Supplies, drugs & other prices at Winchester Hospital

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

108 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) $2,467 $2,467 2.6×
2d tte w or w/o fol w/con,fu (C8924) $1,555 $1,555 3.7×
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) $12,148 $12,148 5.2×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $19,884 $19,884 1.9×
Admin influenza virus vac (G0008) $36 $36 0.6×
Annual alcohol screen 15 min (G0442) $92 $92 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×
B burgdorferi antb 12 prtn grp immunoblot igg (0042U) $135 $135 7.8×
B burgdorferi antb 5 prtn grp immunoblot igm (0041U) $135 $135 7.8×
Behavior counsel obesity 15m (G0447) $288 $288 2.4×
Brief alcohol misuse counsel (G0443) $330 $330 2.7×
Ca screen;flexi sigmoidscope (G0104) $1,994 $1,994 1.8×
Ca screen;pelvic/breast exam (G0101) $154 $154 1.3×
Catheterize for urine spec (P9612) $12 $12 1.3×
Colon ca scrn not hi rsk ind (G0121) $2,132 $2,132 1.9×
Colorectal scrn; hi risk ind (G0105) $2,147 $2,147 1.9×
Coms therapy wnd assmt&dr 1st appl <=50 sq cm (0906T) $617 $617 2.6×
Covid-19 lab test non-cdc (U0002) $171 $171 3.3×
Cysto, litho, vacuum kidney (C9761) $27,741 $27,741 2.4×
Depression screen annual (G0444) $92 $92 2.0×
Diab manage trn per indiv (G0108) $182 $182 3.3×
Direct refer hospital observ (G0379) $2,625 $2,625 3.7×
Drug test def 1-7 classes (G0480) $734 $734 6.4×
Drug test def 22+ classes (G0483) $938 $938 3.8×
Drug test def 8-14 classes (G0481) $470 $470 3.0×
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) $853 $853 3.5×
Fecal blood scrn immunoassay (G0328) $102 $102 5.7×
Fecal microbiota prep instil (G0455) $1,205 $1,205 1.1×
Flt3 gene itd variants quan (0046U) $1,265 $1,265 3.1×
Group mnt 2 or more 30 mins (G0271) $78 $78 4.6×
Hbot, full body chamber, 30m (G0277) $490 $490 3.0×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $2,117 $2,117 2.5×
Home sleep test/type 3 porta (G0399) $584 $584 2.3×
Hpv combo assay ca screen (G0476) $102 $102 2.9×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $27,185 $27,185 2.2×
Insertion wrls car stimulator lv pacg compl sys (0515T) $83,783 $83,783 3.1×
Insj Wcs Lv Eltrd Only (0516T) $27,185 $27,185 2.2×
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×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $459 $459 3.8×
Lpoprtn bld w/5 maj class auto prfl ucentrfugtn (0052U) $135 $135 4.0×
Macular pigment optical density measurement by heterochromatic flicker photometry, unilateral or bilateral, with… (0506T) $209 $209 3.0×
Mnt subs tx for change dx (G0270) $132 $132 4.2×
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) $210 $210 3.0×
Neuro csf prion prtn qual (0035U) $134 $134 0.2×
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 brst dux carc is mrna 12 genes alg rsk scor (0045U) $11,732 $11,732 3.0×
Onc Merkel Cll Carc Srm Quan (0058U) $932 $932 2.9×
Onc prst8 mrna gen xprs prfl 17 gen alg rsk scor (0047U) $11,732 $11,732 3.0×
Oth resp proc, group (G0239) $107 $107 2.4×
Pathogen test for platelets (P9100) $109 $109 1.5×
Pattern erg w/i&r (0509T) $482 $482 1.9×
Pef bronch ablt 3d nav ebus (C8005) $13,105 $13,105 0.6×
Perc d-e cor revasc chro sin (C9607) $63,974 $63,974 2.9×
Perc d-e cor revasc t cabg s (C9604) $35,213 $35,213 2.5×
Perc d-e cor stent ather s (C9602) $63,974 $63,974 2.9×
Perc drug-el cor stent sing (C9600) $35,213 $35,213 2.5×
Perq Sacral Augmt Bilat Inj (0201T) $4,469 $4,469 0.5×
Perq Sacral Augmt Unilat Inj (0200T) $6,702 $6,702 0.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $17,704 $17,704 1.3×
Ppps, initial visit (G0438) $219 $219 1.3×
Ppps, subseq visit (G0439) $36 $36 0.3×
Pre 3d mdl w/ccta and/or mri (C9793) $3,159 $3,159 3.1×
Prgrmg dev eval wcs ip (0522T) $132 $132 3.0×
Programming device eval impl ccm-d sys in person (0926T) $116 $116 2.6×
Prostate biopsy, any mthd (G0416) $1,272 $1,272 3.0×
Psa screening (G0103) $102 $102 5.3×
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) $83,783 $83,783 6.7×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $11,496 $11,496 0.9×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $11,496 $11,496 2.6×
Revasc intra lithotrip-stent (C9765) $53,870 $53,870 2.5×
Revasc intravasc lithotripsy (C9764) $11,871 $11,871 0.9×
Revasc lithotrip tibi/perone (C9772) $40,403 $40,403 2.9×
Risk ascvd tst once pr 12 mo (G0537) $98 $98 2.2×
Rpr intst excl anrect fist (C9796) $8,227 $8,227 2.5×
Rx metab warfarin rx response trgt seq alys (0030U) $135 $135 1.0×
Sim ang w/prs cath rad emb (C8004) $35,213 $35,213 2.5×
Software meas of cardiac vol (G0183) $273 $273 2.6×
Targeted genomic sequence analysis panel, cholangiocarcinoma and non-small cell lung neoplasia, DNA and RNA analysis,… (0022U) $135 $135 0.1×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igg (0044U) $135 $135 9.1×
Tbrf b grp antb detcj 4 recomb prtn imunoblt igm (0043U) $135 $135 9.1×
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) $2,672 $2,672 2.8×
Therapeutic procd strg endur (G0237) $138 $138 4.0×
Transcatheter Renal Sympath Denervation Bilat (0339T) $17,704 $17,704 2.6×
Transcatheter renal sympath denervation unilat (0338T) $17,704 $17,704 2.6×
Trgt gen seq alys sld orgn neo DNA 324 genes (0037U) $10,603 $10,603 3.0×
Tte w or w/o contr, cont ecg (C8930) $2,502 $2,502 2.7×
Tte w or w/o fol w/con,stres (C8928) $2,582 $2,582 2.7×
Tte w or w/o fol w/cont, com (C8921) $2,613 $2,613 2.8×
Tte w or w/o fol w/cont, f/u (C8922) $2,842 $2,842 3.0×
Tte w or wo fol wcon,doppler (C8929) $2,304 $2,304 2.5×
Visit to determ ldct elig (G0296) $288 $288 2.4×