Supplies, drugs & other prices at New England Baptist Hospital

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

104 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) $2,910.50 $2,910.50 3.1×
2d tte w or w/o fol w/con,fu (C8924) $1,775 $1,775 4.2×
3d anat seg imaging preop (C8001) $485 $485 3.1×
3d bn img algor drvd fr mri (G0566) $485 $485 3.1×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $9,927.50 $9,927.50 4.2×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $19,884 $19,884 1.9×
Admin influenza virus vac (G0008) $169 $169 3.0×
Annual alcohol screen 15 min (G0442) $88.50 $88.50 2.0×
Antibody treponema pallidum total & rpr ia qual (0064U) $97 $97 3.1×
Ascvd rsk mng clin stf pr mo (G0538) $288 $288 2.4×
Behavior counsel obesity 15m (G0447) $288 $288 2.4×
Brief alcohol misuse counsel (G0443) $330 $330 2.7×
Ca screen;flexi sigmoidscope (G0104) $2,831 $2,831 2.5×
Ca screen;pelvic/breast exam (G0101) $278 $278 2.3×
Catheterize for urine spec (P9612) $45 $45 4.8×
Colon ca scrn not hi rsk ind (G0121) $2,689 $2,689 2.4×
Colorectal scrn; hi risk ind (G0105) $2,689 $2,689 2.4×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) $617 $617 2.6×
Covid-19 lab test non-cdc (U0002) $140 $140 2.7×
Cysto, litho, vacuum kidney (C9761) $20,080.50 $20,080.50 1.8×
Depression screen annual (G0444) $86.50 $86.50 1.9×
Diab manage trn per indiv (G0108) $276 $276 4.9×
Diab manage trn ind/group (G0109) $160 $160 10.0×
Direct refer hospital observ (G0379) $2,341.50 $2,341.50 3.3×
Drug test def 1-7 classes (G0480) $566.50 $566.50 5.0×
Drug test def 15-21 classes (G0482) $1,606 $1,606 8.1×
Drug test def 22+ classes (G0483) $664 $664 2.7×
Drug test def 8-14 classes (G0481) $833.50 $833.50 5.3×
Egd flexible transnasal dx w/collj spec br/wa (0652T) $6,758 $6,758 2.9×
Egd flexible transnasal w/biopsy single/multiple (0653T) $5,890 $5,890 2.6×
Egd flexible transnasal w/insj intral tube/cath (0654T) $11,813 $11,813 2.6×
Endo outlet restrict w/tube (C9785) $37,092 $37,092 2.9×
Esw integumentary wound healing initial wound (0512T) $890 $890 3.7×
Fecal blood scrn immunoassay (G0328) $107 $107 5.9×
Fecal microbiota prep instil (G0455) $2,831 $2,831 2.5×
Flt3 gene itd variants quan (0046U) $1,265 $1,265 3.1×
Group mnt 2 or more 30 mins (G0271) $67 $67 3.9×
Hbot, full body chamber, 30m (G0277) $861 $861 5.2×
Home sleep test/type 3 porta (G0399) $485 $485 1.9×
Hopd mntl hlt, 15-29 min (C7900) $104 $104 2.3×
Hopd mntl hlt, 30-60 min (C7901) $207 $207 1.7×
Hpv combo assay ca screen (G0476) $224.50 $224.50 6.4×
Iliac Atherectomy (0238T) $21,258 $21,258 1.0×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $30,018 $30,018 2.4×
Insertion wrls car stimulator lv pacg compl sys (0515T) $84,568.50 $84,568.50 3.2×
Insj Wcs Lv Eltrd Only (0516T) $30,018 $30,018 2.4×
Interrog dev eval impl ccm-d system in person (0927T) $116 $116 2.6×
Interrog dev eval wcs ip (0521T) $64 $64 1.8×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $32,327 $32,327 2.5×
Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) $160 $160 2.3×
Mnt subs tx for change dx (G0270) $135 $135 4.3×
N-invs det hrt fail aug echo (0932T) $932 $932 2.5×
