Procedures & surgery prices at Martha's Vineyard Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $2,066.62 $2,755.50 1.9×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,307.25 $1,743 1.2×
Acne surgery (10040) $345.75 $461 1.4×
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) $3,631.50 $4,842 1.5×
Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) $3,019.12 $4,025.50 1.2×
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $862.22 $1,149.62 0.2×
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $3,386.62 $4,515.50 1.4×
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) $2,871 $3,828 1.2×
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $2,549.62 $3,399.50 1.0×
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $3,249.75 $4,333 1.3×
Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) $3,141.75 $4,189 1.3×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $156.75 $209 0.8×
Application cast elbow finger short arm (29075) $302.62 $403.50 0.9×
Application long arm splint shoulder hand (29105) $264 $352 1.4×
Application short arm splint forearm-hand static (29125) $208.12 $277.50 1.3×
Apply Hand/Wrist Cast (29085) $264 $352 1.4×
Apply short leg cast (29405) $186.75 $249 0.6×
Arterial puncture (36600) $167.25 $223 1.0×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $174.38 $232.50 0.5×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $200.62 $267.50 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $362.25 $483 1.0×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $867.75 $1,157 2.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $157.12 $209.50 0.4×
Aspirate pleura w/ imaging (32555) $2,079.75 $2,773 2.8×
Aspirate/Inj Ganglion Cyst (20612) $335.25 $447 0.9×
Avulsion nail plate partial/complete simple 1 (11730) $286.88 $382.50 1.2×
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $611.62 $815.50 0.6×
Biopsy external ear (69100) $185.25 $247 0.7×
Biopsy Vaginal Mucosa Simple (57100) $247.50 $330 0.2×
Biopsy Vulva/Perineum 1 Lesion Spx (56605) $205.12 $273.50 0.2×
Blepharoplasty Upper Eyelid W/Excessive Skin (15823) $2,843.25 $3,791 1.1×
Blood transfusion service (36430) $428.62 $571.50 0.8×
Breast Reduction (19318)
likely a partial charge, not the full procedure
$1,027.31 $1,369.75 0.1×
Bx breast 1st lesion us imag (19083) $1,239 $1,652 0.6×
Catheter Aspiration Nasotracheal Spx (31720) $202.50 $270 0.8×
Change of cystostomy tube simple (51705) $558.75 $745 1.9×
Chemical cautery tissue (17250) $518.25 $691 2.2×
Chemodenerv musc migraine (64615) $561.75 $749 1.5×
Chemodenerv Musc Neck Dyston (64616) $1,857.75 $2,477 5.1×
Circumcision (54150) $282.38 $376.50 0.1×
Closed Rx Gr Tuberosity Hum Fx (23620) $918.75 $1,225 3.1×
Closed Treatment Nasal Fracture W/Stabilization (21320) $498.75 $665 0.1×
Closed treatment of patellar fracture, without manipulation (27520) $1,028.25 $1,371 3.5×
Closed treatment of talus fracture; without manipulation (28430) $764.25 $1,019 2.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,080.75 $1,441 3.7×
Closed tx radial head/neck fx w/o manipulation (24650) $857.25 $1,143 2.9×
Closed Tx Scapular Fracture W/O Manipulation (23570) $776.62 $1,035.50 2.6×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $972.75 $1,297 3.3×
Clsd tx clavicular fracture w/o manipulation (23500) $792.75 $1,057 2.7×
Cltx dstl fibular fx lat malls w/o manj (27786) $948 $1,264 3.2×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $720.75 $961 2.4×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $2,175.75 $2,901 1.1×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $965.25 $1,287 3.3×
Collect Blood From Catheter Venous Nos (36592) $126.75 $169 0.8×
Colonoscopy flex w/inj submuc (45381) $1,511.62 $2,015.50 1.1×
Colonoscopy w/ablation (45388) $2,115 $2,820 1.5×
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) $480 $640 1.3×
Colposcopy cervix upper/adjacent vagina (57452) $402.38 $536.50 1.7×
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) $3,181.88 $4,242.50 0.8×
Colposcopy entire vagina w/cervix if present (57420) $501.75 $669 1.4×
Colposcopy vulva w/biopsy (56821) $436.50 $582 1.2×
