Visits & medical services prices at UMass Memorial Health–Harrington Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Acoustic reflex testing (92568) $137 $137 3.1×
Aep hearing status deter broadband stimuli i&r (92651) $505 $505 2.0×
Aep neurodiagnostic interpretation and report (92653) $882 $882 3.4×
Aep Thrshld Est Mlt Freq I&R (92652) $882 $882 3.4×
Airway inhalation treatment (94640) $224 $224 0.9×
Allg test perq & ic drug/biol immed react w/ i&r (95018) $146 $146 3.3×
Appl modality 1+lllt po pain (97037) $142 $142 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $202.50 $202.50 14.1×
Application on-body injector (96377) $106 $106 1.9×
Assessment of aphasia per hr (96105) $341 $341 3.5×
Auditory Function, 60 Min (92620) $730 $730 4.7×
Basic vestibular evaluation (92540) $1,151 $1,151 4.4×
Bedside Swallowing Eval (92610) $390 $390 4.6×
Behavioral and qualitative analysis of voice and resonance (92524) $399 $399 3.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $525 $525 1.2×
Caloric vestibular test w/rec bi bithermal (92537) $469 $469 3.0×
Caloric vestibular test w/rec bi monothermal (92538) $386 $386 1.5×
Canalith Repositioning Procedure (95992) $231.50 $231.50 5.7×
Cardiac Stress Tst,Tracing Only (93017) $1,437 $1,437 5.6×
Cardiopulmonary resuscitation (92950) $1,360 $1,360 5.3×
Cardioversion (92960) $4,181.66 $4,181.66 5.3×
Cbt 1st hour (94644) $275 $275 1.7×
Cervical & ocular vemp testing w/i&r (92519) $946 $946 3.7×
Cervical vemp testing w/i&r (92517) $505 $505 3.3×
Chemo Admin Peritoneal Cavity (96446) $784 $784 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $116 $116 1.3×
Chemo IV push addl drug (96411) $387 $387 4.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,062 $1,062 2.7×
Chemother, IV infusion, 1 hr (96413) $839 $839 2.1×
Chemother, IV infusion, ea add hr (96415) $173 $173 2.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $104 $104 1.2×
Chemotherapy Administration Intralesional </7 (96405) $785 $785 9.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $374 $374 4.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $457 $457 1.2×
Color/duplex Doppler, complete (93975) $1,855 $1,855 6.5×
Color/duplex Doppler, limited (93976) $412 $412 3.3×
Comprehensive Hearing Test (92557) $451 $451 2.9×
Conditioning Play Audiometry (92582) $688 $688 4.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $217 $217 3.1×
Continuous Glucose Monitoring (95250) $795 $795 5.0×
Cpap/bipap (94660) $520 $520 2.0×
Cpt initial (94667) $167 $167 1.0×
Critical care (99291) $3,499 $3,499 3.5×
Dbrdmt prmlg les w/pdt (96574) $409 $409 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $734.50 $734.50 3.1×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $528 $528 3.4×
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming Facility (92601) $528 $528 3.4×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $455 $455 1.8×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $585 $585 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $735 $735 2.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,006 $1,006 8.0×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $1,333 $1,333 10.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,676 $1,676 5.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $617 $617 4.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $971 $971 3.4×
Dup-scan xtr veins unilateral/limited study (93971) $901 $901 7.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,750 $1,750 6.1×
Duplex scan extracranial art compl bi study (93880) $977 $977 3.4×
Dx aly prgrmg&verif aud oi sound processr 1st 60 (92622) $385 $385 2.5×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $528 $528 3.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,W/Prog (92603) $528 $528 3.4×
Echo Heart Xthoracic,Limited (93308) $861 $861 3.0×
Echo r-t 2d w/probe placement only (93313) $4,970 $4,970 7.6×
Echo transesophageal (93312) $7,977.17 $7,977.17 12.2×
Echo Transthoracic - Congenital Tte Complete (93303) $3,004 $3,004 4.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,148 $3,148 4.8×
