Visits & medical services prices at MetroWest Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $6,931.50 $9,242 0.7×
Aep Thrshld Est Mlt Freq I&R (92652) $1,565.25 $2,087 6.0×
Airway inhalation treatment (94640) $461.25 $615 1.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $278.25 $371 19.4×
Assessment of aphasia per hr (96105) $968.62 $1,291.50 10.0×
Basic vestibular evaluation (92540) $1,327.50 $1,770 5.1×
Bedside Swallowing Eval (92610) $867 $1,156 10.2×
Behavioral and qualitative analysis of voice and resonance (92524) $941.25 $1,255 8.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $762.75 $1,017 1.7×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$2,360.25 $3,147 0.3×
Caloric vestibular test w/rec bi bithermal (92537) $2,115 $2,820 13.7×
Canalith Repositioning Procedure (95992) $1,437 $1,916 35.3×
Car seat/bed test 60 min (94780) $502.50 $670 11.2×
Cardiac Stress Tst,Tracing Only (93017) $3,552 $4,736 13.7×
Cardiopulmonary exercise testing (94621) $2,642.25 $3,523 5.9×
Cardiopulmonary resuscitation (92950) $1,688.25 $2,251 6.5×
Cardioversion (92960) $3,361.50 $4,482 4.2×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $44,037.75 $58,717 2.0×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $16,464 $21,952 4.2×
Cbt 1st hour (94644) $393.75 $525 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $218.25 $291 2.5×
Chemo IV push addl drug (96411) $582.38 $776.50 6.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,674.75 $2,233 4.2×
Chemother, IV infusion, 1 hr (96413) $1,533 $2,044 3.9×
Chemother, IV infusion, ea add hr (96415) $453.38 $604.50 5.3×
Chemother,Ia Push Technique (96420) $952.50 $1,270 2.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $532.50 $710 6.2×
Chemotherapy into cns (96450) $2,162.25 $2,883 5.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $771 $1,028 8.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $652.88 $870.50 1.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $891 $1,188 2.3×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,976 $3,968 6.7×
Color/duplex Doppler, complete (93975) $1,272.75 $1,697 4.5×
Color/duplex Doppler, limited (93976) $2,277 $3,036 18.2×
Continuous Glucose Monitoring (95250) $1,119 $1,492 7.0×
Coronary art/grft angio s&i (93455) $9,895.50 $13,194 2.5×
Coronary artery angio s&i (93454) $16,464 $21,952 4.2×
Cpap/bipap (94660) $687.38 $916.50 2.6×
Cpt initial (94667) $780.75 $1,041 4.9×
Critical care (99291) $6,730.50 $8,974 6.8×
Debridement Open Wound 20 Sq Cm< (97597) $614.25 $819 2.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,129.88 $1,506.50 4.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,417.50 $1,890 11.3×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $1,173.75 $1,565 9.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,263.50 $3,018 7.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,740 $2,320 13.9×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,132.50 $1,510 4.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,182 $1,576 9.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,845 $2,460 6.5×
Dup-scan xtr veins unilateral/limited study (93971) $1,736.25 $2,315 13.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,519.50 $2,026 5.3×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $730.50 $974 5.8×
Duplex scan extracranial art compl bi study (93880) $2,128.50 $2,838 7.4×
Duplex Scan Hemodialysis Access (93990) $742.50 $990 5.9×
Echo Heart Xthoracic,Limited (93308) $1,314.75 $1,753 4.6×
Echo r-t 2d w/probe placement only (93313) $3,006 $4,008 4.6×
Echo transesophageal (93312) $4,084.50 $5,446 6.2×
Echo Transesophageal - Congenital Tee Complete (93315) $3,012.75 $4,017 4.6×
