Supplies, drugs & other prices at Massachusetts General Hospital

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

64 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) $3,220.50 $4,294 3.4×
2d tte w or w/o fol w/con,fu (C8924) $1,112.25 $1,483 2.7×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $2,226.75 $2,969 0.5×
Admin hepatitis b vaccine (G0010) $24.75 $33 0.4×
Admin influenza virus vac (G0008) $32.25 $43 0.6×
Admin pneumococcal vaccine (G0009) $24.75 $33 0.4×
Annual alcohol screen 15 min (G0442) $45 $60 1.0×
Brief alcohol misuse counsel (G0443) $114 $152 0.9×
Ca screen;flexi sigmoidscope (G0104) $1,236 $1,648 1.1×
Ca screen;pelvic/breast exam (G0101) $127.50 $170 1.0×
Colon ca scrn not hi rsk ind (G0121) $2,896.50 $3,862 2.6×
Colorectal scrn; hi risk ind (G0105) $2,897.25 $3,863 2.6×
Cyp2d6 gen com&slct rar vrnt (0070U) $542.25 $723 0.8×
Depression screen annual (G0444) $45 $60 1.0×
Diab manage trn per indiv (G0108) $149.25 $199 2.7×
Diab manage trn ind/group (G0109) $78.75 $105 4.9×
Direct refer hospital observ (G0379) $100.50 $134 0.1×
Drug test def 1-7 classes (G0480) $712.50 $950 6.2×
Endo outlet restrict w/tube (C9785)
likely a partial charge, not the full procedure
$3,349.50 $4,466 0.3×
Fecal microbiota prep instil (G0455) $322.50 $430 0.3×
Ig paraprotein qual bld/ur (0077U) $75 $100 1.7×
Init/sub psych care m 1st 30 (G2214) $130.12 $173.50 1.1×
Initial preventive exam (G0402) $450.38 $600.50 2.8×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $18,819 $25,092 0.5×
Intens cardiac rehab no exer (G0423) $351 $468 2.3×
Intens cardiac rehab w/exerc (G0422) $531 $708 3.4×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $1,341.75 $1,789 11.0×
Mra w/o cont, abd (C8901) $2,688 $3,584 9.4×
Mra w/o cont, chest (C8910) $2,752.50 $3,670 9.6×
Mra w/o fol w/cont, abd (C8902) $3,849 $5,132 9.2×
Mra w/o fol w/cont, chest (C8911) $4,586.25 $6,115 11.0×
Mra w/o fol w/cont, pelvis (C8920) $4,479.75 $5,973 10.7×
Mri w/o fol w/cont, breast, (C8908) $4,860 $6,480 11.6×
Neuro csf prion prtn qual (0035U) $4,870.50 $6,494 9.0×
Obtaining screen pap smear (Q0091) $128.25 $171 3.7×
Pemivibart infusion (M0224) $1,448.25 $1,931 2.7×
Perc d-e cor revasc chro sin (C9607) $14,040 $18,720 0.6×
Perc d-e cor stent ather s (C9602) $13,988.25 $18,651 0.6×
Perc drug-el cor stent sing (C9600) $15,695.25 $20,927 1.1×
Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) $22,857.75 $30,477 1.0×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $9,644.25 $12,859 0.7×
Potassium hydroxide preps (Q0112) $54.75 $73 9.4×
Ppps, initial visit (G0438) $991.50 $1,322 5.7×
Ppps, subseq visit (G0439) $555.38 $740.50 4.0×
Prostate biopsy, any mthd (G0416) $1,379.25 $1,839 3.2×
Psa screening (G0103) $159.75 $213 8.3×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $5,277 $7,036 4.7×
Revasc intra lithotrip-ather (C9766) $12,836.25 $17,115 0.6×
Revasc intravasc lithotripsy (C9764) $14,618.25 $19,491 1.1×
Revasc lithotrip tibi/perone (C9772) $18,270.75 $24,361 1.3×
Scr c/v cyto,thinlayer,rescr (G0145) $337.50 $450 12.7×
Screen cerv/vag thin layer (G0123) $177 $236 8.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
unusually low: confirm this is the full procedure
$9,953.25 $13,271 0.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T)
unusually low: confirm this is the full procedure
$9,953.25 $13,271 0.4×
Therapeutic ultrafiltration (0692T) $2,865.75 $3,821 1.5×
Tomosynthesis, mammo (G0279) $231.75 $309 18.3×
Tpmt nudt15 gene analysis common variants (0034U) $1,589.25 $2,119 3.4×
Transcatheter Renal Sympath Denervation Bilat (0339T) $19,852.50 $26,470 2.9×
Trim nail(s) (G0127) $33.38 $44.50 0.5×
Tte w or w/o fol w/con,stres (C8928) $2,196 $2,928 2.3×
Tte w or w/o fol w/cont, com (C8921) $1,956 $2,608 2.1×
Tte w or wo fol wcon,doppler (C8929) $2,407.50 $3,210 2.6×
Unsched dialysis esrd pt hos (G0257) $3,849 $5,132 4.7×
Wet mounts/ w preparations (Q0111) $57 $76 3.1×