334 $334 4.7×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $706 $706 6.2×