EEG awake and asleep (95819) $1,974 $2,632 7.6×
EEG awake drowsy (95816) $1,671 $2,228 6.5×
EEG cont rec w/video by tech min 8 channels (95700) $1,570.50 $2,094 6.1×
EEG greater than 1 hour (95813) $2,367 $3,156 9.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $1,570.50 $2,094 6.1×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $3,015 $4,020 6.7×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $3,015 $4,020 6.7×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $3,015 $4,020 6.7×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $1,570.50 $2,094 6.1×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $1,570.50 $2,094 6.1×
Elec alys implt cplx cn npgt prgrmg (95977) $630.75 $841 5.5×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $1,093.50 $1,458 24.4×
Electrocardiogram Tracing (93005) $571.50 $762 8.1×
Electroconvulsive Therapy (90870) $2,841 $3,788 2.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $3,243.75 $4,325 12.5×
EMG one extremity (95860) $629.25 $839 3.9×
EMG two extremities (95861) $1,154.25 $1,539 7.2×
Ep & ablate supravent arrhyt (93653) $57,420.75 $76,561 1.8×
Ep & ablate ventric tachy (93654) $65,209.50 $86,946 2.1×
Ep Analyze Pacer Sys (93724) $2,319 $3,092 6.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $9,082.50 $12,110 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $13,421.25 $17,895 1.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $8,364.75 $11,153 5.7×
Er level 1 (99281) $730.50 $974 7.2×
Er level ii (99282) $1,548 $2,064 8.4×
Er level iii (99283) $2,273.25 $3,031 6.9×
Er level IV (99284) $3,624.75 $4,833 7.2×
Er level v (99285) $5,376 $7,168 7.5×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,644.25 $4,859 8.1×
Eval speech sound production (92522) $1,037.25 $1,383 9.3×
Evaluate Pt Use Of Inhaler (94664) $618.38 $824.50 2.4×
Evaluation of speech fluency (92521) $1,316.25 $1,755 9.9×
Exercise tst brncspsm (94617) $762.75 $1,017 4.8×
External Ecg Scanning Analysis Report (93226) $1,514.25 $2,019 21.4×
Eye exam w anesth; complete (92018) $5,848.50 $7,798 2.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,644.25 $4,859 8.1×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $3,644.25 $4,859 14.1×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $4,530 $6,040 4.2×
Gi tract capsule endoscopy (91110) $5,932.50 $7,910 5.5×
Hemodialysis (90935) $3,034.50 $4,046 3.7×
High altitude simulation test (94452) $1,037.25 $1,383 6.5×
High altitude simulation test (94453) $1,037.25 $1,383 6.5×
Holter Monitor (93225) $1,558.50 $2,078 9.8×
Immunization Admin (90471) $161.25 $215 1.9×
Induction of arrhythmia by electrical pacing (93618) $2,377.50 $3,170 1.6×
Injection intra arterial (96373) $1,105.50 $1,474 4.3×
Intra Atrial Recording (93602)
unusually low: confirm this is the full procedure
$3,171.75 $4,229 0.3×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $915 $1,220 3.5×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$3,171.75 $4,229 0.3×
Iontophoresis 15 min (97033) $493.50 $658 25.9×
Irrig drug delivery device (96523) $310.50 $414 4.4×
IV infusion hydration each additional hour (96361) $498.75 $665 8.9×
IV infusion hydration initial 31 min-1 hour (96360) $993 $1,324 3.9×
IV infusion ther proph addl sequential to 1 hr (96367) $435 $580 5.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,229.25 $1,639 4.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $405 $540 7.2×
IV push ea addl new drug (96375) $625.50 $834 11.1×
IV push initial (96374) $926.25 $1,235 3.6×
L hrt art/grft angio (93459) $16,464 $21,952 4.2×
Manual therapy 15 min (97140) $388.50 $518 14.0×
Massage 15 min (97124) $153.75 $205 5.2×
Maximum voluntary ventilation (94200) $247.50 $330 3.5×
