Supplies, drugs & other prices at UMass Memorial Medical Center

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

79 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) $4,428 $4,428 4.7×
2d tte w or w/o fol w/con,co (C8923) $3,039 $3,039 3.2×
2d tte w or w/o fol w/con,fu (C8924) $1,255 $1,255 3.0×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $16,235 $16,235 6.9×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $17,858 $17,858 1.7×
Abltj perc cryoabltj img gdn uxtr/perph nerve (0440T) $17,858 $17,858 7.6×
Admin hepatitis b vaccine (G0010) $74 $74 1.3×
Admin influenza virus vac (G0008) $74 $74 1.3×
Admin pneumococcal vaccine (G0009) $74 $74 1.3×
Blind interatrial shunt ide (C9758) $45,484 $45,484 2.2×
Ca screen;flexi sigmoidscope (G0104) $1,308 $1,308 1.2×
Ca screen;pelvic/breast exam (G0101) $324 $324 2.7×
Catheterize for urine spec (P9612) $30.50 $30.50 3.3×
Colon ca scrn not hi rsk ind (G0121) $9,284.48 $9,284.48 8.3×
Colorectal scrn; hi risk ind (G0105) $6,766.74 $6,766.74 6.1×
Comprehensve oral evaluation (D0150) $121 $121 0.8×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) $295 $295 1.2×
Demonstrate use home inr mon (G0248) $735 $735 4.6×
Dental prophylaxis adult (D1110) $218 $218 1.4×
Diab manage trn per indiv (G0108) $332 $332 6.0×
Diab manage trn ind/group (G0109) $159 $159 9.9×
Egd flexible transnasal w/insj intral tube/cath (0654T) $952 $952 0.2×
Eia hiv-1/hiv-2 screen (G0432) $239 $239 12.2×
Ekg tracing for initial prev (G0404) $385 $385 11.1×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $57,038 $57,038 1.1×
Extraction erupted tooth/exr (D7140) $2,991 $2,991 3.9×
Fecal blood scrn immunoassay (G0328) $105 $105 5.8×
Full mouth debridement (D4355) $1,939 $1,939 2.5×
Glaucoma scrn hgh risk direc (G0117) $290 $290 8.4×
Group mnt 2 or more 30 mins (G0271) $105 $105 6.2×
Hiv combination assay (G0475) $138 $138 5.7×
Ig paraprotein qual bld/ur (0077U) $156 $156 3.6×
Initial preventive exam (G0402) $310 $310 1.9×
Inj for sacroiliac jt anesth (G0260) $2,333 $2,333 2.8×
Instlj fecal microbiota ssp (0780T) $224 $224 1.4×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $97 $97 2.2×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $18,285 $18,285 1.4×
Limit oral eval problm focus (D0140) $66 $66 0.4×
Mnt subs tx for change dx (G0270) $105 $105 3.3×
Neuro csf prion prtn qual (0035U) $1,620 $1,620 3.0×
Pemivibart infusion (M0224) $1,100 $1,100 2.1×
Perc d-e cor revasc chro sin (C9607) $43,469 $43,469 2.0×
Perc d-e cor revasc t cabg s (C9604) $43,469 $43,469 3.1×
Perc d-e cor stent ather s (C9602) $43,469 $43,469 2.0×
Perc drug-el cor stent sing (C9600) $43,469 $43,469 3.1×
Periodic oral evaluation (D0120) $72 $72 0.5×
Perq Sacral Augmt Bilat Inj (0201T) $15,170 $15,170 1.7×
Perq Sacral Augmt Unilat Inj (0200T) $13,791 $13,791 1.6×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $134 $134 3.0×
Prostate biopsy, any mthd (G0416) $1,628 $1,628 3.8×
Psa screening (G0103) $363 $363 18.8×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $702 $702 0.6×
Reattach tooth fragment (D2921) $1,459 $1,459 1.9×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $3,264 $3,264 1.3×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $3,264 $3,264 1.3×
Removal Pg Wcs Lv Pacing Both Components (0861T) $6,420 $6,420 1.4×
Revasc intra lithotrip-ather (C9766) $27,748 $27,748 1.3×
Revasc intra lithotrip-stent (C9765) $30,385 $30,385 1.4×
Revasc intravasc lithotripsy (C9764) $14,997 $14,997 1.1×
Revasc lith-sten-ath tib/per (C9775) $60,667 $60,667 2.8×
Revasc lithotr-ather tib/per (C9774) $57,572 $57,572 2.6×
Revasc lithotr-stent tib/per (C9773) $57,572 $57,572 2.6×
Revasc lithotrip tibi/perone (C9772) $35,905 $35,905 2.6×
Revasc lithotrip-stent-ather (C9767) $44,421 $44,421 2.0×
Scr c/v cyto,thinlayer,rescr (G0145) $421 $421 15.9×
Screen cerv/vag thin layer (G0123) $173 $173 8.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T)
likely a partial charge, not the full procedure
$3,531 $3,531 0.2×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $7,490 $7,490 2.0×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $38,520 $38,520 1.7×
Tee w or w/o fol w/cont,cong (C8926) $4,044 $4,044 4.3×
Tpmt nudt15 gene analysis common variants (0034U) $1,241 $1,241 2.7×
Trauma respons w/hosp criti (G0390) $10,900 $10,900 6.8×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $10,301 $10,301 2.9×
Trim nail(s) (G0127) $233 $233 3.3×
Tte w or w/o contr, cont ecg (C8930) $3,346 $3,346 3.6×
Tte w or w/o fol w/cont, com (C8921) $3,193 $3,193 3.4×
Tte w or w/o fol w/cont, f/u (C8922) $3,193 $3,193 3.4×
Tte w or wo fol wcon,doppler (C8929) $3,328 $3,328 3.5×
Vasc emb/occ w/prs cath (C9797) $28,248 $28,248 1.3×