Colposcopy,Cervix W/Adj Vagina, Curettag (57456) $453.75 $605 1.2×
Complex Uroflowmetry (51741) $398.25 $531 1.5×
Correction of bunion (28298)
likely a partial charge, not the full procedure
$464.25 $619 0.1×
Curettage postpartum (59160) $1,677.75 $2,237 0.4×
Cysto W/Simple Removal Stone & Stent (52310) $718.12 $957.50 0.3×
Cysto w/ureter stricture tx (52341) $1,118.25 $1,491 0.3×
Cystourethroscopy (52000) $936.38 $1,248.50 1.1×
Cystourethroscopy inj chemodenervation bladder (52287) $1,799.62 $2,399.50 0.7×
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $615.38 $820.50 0.2×
Debride nail 1-5 (11720) $156.75 $209 2.2×
Debride nail 6 or more (11721) $121.88 $162.50 1.7×
Debride tissue/muscle (11043) $801.75 $1,069 0.9×
Debridement subcutaneous tissue 20 sq cm/< (11042) $742.12 $989.50 1.5×
Declot vascular device (36593) $213.75 $285 0.5×
Destroy lumb/sac facet jnt (64635) $4,362.75 $5,817 1.9×
Destruction Benign Lesions 15/> (17111) $331.12 $441.50 1.4×
Destruction Benign Lesions Up To 14 (17110) $249.75 $333 1.0×
Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) $443.25 $591 1.8×
Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) $510.75 $681 2.1×
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) $331.88 $442.50 1.4×
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) $420.38 $560.50 1.7×
Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) $489.75 $653 2.0×
Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) $498 $664 2.1×
Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) $565.50 $754 1.2×
Destruction Premalignant Lesion 15/> (17004) $975.75 $1,301 2.0×
Destruction premalignant lesion 1st (17000) $212.62 $283.50 0.9×
Diagnostic sigmoidoscopy (45330) $852.75 $1,137 0.8×
Drain/inj small joint/bursa w/us (20604) $175.88 $234.50 0.5×
Drainage of hematoma/fluid (10140) $2,233.50 $2,978 1.1×
Draw blood off venous device (36591) $126.75 $169 0.8×
Dstrj lesion anus simple surg excision (46922) $1,303.88 $1,738.50 0.4×
Dstrj Lesion Penis Simple Cryosurgery (54056) $422.62 $563.50 1.8×
Egd balloon dilation esophagus <30 mm diam (43249) $714.75 $953 0.3×
Egd flexible foreign body removal (43247) $1,219.12 $1,625.50 1.1×
Egd place gastrostomy tube (43246) $561.75 $749 0.2×
Egd remove lesion snare (43251) $1,702.88 $2,270.50 0.7×
Endometrial Biopsy (58100) $396.75 $529 1.6×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) $1,316.25 $1,755 1.6×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $1,923.38 $2,564.50 1.0×
Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) $1,255.12 $1,673.50 1.5×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,101 $1,468 1.3×
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $1,230 $1,640 1.4×
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,146 $1,528 2.4×
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,614 $2,152 1.9×
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $1,690.50 $2,254 0.9×
Exc Skin Benig >4 Cm Face,Facial (11446) $2,299.50 $3,066 0.7×
Exc Skin Benig >4 Cm Remaindr Body (11426) $3,002.25 $4,003 0.9×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $2,634.75 $3,513 1.3×
Exc Skin Malig >4 Cm Remaindr Body (11626) $3,031.12 $4,041.50 0.9×
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $2,334.75 $3,113 1.2×
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) $1,771.88 $2,362.50 0.9×
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $1,424.25 $1,899 0.4×
Exc tumor soft tissue abdominal wall subq <3cm (22902) $770.72 $1,027.62 0.4×
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $2,304.75 $3,073 0.7×
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) $1,247.25 $1,663 1.5×
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $900 $1,200 1.1×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,044 $1,392 2.1×
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $1,153.12 $1,537.50 1.4×
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,687.88 $2,250.50 2.0×
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) $1,742.25 $2,323 0.9×
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,698.75 $2,265 2.0×
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $1,594.88 $2,126.50 0.8×
