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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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $137 $137 3.1×
Admn Sarscov2 Vacc 1 Dose (90480) $124 $124 2.5×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $505 $505 2.0×
Aep neurodiagnostic i&r (92653) $882 $882 3.4×
Aep threshold estimation mlt frequencies 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×
Analysis Cochlear Implt Pt <7 Yr Prgrmg (92601) $528 $528 3.4×
Appl modality 1+ areas lllt po pain reduction (97037) $142 $142 3.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 2 matching MRF lines		 $180–$225 $180–$225 varies
Application on-body injector (96377) $106 $106 1.9×
Assessment of aphasia per hr (96105) $341 $341 3.5×
Audiometry Air & Bone (92553) $340 $340 2.2×
Auditory Function, 60 Min (92620) $730 $730 4.7×
Basic vestibular evaluation (92540) $1,151 $1,151 4.4×
Behavral qualit analys voice (92524) $399 $399 3.6×
Blink reflex test (95933) $689 $689 9.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $525 $525 1.2×
Caloric vestibular test w/rec bi monothermal (92538) $386 $386 1.5×
Caloric Vstblr Test W/Rec (92537) $469 $469 3.0×
Canalith repositioning proc (95992)
range across 2 matching MRF lines		 $228–$235 $228–$235 varies
Cardiac Stress Tst,Tracing Only (93017) $1,437 $1,437 5.6×
Cardiopulmonary resuscitation (92950) $1,360 $1,360 5.3×
Cardioversion (92960)
range across 2 matching MRF lines		 $3,524.13–$4,839.19 $3,524.13–$4,839.19 varies
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 Anti-Neopl Sq/Im (96401) $104 $104 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $116 $116 1.3×
Chemo Intralesional Over 7 (96406) $779 $779 3.1×
Chemo intralesional up to 7 (96405) $785 $785 9.1×
Chemo IV infusion addl hr (96415) $173 $173 2.0×
Chemo IV push addl drug (96411) $387 $387 4.5×
Chemother Prolong Infuse W/Pump (96416) $1,062 $1,062 2.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $374 $374 4.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $839 $839 2.1×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $457 $457 1.2×
Chest Wall Manipulation (94668) $139 $139 0.9×
Color/duplex Doppler, complete (93975) $1,855 $1,855 6.5×
Color/duplex Doppler, limited (93976) $412 $412 3.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $118 $118 3.7×
Comprehensive Hearing Test (92557) $451 $451 2.9×
Conditioning Play Audiometry (92582) $688 $688 4.5×
Cont gluc mntr physician/qhp provided equiptment (95250) $795 $795 5.0×
Cont Gluc Mntr Pt Prov Eqp (95249) $217 $217 3.1×
Continuous Pulse Ox (94762) $342 $342 2.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $520 $520 2.0×
Cpt initial (94667) $167 $167 1.0×
Critical care first hour (99291) $3,499 $3,499 3.5×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $710–$759 $710–$759 varies
Debridement Prmlg Hyperkeratotic Les W/Pdt (96574)
range across 2 matching MRF lines		 $399–$419 $399–$419 varies
Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming Facility (92602) $528 $528 3.4×
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×
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 Congenital Complete (93303) $3,004 $3,004 4.6×
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 tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,148 $3,148 4.8×
Electrical Stimulation Ea 15 Min (97032) $174 $174 11.8×
Electrocardiogram Tracing (93005) $190 $190 2.7×
Electrocochleography (92584) $727 $727 4.7×
Emergency Dept Visit Level 2 (99282) $355 $355 1.9×
Emergency Dept Visit Level 3 (99283) $499 $499 1.5×
Emergency Dept Visit Level 4 (99284) $921 $921 1.8×
Er level 1 (99281) $163 $163 1.6×
Er level v (99285) $1,083 $1,083 1.5×
Eval aud funcj cand/po surg implt dev 1st hr (92626)
range across 2 matching MRF lines		 $354–$378 $354–$378 varies
Evaluate pt use of inhaler (94664) $792 $792 3.0×
Evaluate Speech Production (92522) $246 $246 2.2×
Evaluate Swallowing Function (92610) $390 $390 4.6×
Evoked Auditory Test,Limited (92587) $455 $455 1.8×
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×
Extracranial Bilat Study (93880) $977 $977 3.4×
Extracranial Uni/Ltd Study (93882) $1,046 $1,046 8.3×
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 recording (93225) $997 $997 6.3×
Ic Tsts W/Allgic Xtrcs Dlyd Typ Rxn W/Reading (95028) $205 $205 4.6×
Immunization administration (90471) $108 $108 1.3×
Ingestion challenge test initial 120 minutes (95076) $1,720 $1,720 3.8×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $572 $572 1.3×
Intracutaneous tests w/allergenic extracts (95024) $117 $117 1.7×
Iontophoresis 15 min (97033) $210 $210 11.0×
Irrig Drug Delivery Device (96523)
range across 4 matching MRF lines		 $272–$280 $272–$280 varies