Mechanical chest wall oscillation (94669) $463.50 $618 1.8×
Mechanical traction (97012) $1,232.25 $1,643 85.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $173.25 $231 5.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $186.75 $249 5.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $201.75 $269 11.8×
Methacholine challenge (94070) $1,541.25 $2,055 3.4×
Motility study esophagus (91010) $3,644.25 $4,859 8.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $931.12 $1,241.50 10.2×
Multiple Family Group Psychotherapy (90849) $385.50 $514 1.8×
Multiple Sleep Latency Test (95805) $8,259 $11,012 8.0×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $415.50 $554 1.6×
Neg press wound tx >50 cm (97608) $1,879.50 $2,506 3.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,879.50 $2,506 3.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $974.25 $1,299 4.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,879.50 $2,506 3.9×
Nerve Conduction Studies 11-12 Studies (95912) $697.50 $930 1.6×
Nerve conduction studies 13/> studies (95913) $988.50 $1,318 2.2×
Nerve Conduction Studies 3-4 Studies (95908) $1,508.25 $2,011 5.8×
Nerve Conduction Studies 5-6 Studies (95909) $1,508.25 $2,011 5.8×
Nerve Conduction Studies 7-8 Studies (95910) $957.75 $1,277 2.1×
Nerve Conduction Studies 9-10 Studies (95911) $1,215.75 $1,621 2.7×
Nerve conduction studies; 1-2 studies (95907) $556.50 $742 2.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $609 $812 3.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,152.75 $1,537 7.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $505.50 $674 3.3×
Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for… (92019) $8,226 $10,968 2.9×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $1,198.50 $1,598 17.0×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $341.25 $455 7.4×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $374.25 $499 11.7×
Ot eval high complex 60 min (97167) $1,268.25 $1,691 12.6×
Ot eval low complex 30 min (97165) $841.50 $1,122 8.4×
Ot eval mod complex 45 min (97166) $841.50 $1,122 8.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $399 $532 8.0×
Ot Prosthetic Training, Each 15 Min (97761) $264 $352 6.5×
Ot re-evaluation (97168) $506.25 $675 7.4×
Ot therapeutic activity 15 min (97530) $306.75 $409 8.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $384.75 $513 2.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $384.75 $513 2.5×
Paraffin bath pt (97018) $174.75 $233 29.1×
Peripheral arterial disease rehab per session (93668) $351 $468 5.0×
Peritoneal Dialysis (90945) $2,304 $3,072 4.6×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $19,566 $26,088 2.9×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $43,288.50 $57,718 3.1×
Phlebotomy therapeutic (99195) $417 $556 2.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $60 $80 0.8×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $60 $80 0.8×
Plethysmography (94726) $760.50 $1,014 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $12,091.88 $16,122.50 11.7×
Polysom <6 yrs 4/> paramtrs (95782) $27,367.50 $36,490 26.6×
Prq balloon valvuloplasty aortic valve (92986) $45,501 $60,668 6.7×
Prq Card Stent W/Angio 1 Vsl (92928) $40,357.50 $53,810 2.9×
Prq Card Stent/Ath/Angio (92933) $40,356.75 $53,809 1.8×
Prq Revasc Byp Graft 1 Vsl (92937) $35,640 $47,520 2.6×
Prq trluml coronary angio/atherect one art/brnch (92924) $31,219.50 $41,626 2.3×
Psych diag eval w/med srvcs (90792) $2,118.75 $2,825 10.0×
Psychiatric diagnostic evaluation (90791) $911.25 $1,215 4.3×
Pt Aquatic Therapy/Exercises (97113) $306.75 $409 8.3×
Pt Electrical Stimulation (97032) $372 $496 25.3×
Pt eval high complex 45 min (97163) $1,013.25 $1,351 10.4×
