Supplies, drugs & other prices at Lahey Hospital & Medical Center

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

132 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) $3,414 $3,414 3.6×
2d tte w or w/o fol w/con,fu (C8924) $2,287 $2,287 5.5×
3d anat seg imaging preop (C8001) $518 $518 3.4×
3d bn img algor drvd fr mri (G0566) $485 $485 3.1×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $15,516 $15,516 6.6×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $19,884 $19,884 1.9×
Admin influenza virus vac (G0008) $272 $272 4.8×
Alcohol/sub misuse assess (G2011) $132 $132 3.8×
Annual alcohol screen 15 min (G0442) $47 $47 1.0×
Antibody treponema pallidum total & rpr ia qual (0064U) $124 $124 4.0×
Ascvd rsk mng clin stf pr mo (G0538) $289 $289 2.4×
B burgdorferi antb 12 prtn grp immunoblot igg (0042U) $158 $158 9.2×
B burgdorferi antb 5 prtn grp immunoblot igm (0041U) $158 $158 9.2×
Behavior counsel obesity 15m (G0447) $264 $264 2.2×
Brief alcohol misuse counsel (G0443) $330 $330 2.7×
Ca screen;flexi sigmoidscope (G0104) $1,950 $1,950 1.7×
Ca screen;pelvic/breast exam (G0101) $178 $178 1.5×
Catheterize for urine spec (P9612) $13 $13 1.4×
Collagen crosslinking cornea (0402T) $2,331 $2,331 0.8×
Colon ca scrn not hi rsk ind (G0121) $2,172 $2,172 1.9×
Colorectal scrn; hi risk ind (G0105) $2,868 $2,868 2.6×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) $667 $667 2.8×
Covid-19 lab test non-cdc (U0002) $150 $150 2.9×
Cysto, litho, vacuum kidney (C9761) $27,741 $27,741 2.4×
Depression screen annual (G0444) $102 $102 2.3×
Diab manage trn per indiv (G0108) $139 $139 2.5×
Diab manage trn ind/group (G0109) $84 $84 5.2×
Direct refer hospital observ (G0379) $1,025 $1,025 1.4×
Drug test def 1-7 classes (G0480) $1,055 $1,055 9.2×
Drug test def 15-21 classes (G0482) $782 $782 3.9×
Drug test def 22+ classes (G0483) $1,016 $1,016 4.1×
Drug test def 8-14 classes (G0481) $587 $587 3.7×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $6,758 $6,758 2.9×
Egd flexible transnasal w/biopsy single/multiple (0653T) $5,890 $5,890 2.6×
Egd flexible transnasal w/insj intral tube/cath (0654T) $5,279 $5,279 1.1×
Ekg tracing for initial prev (G0404) $174 $174 5.0×
Endo outlet restrict w/tube (C9785) $37,092 $37,092 2.9×
Esw integumentary wound healing initial wound (0512T) $1,112 $1,112 4.6×
Fecal blood scrn immunoassay (G0328) $88 $88 4.9×
Fecal microbiota prep instil (G0455) $3,227 $3,227 2.9×
Flt3 gene itd variants quan (0046U) $1,265 $1,265 3.1×
Group mnt 2 or more 30 mins (G0271) $50 $50 2.9×
High inten beh couns std 30m (G0445) $195 $195 1.6×
Home sleep test/type 3 porta (G0399) $535 $535 2.1×
Hopd mntl hlt, 15-29 min (C7900) $131 $131 2.9×
Hopd mntl hlt, 30-60 min (C7901) $262 $262 2.2×
Hpv combo assay ca screen (G0476) $159 $159 4.5×
Initial preventive exam (G0402) $253 $253 1.6×
Insert drug del implant, >=4 (G0516) $963 $963 1.8×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $10,186 $10,186 1.6×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $26,139 $26,139 2.1×
Insertion wrls car stimulator lv pacg compl sys (0515T) $77,649 $77,649 2.9×
Insj Wcs Lv Eltrd Only (0516T) $26,139 $26,139 2.1×
Intens behave ther cardio dx (G0446) $85 $85 1.9×
Interrog dev eval impl ccm-d system in person (0927T) $141 $141 3.2×
Interrog dev eval wcs ip (0521T) $95 $95 2.7×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $25,875 $25,875 2.0×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $503 $503 4.1×
Lpoprtn bld w/5 maj class auto prfl ucentrfugtn (0052U) $158 $158 4.7×
Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) $235 $235 3.3×
Mnt subs tx for change dx (G0270) $62 $62 2.0×
N-invs det hrt fail aug echo (0932T) $1,059 $1,059 2.9×
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) $334 $334 4.7×
Neuro csf prion prtn qual (0035U) $68 $68 0.1×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,319 $1,319 2.5×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Non-Facility Physician (0049U) $1,265 $1,265 3.1×
