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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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $137 $137 3.1×
Admn Sarscov2 Vacc 1 Dose (90480) $134 $134 2.8×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $505 $505 2.0×
Aep neurodiagnostic i&r (92653) $882 $882 3.4×
Aep threshold estimation mlt frequencies i&r (92652) $882 $882 3.4×
Airway Inhalation Treatment (94640) $273 $273 1.0×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $528 $528 3.4×
Analyze neurostim no prog (95970) $383 $383 2.4×
Analyze Neurostim Simple (95971) $285 $285 2.5×
Ans parasymp & symp w/tilt (95924) $518 $518 2.0×
Appl modality 1+ areas lllt po pain reduction (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×
Audiometry Air & Bone (92553) $340 $340 2.2×
Auditory Function, 60 Min (92620) $730 $730 4.7×
Basic vestibular evaluation (92540) $1,151 $1,151 4.4×
Behavral qualit analys voice (92524) $363 $363 3.3×
Blink reflex test (95933) $568 $568 8.0×
Breath hydrogen/methane test (91065) $529 $529 2.0×
Brief Emotional/Behav Assmt (96127) $138 $138 3.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $799 $799 1.8×
Caloric vestibular test w/rec bi monothermal (92538) $386 $386 1.5×
Caloric Vstblr Test W/Rec (92537) $469 $469 3.0×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $228–$235 $228–$235 varies
Cardiac Stress Tst,Tracing Only (93017) $1,179 $1,179 4.6×
Cardiopulmonary resuscitation (92950) $1,671 $1,671 6.5×
Cardioversion (92960)
range across 2 matching MRF lines		 $6,121.38–$6,366.08 $6,121.38–$6,366.08 varies
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 Anti-Neopl Sq/Im (96401) $473 $473 5.5×
Chemo Hormon Antineopl Sq/Im (96402) $585 $585 6.8×
Chemo IV infusion addl hr (96415) $478 $478 5.5×
Chemo IV push addl drug (96411) $617 $617 7.2×
Chemother Prolong Infuse W/Pump (96416) $1,259 $1,259 3.2×
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 nfs tq up 1 hr 1/1st sbst/drug (96413) $1,138 $1,138 2.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409)
range across 2 matching MRF lines		 $790–$830 $790–$830 varies
Chest Wall Manipulation (94668) $162 $162 1.0×
Color/duplex Doppler, complete (93975) $2,887 $2,887 10.1×
Color/duplex Doppler, limited (93976) $1,059 $1,059 8.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $140 $140 4.4×
Comprehensive Hearing Test (92557) $451 $451 2.9×
Conditioning Play Audiometry (92582) $688 $688 4.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $459 $459 2.9×
Cont Gluc Mntr Pt Prov Eqp (95249) $431 $431 6.1×
Continuous Pulse Ox (94762) $650 $650 4.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $749 $749 2.9×
Cpt initial (94667) $301 $301 1.9×
Critical care first hour (99291) $2,826 $2,826 2.9×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines		 $492–$542 $492–$542 varies
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×
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)
range across 2 matching MRF lines		 $1,094–$1,203 $1,094–$1,203 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926)
range across 2 matching MRF lines		 $734–$807 $734–$807 varies
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 up extrem art unilat/ltd (93931)
range across 2 matching MRF lines		 $774–$851 $774–$851 varies
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×
ECG/monitoring and analysis (93271) $706 $706 6.2×
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 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×
Electrical Stimulation Ea 15 Min (97032) $233 $233 15.9×
Electrocardiogram Tracing (93005) $176 $176 2.5×
Electrocochleography (92584) $727 $727 4.7×
Electroconvulsive Therapy (90870) $2,212 $2,212 2.1×
Emergency Dept Visit Level 2 (99282) $622 $622 3.4×
Emergency Dept Visit Level 3 (99283) $1,339 $1,339 4.1×
Emergency Dept Visit Level 4 (99284) $1,828 $1,828 3.7×
Emg 3 Extremities (95863) $1,125 $1,125 7.3×
Emg 4 Extremities (95864) $1,321 $1,321 8.6×
Er level 1 (99281) $469 $469 4.6×
Er level v (99285) $2,135 $2,135 3.0×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines		 $354–$378 $354–$378 varies
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines		 $298–$301 $298–$301 varies
Evaluate Speech Production (92522) $363 $363 3.2×
Evaluate Swallowing Function (92610) $513 $513 6.0×
Evaluation of speech fluency (92521) $376 $376 2.8×
Evoked Auditory Test,Limited (92587) $455 $455 1.8×
Exercise test for bronchospasm (94617) $440 $440 2.8×
External Ecg Scanning Analysis Report (93226) $712 $712 10.1×
Extracranial Bilat Study (93880) $1,617 $1,617 5.7×
Extracranial Uni/Ltd Study (93882) $858 $858 6.8×
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)
range across 2 matching MRF lines		 $91–$93 $91–$93 varies
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $2,340 $2,340 2.8×
Holter monitor recording (93225) $436 $436 2.7×
Icd Device Interrogate (93289) $424 $424 9.5×
Icd device progr eval dual (93283) $424 $424 9.5×
Icd Device Progr Eval Mult (93284) $424 $424 9.5×
Ilr Device Interrogate (93291) $127 $127 3.7×
Im Adm Intransl/Oral 1 Vaccine (90473) $203 $203 2.4×
Img retina detcj/mntr ds poc auton a/r uni/bi (92229) $249 $249 3.5×
Immunization administration (90471) $181 $181 2.1×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $925 $925 2.1×