Pt eval low complex 20 min (97161) $718.50 $958 7.3×
Pt eval mod complex 30 min (97162) $718.50 $958 7.3×
Pt gait training 15 min (97116) $240 $320 8.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $193.50 $258 5.9×
Pt re-evaluation (97164) $546 $728 8.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $438.75 $585 13.5×
Pt Whirlpool Therapy (97022) $277.50 $370 17.7×
Pulm Funct Test Oscillometry (94728) $608.25 $811 3.9×
Pulm function test by gas (94727) $506.25 $675 2.0×
Pulmonary stress test simple (94618) $473.25 $631 3.0×
Pure Tone Audiometry Air Only (92552) $423 $564 2.7×
R & l hrt cath w/njx l ventriculog img s&i (93453) $8,412 $11,216 2.2×
R hrt art/grft angio (93457) $10,358.25 $13,811 2.7×
R hrt coronary artery angio (93456) $12,405.75 $16,541 3.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $9,895.50 $13,194 2.5×
R&l hrt art/ventricle angio (93460) $9,895.50 $13,194 2.5×
Refill/Maint Portable Pump (96521) $1,445.25 $1,927 5.7×
Refill/Maint Pump/Resvr Syst (96522) $837 $1,116 3.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $1,689 $2,252 37.8×
Respiratory flow volume loop (94375) $666 $888 2.6×
Right heart cath (93451) $9,895.50 $13,194 2.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $974.25 $1,299 4.1×
Rt Chest Wall Manipulation,Subsequent (94668) $108.75 $145 0.7×
Sleep study unattended (95806) $1,656 $2,208 6.4×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,065 $1,420 4.1×
Somatosensory testing (95938) $1,602 $2,136 1.6×
Speech sound lang comprehen (92523) $1,030.50 $1,374 4.6×
Spirometry (94010) $621 $828 2.4×
Ssep lower limbs (95926) $2,386.50 $3,182 9.2×
Standardized Cognitive Performance Testing (96125) $505.50 $674 4.9×
Stress echo (93350) $2,877.38 $3,836.50 4.4×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $909.75 $1,213 3.6×
Subcutaneous Infusion Each Additional Hour (96370) $88.50 $118 1.6×
Temp transcutaneous pacing (92953) $884.25 $1,179 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $111 $148 5.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $111 $148 5.3×
Therapeutic prophylactic/dx injection subq/im (96372) $366 $488 4.2×
Tilt table evaluation (93660) $1,541.25 $2,055 3.4×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $562.50 $750 2.0×
Transtelephonic rhythm strip pacemaker eval (93293) $234.75 $313 5.2×
Tte w/doppler, complete (93306) $4,058.25 $5,411 6.2×
Tx atrial fib pulm vein isol (93656) $67,704 $90,272 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $417.75 $557 5.5×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $184.88 $246.50 7.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $744 $992 8.8×
Unlisted Cardiovascular Service/Procedure (93799) $130.50 $174 0.8×
Unlisted noninvasive vascular diagnostic study (93998) $134.25 $179 3.9×
Upr/lxtr art stdy 3+ lvls (93923) $1,152.75 $1,537 4.5×
Vasc Duplex Scan Extracranial,Limited (93882) $1,257 $1,676 10.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $919.50 $1,226 3.6×
Veeg 2-12 hr unmonitored (95711) $1,570.50 $2,094 6.1×
Veeg by tech 2-12 hr continuous r-t monitoring (95713) $3,015 $4,020 6.7×
Veeg by tech 2-12 hr intermittent monitoring (95712) $1,570.50 $2,094 3.5×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $5,643 $7,524 5.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $3,015 $4,020 6.7×
Veeg Ea 12-26 Hr Unmntr (95714) $3,015 $4,020 6.7×
Vent mgmt inpat init day (94002) $1,338.75 $1,785 1.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,234.50 $1,646 1.7×
Visual Evoked Potential Test (95930) $1,762.50 $2,350 6.8×
Vital capacity, total (94150) $372 $496 2.4×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $329.25 $439 4.7×