Obtaining screen pap smear (Q0091) $107 $107 3.1×
Oct middle ear with i&r bilateral (0486T) $484 $484 10.8×
Oct middle ear with i&r unilateral (0485T) $484 $484 10.8×
Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) $2,574 $2,574 10.4×
Onc brst dux carc is mrna 12 genes alg rsk scor (0045U) $12,894 $12,894 3.3×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $1,218 $1,218 3.8×
Onc Merkel Cll Carc Srm Quan (0058U) $1,218 $1,218 3.8×
Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) $12,894 $12,894 3.3×
Oth resp proc, group (G0239) $155 $155 3.5×
Pathogen test for platelets (P9100) $107 $107 1.5×
Pattern erg w/i&r (0509T) $721 $721 2.8×
Pef bronch ablt 3d nav ebus (C8005) $11,646 $11,646 0.6×
Perc d-e cor revasc chro sin (C9607) $40,117 $40,117 1.8×
Perc d-e cor revasc t cabg s (C9604) $24,894 $24,894 1.8×
Perc d-e cor stent ather s (C9602) $40,117 $40,117 1.8×
Perc drug-el cor stent sing (C9600) $24,894 $24,894 1.8×
Perq Sacral Augmt Bilat Inj (0201T) $5,510 $5,510 0.6×
Perq Sacral Augmt Unilat Inj (0200T) $7,104 $7,104 0.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,704 $17,704 1.3×
Ppps, initial visit (G0438) $385 $385 2.2×
Ppps, subseq visit (G0439) $260 $260 1.9×
Pre 3d mdl w/ccta and/or mri (C9793) $3,299 $3,299 3.2×
Prgrmg dev eval wcs ip (0522T) $199 $199 4.4×
Programming device eval impl ccm-d sys in person (0926T) $141 $141 3.2×
Prostate biopsy, any mthd (G0416) $1,019 $1,019 2.4×
Psa screening (G0103) $130 $130 6.7×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $402 $402 2.5×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $746 $746 0.7×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $5,887 $5,887 5.3×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,783 $1,783 1.6×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $141 $141 3.2×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $77,649 $77,649 6.2×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $11,054 $11,054 0.9×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $11,054 $11,054 2.5×
Remove drug implant (G0517) $963 $963 1.8×
Remove w insert drug implant (G0518) $963 $963 1.8×
Revasc intra lithotrip-stent (C9765) $21,321 $21,321 1.0×
Revasc intravasc lithotripsy (C9764) $15,922 $15,922 1.2×
Revasc lithotrip tibi/perone (C9772) $40,403 $40,403 2.9×
Risk ascvd tst once pr 12 mo (G0537) $126 $126 2.8×
Rpr intst excl anrect fist (C9796) $8,380 $8,380 2.5×
Rx metab warfarin rx response trgt seq alys (0030U) $158 $158 1.2×
Sim ang w/prs cath rad emb (C8004) $35,213 $35,213 2.5×
Software meas of cardiac vol (G0183) $273 $273 2.6×
Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis,… (0022U) $158 $158 0.1×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igg (0044U) $158 $158 10.6×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igm (0043U) $158 $158 10.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $59,215 $59,215 2.6×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $59,215 $59,215 2.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $17,704 $17,704 2.6×
Tear film imaging, unilateral or bilateral, with interpretation and report Non-Facility Physician (0330T) $288 $288 6.4×
Tee w or w/o fol w/cont,cong (C8926) $3,414 $3,414 3.6×
Therapeutic procd strg endur (G0237) $209 $209 6.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $17,704 $17,704 2.6×
Transcatheter renal sympath denervation unilat (0338T) $17,704 $17,704 2.6×
Trauma respons w/hosp criti (G0390) $4,774 $4,774 3.0×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $11,652 $11,652 3.3×
Trim nail(s) (G0127) $195 $195 2.8×
Tte w or w/o contr, cont ecg (C8930) $3,414 $3,414 3.6×
Tte w or w/o fol w/con,stres (C8928) $3,030 $3,030 3.2×
Tte w or w/o fol w/cont, com (C8921) $3,414 $3,414 3.6×
Tte w or w/o fol w/cont, f/u (C8922) $2,287 $2,287 2.4×
Tte w or wo fol wcon,doppler (C8929) $3,414 $3,414 3.6×
Unsched dialysis esrd pt hos (G0257) $2,355 $2,355 2.9×
Vasc emb/occ w/prs cath (C9797) $26,734 $26,734 1.2×
Visit to determ ldct elig (G0296) $288 $288 2.4×