Electrocardiogram Tracing (93005) $190 $190 2.7×
Electrocochleography (92584) $727 $727 4.7×
Er level 1 (99281) $163 $163 1.6×
Er level ii (99282) $355 $355 1.9×
Er level iii (99283) $499 $499 1.5×
Er level IV (99284) $921 $921 1.8×
Er level v (99285) $1,083 $1,083 1.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $366 $366 2.4×
Eval speech sound production (92522) $246 $246 2.2×
Evaluate Pt Use Of Inhaler (94664) $792 $792 3.0×
Exhaled Air Analysis (94690) $177 $177 2.5×
External ECG rec>48hr<7d recording (93242) $974 $974 21.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $195 $195 1.2×
External ECG rec>7d<15d recording (93246) $205 $205 4.6×
External ECG rec>7d<15d scanning alys w/report (93247) $416 $416 2.6×
External Ecg Scanning Analysis Report (93226) $936 $936 13.2×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $818 $818 4.1×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,342 $2,342 2.3×
Group Therapeutic Procedures (97150) $95 $95 5.3×
Holter Monitor (93225) $997 $997 6.3×
Imm admn sarscov2 vaccine single dose (90480) $124 $124 2.5×
Immunization Admin (90471) $108 $108 1.3×
Ingestion challenge test initial 120 minutes (95076) $1,720 $1,720 3.8×
Inhalation bronchial challenge testing (95070) $572 $572 1.3×
Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number… (95028) $205 $205 4.6×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) $117 $117 1.7×
Intralesional Chemo Admin,8+ Lesn (96406) $779 $779 3.1×
Iontophoresis 15 min (97033) $210 $210 11.0×
Irrig drug delivery device (96523) $276 $276 3.9×
IV infusion hydration each additional hour (96361) $292 $292 5.2×
IV infusion hydration initial 31 min-1 hour (96360) $576 $576 2.3×
IV infusion ther proph addl sequential to 1 hr (96367) $214.50 $214.50 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $576.50 $576.50 2.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $292 $292 5.2×
IV push ea addl new drug (96375) $163 $163 2.9×
IV push initial (96374) $550 $550 2.2×
Laryngeal Function Studies (92520) $229 $229 1.4×
Manual therapy 15 min (97140) $239 $239 8.6×
Massage 15 min (97124) $182 $182 6.1×
Maximum voluntary ventilation (94200) $226 $226 3.2×
Mechanical chest wall oscillation (94669) $266 $266 1.0×
Mechanical traction (97012) $181 $181 12.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $109 $109 3.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $119 $119 3.2×
Methacholine challenge (94070) $985 $985 2.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $390 $390 4.3×
Multiple Sleep Latency Test (95805) $4,057 $4,057 3.9×
Nasopharyngoscopy (92511) $417 $417 1.7×
Neg press wound tx >50 cm (97608) $70 $70 0.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $345 $345 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $1,360.24 $1,360.24 5.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $382 $382 0.8×
Nerve Conduction Studies 11-12 Studies (95912) $778 $778 1.7×
Nerve conduction studies 13/> studies (95913) $805 $805 1.8×
Nerve Conduction Studies 3-4 Studies (95908) $236 $236 0.9×
Nerve Conduction Studies 5-6 Studies (95909) $236 $236 0.9×
Nerve Conduction Studies 7-8 Studies (95910) $730 $730 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $730 $730 1.6×
Nerve conduction studies; 1-2 studies (95907) $236 $236 0.9×
Nitric oxide expired gas determination (95012) $126 $126 2.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $461.50 $461.50 2.9×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $342 $342 2.2×
Ocular vemp testing w/i&r (92518) $505 $505 3.3×
Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording Non-Facility (92544) $497 $497 3.2×
Orbicularis Oculi Reflx Electrodiagnostic Test (95933) $689 $689 9.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $225 $225 4.9×
Oscillating Tracking Test (92545) $790 $790 3.1×
Osteopathic manipulative tx 3-4 body regions (98926) $56 $56 2.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $118 $118 3.7×
Ot eval high complex 60 min (97167) $498 $498 5.0×
Ot eval low complex 30 min (97165) $375 $375 3.7×