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $2,118 $2,824 1.1×
Excision Multiple External Papillae/Tags Anus (46230) $735 $980 0.2×
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $1,000.50 $1,334 1.2×
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $1,624.88 $2,166.50 1.9×
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $1,520.25 $2,027 0.8×
Excision of single external papilla or tag, anus (46220) $1,143.38 $1,524.50 0.8×
Excision tumor soft tis back/flank subq 3 cm/> (21931) $996 $1,328 0.5×
Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) $1,285.88 $1,714.50 0.6×
Explore/irrigate tear ducts (68840) $413.25 $551 1.1×
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $3,436.50 $4,582 0.9×
Fetal contraction stress test (59020) $685.50 $914 2.8×
Fetal non-stress test (59025) $307.50 $410 1.3×
Fit/Insert Intravag Support Device (57160) $246.75 $329 1.0×
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $3,214.12 $4,285.50 1.3×
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) $2,473.88 $3,298.50 1.0×
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $2,991 $3,988 1.2×
Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) $2,008.50 $2,678 0.6×
Hemorrhoidopexy by stapling (46947) $1,356.75 $1,809 0.4×
Hysteroscopy biopsy (58558) $2,735.25 $3,647 0.7×
Hysteroscopy, diagnostic (separate procedure) (58555) $603.75 $805 0.2×
Hysteroscopy, surgical; with removal of impacted foreign body (58562) $872.25 $1,163 0.2×
I&d abscess simple (10060) $421.88 $562.50 1.8×
Incision & drainage abscess complicated/multiple (10061) $619.50 $826 1.3×
Incision & removal foreign body subq tiss compl (10121) $660 $880 0.3×
Incision & removal foreign body subq tiss simple (10120) $562.88 $750.50 1.2×
Incision and drainage perianal abscess superficial (46050) $1,251 $1,668 1.1×
Incisional biopsy skin single lesion (11106) $256.50 $342 0.3×
Inj paravert f jnt c/t 1 lev (64490) $1,635.75 $2,181 1.5×
Inj tendon sheath/ligament (20550) $534.75 $713 1.5×
Inj therapeutic carpal tunnel (20526) $534.75 $713 1.5×
Inject Tendon Origin/Insert (20551) $222.75 $297 0.6×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $1,251.75 $1,669 1.5×
Injection into skin lesions (11900) $168.38 $224.50 0.7×
Injection single/mlt trigger point 1/2 muscles (20552) $630 $840 1.7×
Injection single/mlt trigger point 3/> muscles (20553) $430.12 $573.50 1.2×
Injection, Intralesional; More Than 7 Lesions (11901) $156 $208 0.6×
Insert Bladder Cath Complex (51703) $558.75 $745 3.6×
Insert Drug Implant Device (11981) $285 $380 1.8×
Insert Temp Bladder Cath (51702) $427.88 $570.50 2.7×
Insert tunneled cv cath (36561) $3,435 $4,580 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $150.75 $201 0.9×
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure
$1,567.50 $2,090 0.2×
Insj picc rs&i 5 yr+ (36573) $346.50 $462 0.2×
Lap ing hernia repair init (49650)
likely a partial charge, not the full procedure
$331.31 $441.75 0.0×
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure
$1,033.60 $1,378.12 0.1×
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure
$476.62 $635.50 0.1×
Laparoscopy, surgical; cholecystectomy with cholangiography (47563)
unusually low: confirm this is the full procedure
$2,580.75 $3,441 0.4×
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564)
likely a partial charge, not the full procedure
$2,319.84 $3,093.12 0.2×
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure
$1,305.94 $1,741.25 0.2×
Mohs 1 stage h/n/hf/g (17311) $2,115.75 $2,821 2.4×
Mohs Trunk/Arm/Leg 1St Stage 5 Blocks (17313) $1,253.25 $1,671 1.4×
Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) $4,045.50 $5,394 1.0×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,713 $2,284 1.6×
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $432.38 $576.50 0.5×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,072.50 $1,430 1.3×
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $216 $288 0.2×
Occipital Nerve Block (64405) $1,256.25 $1,675 3.4×
Occlude fallopian tube(s) (58615) $504.75 $673 0.1×
Perq replacement gtube not req revj gstrst trc (43762) $150.75 $201 0.5×