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)
range across 4 matching MRF lines		 $214–$215 $214–$215 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $292 $292 5.2×
IV push initial (96374)
range across 6 matching MRF lines		 $538–$581 $538–$581 varies
Laryngeal Function Studies (92520) $229 $229 1.4×
Lung Function Test (Mbc/Mvv) (94200) $226 $226 3.2×
Mechanical chest wall oscillation per session (94669) $266 $266 1.0×
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 Fluoroscopy/Swallow (92611) $390 $390 4.3×
Multiple Sleep Latency Test (95805) $4,057 $4,057 3.9×
Nasopharyngoscopy (92511) $417 $417 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $345 $345 0.7×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $70 $70 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines		 $896–$1,824.48 $896–$1,824.48 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $382 $382 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $236 $236 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $778 $778 1.7×
Nerve conduction studies 13 or more 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×
Neuromuscular Reeducation (97112) $137 $137 4.2×
Nitric oxide expired gas determination (95012) $126 $126 2.8×
Ocular Vemp Testing W/I&R (92518) $505 $505 3.3×
Optokinetic Nystagmus Test (92544) $497 $497 3.2×
Oral Function Therapy (92526)
range across 2 matching MRF lines		 $308–$818 $308–$818 varies
Orthc/Prostc Mgmt Sbsq Enc (97763) $181 $181 3.6×
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 eval high complexity (97167) $498 $498 5.0×
Ot Eval Low Complex (97165) $375 $375 3.7×
Ot Eval Moderate Complexity (97166) $426 $426 4.2×
Ot manual therapy 15 min (97140) $239 $239 8.6×
Ot paraffin bath (97018) $127 $127 21.1×
Ot Prosthetic Training, Each 15 Min (97761)
range across 2 matching MRF lines		 $136–$225 $136–$225 varies
Ot Re-Eval Est Plan Care (97168) $263 $263 3.8×
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×
Oxygen Uptake Rest Indirect (94690) $177 $177 2.5×
Patch/Application Test Specify Number Tests (95044) $157 $157 0.2×
Pdt dstr prmlg les phys/qhp (96573)
range across 2 matching MRF lines		 $399–$439 $399–$439 varies
Percutaneous tests w/allergenic extracts (95004) $153 $153 0.1×
Phlebotomy therapeutic (99195) $412 $412 2.6×
Physical Performance Test (97750) $120 $120 3.6×
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)
range across 2 matching MRF lines		 $302–$1,418 $302–$1,418 varies
Psycl/Nrpsyc Tst Auto Result (96146) $74 $74 2.1×
Pt Eval High Complex (97163) $498 $498 5.1×
Pt eval low complex 20 min (97161) $375 $375 3.8×
Pt Eval Mod Complex (97162) $426 $426 4.4×
Pt gait training 15 min (97116) $178 $178 6.1×
Pt mechanical traction (97012) $181 $181 12.6×
Pt Re-Eval Est Plan Care (97164) $263 $263 3.9×
Pulm function test by gas (94727) $297 $297 1.1×
Pulmonary service/procedure (94799) $112 $112 0.7×
Pure Tone Audiometry Air (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 (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 & Mngt (90869) $1,232 $1,232 4.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines		 $413–$424 $413–$424 varies
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $142–$206 $142–$206 varies
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×
Speech Audiometry Complete (92556) $182 $182 2.6×
Speech audiometry threshold (92555) $149 $149 2.1×
Speech sound lang comprehen (92523)
range across 2 matching MRF lines		 $305–$849 $305–$849 varies
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 Ea Addl 15 Min (97130) $124 $124 5.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines		 $167–$197 $167–$197 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines		 $216–$225 $216–$225 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines		 $576–$577 $576–$577 varies
Therap repetitive tms tx subseq delivery & mng (90868) $1,232 $1,232 4.8×
Therapeutic Activities (97530) $200 $200 5.7×
Tobacco Use Cessation Intensive >10 Minutes (99407) $92 $92 2.0×
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 (93307) $1,329 $1,329 4.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $519 $519 6.8×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 6 matching MRF lines		 $159–$172 $159–$172 varies
Tympanometry (92567) $185 $185 4.1×
Tympanometry and reflex threshold measurements (92550) $186 $186 0.7×
Unlisted otorhinolaryngological service (92700)
range across 3 matching MRF lines		 $75–$83 $75–$83 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines		 $391–$532 $391–$532 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $909 $909 3.5×
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×
Whirlpool Therapy (97022) $173 $173 11.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.