Near infrared dual imaging (ie, simultaneous reflective and transilluminated light) of meibomian glands, unilateral or… (0507T) $295 $295 4.2×
Neuro csf prion prtn qual (0035U) $1,245.50 $1,245.50 2.3×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,239 $1,239 2.3×
NPM1 (nucleophosmin) (eg, acute myeloid leukemia) gene analysis, quantitative Non-Facility Physician (0049U) $1,265 $1,265 3.1×
Obtaining screen pap smear (Q0091) $62 $62 1.8×
Onc Merkel Cll Carc Srm Quan (0058U) $1,110 $1,110 3.4×
Opps service,sched team conf (G0175) $1,205 $1,205 2.4×
Oth resp proc, group (G0239) $111 $111 2.5×
Pathogen test for platelets (P9100) $141 $141 2.0×
Pattern erg w/i&r (0509T) $486 $486 1.9×
Pef bronch ablt 3d nav ebus (C8005) $13,341 $13,341 0.6×
Perc d-e cor revasc chro sin (C9607) $56,575 $56,575 2.6×
Perc d-e cor revasc t cabg s (C9604) $35,863.50 $35,863.50 2.6×
Perc d-e cor stent ather s (C9602) $63,974 $63,974 2.9×
Perc drug-el cor stent sing (C9600) $34,965.50 $34,965.50 2.5×
Perq Sacral Augmt Bilat Inj (0201T) $6,444 $6,444 0.7×
Perq Sacral Augmt Unilat Inj (0200T) $7,232 $7,232 0.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,704 $17,704 1.3×
Ppps, subseq visit (G0439) $42 $42 0.3×
Pre 3d mdl w/ccta and/or mri (C9793) $3,159 $3,159 3.1×
Prgrmg dev eval wcs ip (0522T) $135 $135 3.0×
Programming device eval impl ccm-d sys in person (0926T) $116 $116 2.6×
Prostate biopsy, any mthd (G0416) $1,065 $1,065 2.5×
Psa screening (G0103) $220.50 $220.50 11.4×
Qtc interval augmnt alg alys xtrnl mobile ECG (0902T) $401 $401 2.5×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $116 $116 2.6×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $89,168 $89,168 7.1×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $12,693 $12,693 1.0×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $12,693 $12,693 2.8×
Revasc intra lithotrip-stent (C9765) $38,857.50 $38,857.50 1.8×
Revasc intravasc lithotripsy (C9764) $12,456 $12,456 0.9×
Revasc lithotrip tibi/perone (C9772) $32,124 $32,124 2.3×
Risk ascvd tst once pr 12 mo (G0537) $92.50 $92.50 2.1×
Rpr intst excl anrect fist (C9796) $8,227 $8,227 2.5×
Sim ang w/prs cath rad emb (C8004) $35,213 $35,213 2.5×
Software meas of cardiac vol (G0183) $273 $273 2.6×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $59,215 $59,215 2.6×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $59,215 $59,215 2.6×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $17,704 $17,704 2.6×
Tee w or w/o fol w/cont,cong (C8926) $2,846.50 $2,846.50 3.0×
Therapeutic procd strg endur (G0237) $144 $144 4.2×
Transcatheter Renal Sympath Denervation Bilat (0339T) $17,704 $17,704 2.6×
Transcatheter renal sympath denervation unilat (0338T) $17,704 $17,704 2.6×
Trauma respons w/hosp criti (G0390) $5,662 $5,662 3.5×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $9,425 $9,425 2.7×
Trim nail(s) (G0127) $156 $156 2.2×
Tte w or w/o contr, cont ecg (C8930) $2,332 $2,332 2.5×
Tte w or w/o fol w/con,stres (C8928) $2,718 $2,718 2.9×
Tte w or w/o fol w/cont, com (C8921) $2,846.50 $2,846.50 3.0×
Tte w or w/o fol w/cont, f/u (C8922) $2,277 $2,277 2.4×
Tte w or wo fol wcon,doppler (C8929) $2,790.50 $2,790.50 3.0×
Visit to determ ldct elig (G0296) $288 $288 2.4×