Insert/Place Heart Catheter (93503) $5,311 $5,311 2.8×
Iontophoresis 15 min (97033) $260 $260 13.7×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines		 $564–$591 $564–$591 varies
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines		 $471–$508 $471–$508 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 3 matching MRF lines		 $591–$603 $591–$603 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines		 $476–$485 $476–$485 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 6 matching MRF lines		 $462–$509 $462–$509 varies
IV push initial (96374)
range across 6 matching MRF lines		 $451–$455 $451–$455 varies
Lung Function Test (Mbc/Mvv) (94200) $225 $225 3.2×
Mechanical chest wall oscillation per session (94669) $301 $301 1.1×
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 Fluoroscopy/Swallow (92611) $513 $513 5.6×
Muscle Test 2 Limbs (95861) $949 $949 6.0×
Muscle Test Nonparaspinal (95870) $215 $215 1.3×
Muscle Test One Limb (95860) $606 $606 3.8×
Nasopharyngoscopy (92511) $417 $417 1.7×
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 1-2 Studies (95907) $718 $718 2.8×
Nerve Conduction Studies 11-12 Studies (95912) $3,794 $3,794 8.5×
Nerve conduction studies 13 or more 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×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $457 $457 3.0×
Neuromuscular Reeducation (97112) $184 $184 5.6×
Nitric oxide expired gas determination (95012) $154 $154 3.4×
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 (92544) $497 $497 3.2×
Oral Function Therapy (92526) $430 $430 5.1×
Oral Speech Device Eval (92597) $534 $534 7.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $169 $169 3.4×
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)
range across 2 matching MRF lines		 $156–$172 $156–$172 varies
Osteopathic manipulative tx 3-4 body regions (98926)
range across 2 matching MRF lines		 $233–$257 $233–$257 varies
Osteopathic manipulative tx 5-6 body regions (98927)
range across 2 matching MRF lines		 $273–$301 $273–$301 varies
Osteopathic manipulative tx 7-8 body regions (98928)
range across 2 matching MRF lines		 $317–$349 $317–$349 varies
Osteopathic manipulative tx 9-10 body regions (98929)
range across 2 matching MRF lines		 $340–$375 $340–$375 varies
Ot eval high complexity (97167) $756 $756 7.5×
Ot Eval Low Complex (97165) $756 $756 7.5×
Ot Eval Moderate Complexity (97166) $756 $756 7.5×
Ot manual therapy 15 min (97140) $241 $241 8.7×
Ot paraffin bath (97018) $146 $146 24.3×
Ot Prosthetic Training, Each 15 Min (97761)
range across 5 matching MRF lines		 $132–$169 $132–$169 varies
Ot Re-Eval Est Plan Care (97168) $422 $422 6.2×
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×
Oxygen Uptake Rest Indirect (94690) $254 $254 3.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $717 $717 2.7×
Phlebotomy therapeutic (99195) $283 $283 1.8×
Physical Performance Test (97750) $146 $146 4.3×
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×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $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×
Psych diag eval w/med srvcs (90792) $801 $801 3.8×
Psychiatric diagnostic evaluation (90791) $986 $986 4.6×
Psycl/Nrpsyc Tst Auto Result (96146) $74 $74 2.1×
Psytx Crisis Initial 60 Min (90839) $532 $532 2.5×
Pt Eval High Complex (97163) $767 $767 7.8×
Pt eval low complex 20 min (97161) $670 $670 6.8×
Pt Eval Mod Complex (97162) $700 $700 7.2×
Pt gait training 15 min (97116) $190 $190 6.5×
Pt mechanical traction (97012) $195 $195 13.6×
Pt Re-Eval Est Plan Care (97164) $461 $461 6.8×
Pulm function test by gas (94727) $395 $395 1.5×
Pulmonary service/procedure (94799) $534 $534 3.5×
Pulmonary Stress Testing (94618) $440 $440 2.8×
Pure Tone Audiometry Air (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 (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)
range across 2 matching MRF lines		 $310–$341 $310–$341 varies
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $214–$225 $214–$225 varies
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×
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 Ea Addl 15 Min (97130) $181 $181 8.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines		 $171–$188 $171–$188 varies
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $399 $399 3.9×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $266–$285 $266–$285 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines		 $665–$677 $665–$677 varies
Therapeutic Activities (97530) $243 $243 6.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $229 $229 5.1×
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 vasomotor adrenergic innervaj (95922) $383 $383 2.4×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $2,469–$2,647 $2,469–$2,647 varies
Tte W/O Doppler Complete (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/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines		 $432–$437 $432–$437 varies
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)
range across 3 matching MRF lines		 $75–$83 $75–$83 varies
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 xm uni/bi w/interpretj limited exam (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×
Whirlpool Therapy (97022) $86 $86 5.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $334 $334 4.7×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.