Supplies, drugs & other prices at Lowell General Hospital
Lowell, MA · every code in this section with a posted price and a Medicare benchmark.
58 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,080.10 | $1,543 | 1.1× |
| 2d tte w or w/o fol w/con,co (C8923) | $1,584.10 | $2,263 | 1.7× |
| 2d tte w or w/o fol w/con,fu (C8924) | $597.80 | $854 | 1.4× |
| Admin hepatitis b vaccine (G0010) | $109.90 | $157 | 2.0× |
| Admin influenza virus vac (G0008) | $66.50 | $95 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $108.50 | $155 | 1.9× |
| Ascvd rsk mng clin stf pr mo (G0538) | $231 | $330 | 1.9× |
| Catheterize for urine spec (P9612) | $147.70 | $211 | 15.8× |
| Chemo extend iv infus w/pump (G0498) | $891.10 | $1,273 | 2.3× |
| Direct refer hospital observ (G0379) | $1,403.50 | $2,005 | 2.0× |
| Drug test def 1-7 classes (G0480) | $226.80 | $324 | 2.0× |
| Drug test def 8-14 classes (G0481) | $560 | $800 | 3.6× |
| Elec stim other than wound (G0283) | $129.50 | $185 | 10.2× |
| Hbot, full body chamber, 30m (G0277) | $469.70 | $671 | 2.8× |
| Hiv prep counsel, clin staff (G0013) | $74.20 | $106 | 1.7× |
| Home sleep test/type 3 porta (G0399) | $334.60 | $478 | 1.3× |
| Hospital outpt clinic visit (G0463) | $321.30 | $459 | 2.0× |
| Iliac Atherectomy (0238T) likely a partial charge, not the full procedure |
$3,857 | $5,510 | 0.2× |
| Inj for sacroiliac jt anesth (G0260) | $1,631.88 | $2,331.25 | 1.9× |
| Injection of hiv prep drug (G0012) | $177.80 | $254 | 2.1× |
| Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) | $23,592.80 | $33,704 | 1.9× |
| Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) | $566.30 | $809 | 1.9× |
| Mnt subs tx for change dx (G0270) | $66.50 | $95 | 2.1× |
| Neuro csf prion prtn qual (0035U) | $488.60 | $698 | 0.9× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $1,067.50 | $1,525 | 2.0× |
| Non-cov proc, clinical trial (G0294) | $259 | $370 | 5.8× |
| Obtaining screen pap smear (Q0091) | $52.50 | $75 | 1.5× |
| Onc aml DNA gntyp int tandem dup detcj/nondetcj (0023U) | $269.50 | $385 | 1.1× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$9,632.70 | $13,761 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $9,632.70 | $13,761 | 0.7× |
| Perc drug-el cor stent sing (C9600) | $9,632.70 | $13,761 | 0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) | $9,928.80 | $14,184 | 1.1× |
| Perq Sacral Augmt Unilat Inj (0200T) | $7,700.70 | $11,001 | 0.9× |
| Place device/marker, non pro (C9728) | $1,654.10 | $2,363 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $560 | $800 | 1.3× |
| Psa screening (G0103) | $66.50 | $95 | 3.4× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with automated report… (0812T) | $86.10 | $123 | 0.6× |
| Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient education on use of… (0811T) | $303.10 | $433 | 1.9× |
| Revasc intra lithotrip-ather (C9766) unusually low: confirm this is the full procedure |
$8,190 | $11,700 | 0.4× |
| Revasc intra lithotrip-stent (C9765) | $15,388.10 | $21,983 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $8,190 | $11,700 | 0.6× |
| Revasc lith-sten-ath tib/per (C9775) | $13,181 | $18,830 | 0.6× |
| Revasc lithotr-ather tib/per (C9774) | $30,776.20 | $43,966 | 1.4× |
| Revasc lithotr-stent tib/per (C9773) | $13,181 | $18,830 | 0.6× |
| Revasc lithotrip tibi/perone (C9772) | $13,181 | $18,830 | 1.0× |
| Revasc lithotrip-stent-ather (C9767) unusually low: confirm this is the full procedure |
$8,246 | $11,780 | 0.4× |
| Risk ascvd tst once pr 12 mo (G0537) | $74.20 | $106 | 1.7× |
| Therapeutic procd strg endur (G0237) | $196.70 | $281 | 5.7× |
| Tomosynthesis, mammo (G0279) | $84.70 | $121 | 6.7× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) likely a partial charge, not the full procedure |
$3,857 | $5,510 | 0.3× |
| Trauma respons w/hosp criti (G0390) | $2,870.70 | $4,101 | 1.8× |
| Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) | $3,785.60 | $5,408 | 1.1× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) likely a partial charge, not the full procedure |
$3,857 | $5,510 | 0.3× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) likely a partial charge, not the full procedure |
$3,857 | $5,510 | 0.3× |
| Tte w or w/o contr, cont ecg (C8930) | $1,401.40 | $2,002 | 1.5× |
| Tte w or w/o fol w/con,stres (C8928) | $1,286.60 | $1,838 | 1.4× |
| Tte w or wo fol wcon,doppler (C8929) | $933.80 | $1,334 | 1.0× |
| Unsched dialysis esrd pt hos (G0257) | $796.60 | $1,138 | 1.0× |