Ot eval mod complex 45 min (97166) $426 $426 4.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $181 $181 3.6×
Ot Prosthetic Training, Each 15 Min (97761) $180.50 $180.50 4.5×
Ot re-evaluation (97168) $263 $263 3.8×
Ot therapeutic activity 15 min (97530) $200 $200 5.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $346 $346 2.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $353 $353 2.3×
Paraffin bath pt (97018) $127 $127 21.1×
Patch/Application Test Specify Number Tests (95044) $157 $157 0.2×
Pdt dstr prmlg les phys/qhp (96573) $419 $419 1.7×
Percutaneous tests w/allergenic extracts (95004) $153 $153 0.1×
Phlebotomy therapeutic (99195) $412 $412 2.6×
Plethysmography (94726) $318 $318 0.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,165 $5,165 5.0×
Positional Nystagmus Test (92542) $458 $458 2.9×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $162 $162 2.9×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $142 $142 2.5×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $176 $176 3.1×
Psych diag eval w/med srvcs (90792) $302 $302 1.4×
Psychiatric diagnostic evaluation (90791) $860 $860 4.0×
Psycl/nrpsycl tst elec platform auto result (96146) $74 $74 2.1×
Pt Electrical Stimulation (97032) $174 $174 11.8×
Pt eval high complex 45 min (97163) $498 $498 5.1×
Pt eval low complex 20 min (97161) $375 $375 3.8×
Pt eval mod complex 30 min (97162) $426 $426 4.4×
Pt gait training 15 min (97116) $178 $178 6.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $137 $137 4.2×
Pt Physical Performance Test (97750) $120 $120 3.6×
Pt re-evaluation (97164) $263 $263 3.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $174 $174 5.4×
Pt Whirlpool Therapy (97022) $173 $173 11.0×
Pulm function test by gas (94727) $297 $297 1.1×
Pulmonary Service/Procedure (94799) $112 $112 0.7×
Pure Tone Audiometry Air & Bone (92553) $340 $340 2.2×
Pure Tone Audiometry Air Only (92552) $175 $175 1.1×
Refill/Maint Pump/Resvr Syst (96522) $322 $322 1.3×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $395 $395 2.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $925 $925 20.7×
Repet tms tx initial w/map/motr threshld/del&m (90867) $1,232 $1,232 4.8×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $1,232 $1,232 4.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $418.50 $418.50 1.7×
Rt Chest Wall Manipulation,Subsequent (94668) $139 $139 0.9×
Sensory Integration Ea 15 Min (97533) $213 $213 3.5×
Sinusoidal Vertical Axis Rotational Testing (92546) $460 $460 3.0×
Sleep study attended (95807) $2,170 $2,170 4.9×
Sleep study unattended (95806) $1,120 $1,120 4.3×
Smoking cessation > 10 min (99407) $92 $92 2.0×
Speech Audiometry Complete (92556) $182 $182 2.6×
Speech audiometry threshold (92555) $149 $149 2.1×
Speech sound lang comprehen (92523) $577 $577 2.5×
Spirometry (94010) $406 $406 1.6×
Spontaneous nystagmus test (92541) $614 $614 3.9×
Standardized Cognitive Performance Testing (96125) $445 $445 4.3×
Stenger Test, Pure Tone (92565) $180 $180 2.5×
Temp transcutaneous pacing (92953) $2,099 $2,099 2.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $124 $124 5.5×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $124 $124 5.9×
Therap repetitive tms tx subseq delivery & mng (90868) $1,232 $1,232 4.8×
Therapeutic prophylactic/dx injection subq/im (96372) $220 $220 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $177 $177 3.9×
Tte w/doppler, complete (93306) $2,064 $2,064 3.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,329 $1,329 4.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $519 $519 6.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $563 $563 6.7×
Tympanometry (92567) $185 $185 4.1×
Tympanometry And Reflex Threshold Measurements (92550) $186 $186 0.7×
Unlisted otorhinolaryngological service (92700) $75 $75 2.2×
Upr/lxtr art stdy 3+ lvls (93923) $909 $909 3.5×
Vasc Duplex Scan Extracranial,Limited (93882) $1,046 $1,046 8.3×
Vent mgmt inpat init day (94002) $452 $452 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $520 $520 0.7×
Visual reinforcement audiometry (vra) (92579) $422 $422 1.6×