Punch biopsy skin single lesion (11104) $201.38 $268.50 0.4×
Puncture Aspiration Cyst Breast (19000) $605.25 $807 0.7×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $394.50 $526 0.8×
Removal foreign body muscle/tendon sheath simple (20520) $525.75 $701 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $85.50 $114 1.2×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $131.25 $175 1.9×
Removal implant deep (20680) $2,886 $3,848 0.8×
Removal of iud (58301) $363.38 $484.50 1.0×
Removal of nail bed (11750) $700.88 $934.50 1.4×
Removal skn tags mlt fibrq tags any area upw/15 (11200) $267.38 $356.50 1.1×
Removal subcutaneous cardiac rhythm monitor (33286) $1,538.25 $2,051 1.8×
Removal/bivalving gauntlet boot/body cast (29700) $183.38 $244.50 0.5×
Remove drug implant device (11982) $367.50 $490 0.7×
Remove Pilonidal Cyst Exten (11771) $2,281.88 $3,042.50 0.7×
Repair brow defect (67900) $1,865.25 $2,487 0.7×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,155.38 $1,540.50 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,047 $1,396 2.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,423.88 $1,898.50 2.9×
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $816.38 $1,088.50 1.7×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,254.38 $1,672.50 2.6×
Repair complex trunk 1.1-2.5 cm (13100) $792.75 $1,057 0.9×
Repair complex trunk 2.6-7.5 cm (13101) $1,140 $1,520 1.3×
Repair eyelid defect (67903) $1,726.50 $2,302 0.6×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $711.75 $949 1.5×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $848.25 $1,131 1.7×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $848.25 $1,131 1.7×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $666.38 $888.50 1.4×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $763.50 $1,018 1.6×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $636.38 $848.50 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $768.75 $1,025 1.6×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $2,163 $2,884 4.4×
Repair of nasal septum (30520) $2,490.75 $3,321 0.6×
Replace gastrostomy/cecostomy tube percutaneous (49450) $216.75 $289 0.2×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,564.75 $4,753 1.9×
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $519.75 $693 0.7×
Rpr aa hernia 1st < 3 cm reducible (49591) $734.06 $978.75 0.2×
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614)
likely a partial charge, not the full procedure
$1,221.10 $1,628.12 0.2×
Rpr aa hrn 1st < 3 ncr/strn (49592)
likely a partial charge, not the full procedure
$406.87 $542.50 0.1×
Shave skin lesion 0.5 cm/< (11300) $117.38 $156.50 0.2×
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) $204 $272 0.8×
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $162 $216 0.7×
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) $880.50 $1,174 0.6×
Sigmoidoscopy w/biopsy (45331) $923.62 $1,231.50 0.8×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $392.25 $523 1.6×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $377.25 $503 1.6×
Skin tissue rearrangement (14040) $2,985.38 $3,980.50 1.2×
Skn splt a-grft fac/nck/hf/g (15120) $5,974.50 $7,966 1.4×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $606 $808 1.2×
Spinal puncture lumbar diagnostic (62270) $935.25 $1,247 1.1×
Strapping ankle (29540) $129.75 $173 0.7×
Strapping knee (29530) $148.50 $198 0.9×
Strapping toes (29550) $148.50 $198 2.1×
Strapping unna boot (29580) $174.38 $232.50 0.9×
Tangential biopsy skin single lesion (11102) $156 $208 0.3×
Treat humerus fracture (24500) $1,161 $1,548 3.9×
Treat humerus fracture (23600) $993 $1,324 3.4×
Treat Wrist Bone Fracture (25630) $1,006.50 $1,342 3.4×
Treatment of missed abortion, completed surgically; first trimester (59820) $1,028.25 $1,371 0.3×
Trim skin lesion (11055) $148.88 $198.50 0.6×
Trim skin lesions 2 to 4 (11056) $191.62 $255.50 0.8×
Tx Incomplete Abortion Any Trimester Surgical (59812) $1,792.88 $2,390.50 0.5×
Us urine capacity measure (51798) $465.75 $621 6.6×
Vasectomy uni/bi spx w/postop semen exams (55250) $3,184.12 $4,245.50 1.3×
Venipuncture (36415) $14.25 $19 1.5×