Supplies, drugs & other prices at Manchester Memorial Hospital
Manchester, CT · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) | $5,360.57 | $5,360.57 | 2.7× |
| Adm tocilizu covid-19 1st (M0249) | $1,610.42 | $1,610.42 | 3.0× |
| Adm tocilizu covid-19 2nd (M0250) | $1,610.42 | $1,610.42 | 3.0× |
| Admin hepatitis b vaccine (G0010) | $151.45 | $151.45 | 2.7× |
| Ca screen;flexi sigmoidscope (G0104) | $3,210.55 | $3,210.55 | 2.9× |
| Colon ca scrn not hi rsk ind (G0121) | $4,117.95 | $4,117.95 | 3.7× |
| Colorectal scrn; hi risk ind (G0105) | $4,117.95 | $4,117.95 | 3.7× |
| Diab manage trn per indiv (G0108) | $149.80 | $149.80 | 2.7× |
| Diab manage trn ind/group (G0109) | $70.62 | $70.62 | 4.4× |
| Direct refer hospital observ (G0379) | $1,959.38 | $1,959.38 | 2.7× |
| Drug test def 1-7 classes (G0480) | $367.32 | $367.32 | 3.2× |
| Esw integ wnd hlg 1st wnd (0512T) | $1,025.63 | $1,025.63 | 4.3× |
| Group mnt 2 or more 30 mins (G0271) | $53.15 | $53.15 | 3.1× |
| Hbot, full body chamber, 30m (G0277) | $1,605 | $1,605 | 9.7× |
| Home sleep test/type 3 porta (G0399) | $5,604.87 | $5,604.87 | 21.7× |
| Hospital outpt clinic visit (G0463) | $432.03 | $432.03 | 2.7× |
| Liver dis 10 assays w/nash (0003M) | $1,743.74 | $1,743.74 | 3.5× |
| Mnt subs tx for change dx (G0270) | $93.54 | $93.54 | 2.9× |
| Oth resp proc, group (G0239) | $125 | $125 | 2.8× |
| Perq Sacral Augmt Bilat Inj (0201T) | $23,645.89 | $23,645.89 | 2.7× |
| Trim nail(s) (G0127) | $205.47 | $205.47 | 2.9× |
| Unsched dialysis esrd pt hos (G0257) | $2,320.99 | $2,320.99 | 2.8× |