Umass Memorial Health Alliance - Clinton Hospital
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Umass Memorial Health Alliance - Clinton Hospital. This page also lists hospital-published cash prices for services and billing-code line items.
Overview
- CCN220058
Procedures & prices
Hospital-published price lines. These are billing-code items from the hospital transparency file, not a personalized estimate. Cash is the self-pay price; gross is the pre-discount list price.
Price definitions
- Cash
- — self-pay price (no insurance)
- Gross
- — chargemaster list price; the pre-discount sticker rate, rarely what anyone pays
- Negotiated range
- — min–max of rates the hospital negotiated with insurers
- Payers
- — number of insurers with a published rate (“0” / “—” = none)
Available here:CashGross listInsurer-negotiated rates were not published for these rows.
- Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 MgDrugHCPCS J7614Hospital-published line item$10cashGross $10
- Nicotine Patch NonlegendProcedureHCPCS S4991Hospital-published line item$12cashGross $12
- Galactose Transferase TestLab testCPT 82776Hospital-published line item$13cashGross $13
- Buprenorphine Oral 1mgDrugHCPCS J0571Hospital-published line item$13cashGross $13
- Injection, Promethazine Hcl, Up To 50 MgDrugHCPCS J2550Hospital-published line item$13cashGross $13
- Perphenazine, 4 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage RegimenDrugHCPCS Q0175Hospital-published line item$14cashGross $14
- Dronabinol, 2.5 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage RegimenDrugHCPCS Q0167Hospital-published line item$14cashGross $14
- UrinalysisLab testCPT 81005Hospital-published line item$14cashGross $14
- Tacrolimus Imme Rel Oral 1mgDrugHCPCS J7507Hospital-published line item$14cashGross $14
- Catheterization For Collection Of Specimen, Single Patient, All Places Of ServiceProcedureHCPCS P9612Hospital-published line item$15cashGross $15
| Service / code | Self-pay cash↑ | Gross list |
|---|---|---|
Levalbuterol, Inhalation Solution, Fda-Approved Final Product, Non-Compounded, Administered Through Dme, Unit Dose, 0.5 Mg DrugHCPCS J7614Hospital-published line item | $10 | $10 |
Nicotine Patch Nonlegend ProcedureHCPCS S4991Hospital-published line item | $12 | $12 |
Galactose Transferase Test Lab testCPT 82776Hospital-published line item | $13 | $13 |
Buprenorphine Oral 1mg DrugHCPCS J0571Hospital-published line item | $13 | $13 |
Injection, Promethazine Hcl, Up To 50 Mg DrugHCPCS J2550Hospital-published line item | $13 | $13 |
Perphenazine, 4 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage Regimen DrugHCPCS Q0175Hospital-published line item | $14 | $14 |
Dronabinol, 2.5 Mg, Oral, Fda Approved Prescription Anti-Emetic, For Use As A Complete Therapeutic Substitute For An IV Anti-Emetic At The Time Of Chemotherapy Treatment, Not To Exceed A 48 Hour Dosage Regimen DrugHCPCS Q0167Hospital-published line item | $14 | $14 |
Urinalysis Lab testCPT 81005Hospital-published line item | $14 | $14 |
Tacrolimus Imme Rel Oral 1mg DrugHCPCS J7507Hospital-published line item | $14 | $14 |
Catheterization For Collection Of Specimen, Single Patient, All Places Of Service ProcedureHCPCS P9612Hospital-published line item | $15 | $15 |
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