Supplies, drugs & other prices at MelroseWakefield Hospital

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

66 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) $2,303 $3,290 2.5×
2d tte w or w/o fol w/con,co (C8923) $977.20 $1,396 1.0×
2d tte w or w/o fol w/con,fu (C8924) $588.70 $841 1.4×
Admin hepatitis b vaccine (G0010) $83.30 $119 1.5×
Admin influenza virus vac (G0008) $112 $160 2.0×
Admin pneumococcal vaccine (G0009) $112 $160 2.0×
Alcohol/sub misuse assess (G2011) $70 $100 2.0×
Annual alcohol screen 15 min (G0442) $59.50 $85 1.3×
Ascvd rsk mng clin stf pr mo (G0538) $231 $330 1.9×
Behavior counsel obesity 15m (G0447) $37.10 $53 0.3×
Brief alcohol misuse counsel (G0443) $59.50 $85 0.5×
Ca screen;pelvic/breast exam (G0101) $112.70 $161 0.9×
Colon ca scrn not hi rsk ind (G0121) $1,942.50 $2,775 1.7×
Colorectal scrn; hi risk ind (G0105) $2,034.20 $2,906 1.8×
Diab manage trn per indiv (G0108) $195.30 $279 3.5×
Diab manage trn ind/group (G0109) $66.50 $95 4.1×
Direct refer hospital observ (G0379) $1,178.80 $1,684 1.7×
Drug test def 1-7 classes (G0480) $240.10 $343 2.1×
Drug test def 8-14 classes (G0481) $560 $800 3.6×
Elec stim other than wound (G0283) $32.20 $46 2.5×
Group mnt 2 or more 30 mins (G0271) $22.40 $32 1.3×
Hbot, full body chamber, 30m (G0277) $457.80 $654 2.8×
Hiv prep counsel, clin staff (G0013) $74.20 $106 1.7×
Home sleep test/type 3 porta (G0399) $315 $450 1.2×
Hospital outpt clinic visit (G0463) $401.62 $573.75 2.5×
Initial preventive exam (G0402) $105.70 $151 0.7×
Inj for sacroiliac jt anesth (G0260) $1,640.80 $2,344 1.9×
Injection of hiv prep drug (G0012) $177.80 $254 2.1×
Instill pharm renal pelvis (C9789) $5,413.80 $7,734 3.7×
Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) $566.30 $809 1.9×
Mnt subs tx for change dx (G0270) $43.40 $62 1.4×
Neuro csf prion prtn qual (0035U) $488.60 $698 0.9×
Njx pltlt plasma w/img harvest/preparation (0232T) $907.90 $1,297 1.7×
Obtaining screen pap smear (Q0091) $63.70 $91 1.8×
Perc d-e cor revasc t cabg s (C9604) $22,696.80 $32,424 1.6×
Perc d-e cor stent ather s (C9602) $26,793.20 $38,276 1.2×
Perc drug-el cor stent sing (C9600) $20,767.60 $29,668 1.5×
Perq Sacral Augmt Bilat Inj (0201T) $23,525.60 $33,608 2.7×
Perq Sacral Augmt Unilat Inj (0200T) $11,762.80 $16,804 1.4×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $14,219.10 $20,313 1.0×
Place device/marker, non pro (C9728) $2,319.80 $3,314 1.4×
Ppps, initial visit (G0438) $148.40 $212 0.9×
Ppps, subseq visit (G0439) $118.30 $169 0.9×
Prostate biopsy, any mthd (G0416) $560 $800 1.3×
Psa screening (G0103) $61.60 $88 3.2×
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) $24,506.30 $35,009 1.1×
Revasc intra lithotrip-stent (C9765) $24,506.30 $35,009 1.1×
Revasc intravasc lithotripsy (C9764) $14,822.50 $21,175 1.1×
Revasc lithotr-ather tib/per (C9774) $38,915.80 $55,594 1.8×
Revasc lithotrip tibi/perone (C9772) $27,876.10 $39,823 2.0×
Revasc lithotrip-stent-ather (C9767) $41,346.20 $59,066 1.9×
Risk ascvd tst once pr 12 mo (G0537) $74.20 $106 1.7×
Scr c/v cyto,thinlayer,rescr (G0145) $72.10 $103 2.7×
Screen cerv/vag thin layer (G0123) $54.60 $78 2.7×
Speech audiometry threshold, automated; with speech recognition Non-Facility Physician (0211T) $31.50 $45 0.7×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $47,560.80 $67,944 2.1×
Therapeutic procd strg endur (G0237) $56 $80 1.6×
Tomosynthesis, mammo (G0279) $78.40 $112 6.2×
Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) $28,282.10 $40,403 2.0×
Trauma respons w/hosp criti (G0390) $3,228.40 $4,612 2.0×
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) $1,045.80 $1,494 1.1×
Tte w or wo fol wcon,doppler (C8929) $1,080.10 $1,543 1.1×
Unsched dialysis esrd pt hos (G0257) $796.60 $1,138 1.0×