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Umass Memorial Medical Center - Memorial Campus

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Umass Memorial Medical Center - Memorial Campus. This page also lists hospital-published cash prices for services and billing-code line items.

Overview

  • CCN223504

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.
  • Ear Mold/Insert, Disposable, Any Type
    ProcedureHCPCS V5265Hospital-published line item
    $12
    cash
    Gross $12
  • Nicotine Patch Nonlegend
    ProcedureHCPCS S4991Hospital-published line item
    $12
    cash
    Gross $12
  • Galactose Transferase Test
    Lab testCPT 82776Hospital-published line item
    $13
    cash
    Gross $13
  • Methylenedioxyamphetamines
    Lab testCPT 80359Hospital-published line item
    $13
    cash
    Gross $13
  • Automated Leukocyte Count
    Lab testCPT 85048Hospital-published line item
    $13
    cash
    Gross $13
  • Drug Screening Gabapentin Non-Blood
    Lab testCPT 80355Hospital-published line item
    $13
    cash
    Gross $13
  • Drug/Substance Nos 7/more
    Lab testCPT 80377Hospital-published line item
    $13
    cash
    Gross $13
  • Injection Heparin Sodium Per 10 U
    DrugHCPCS J1642Hospital-published line item
    $13
    cash
    Gross $13
  • Buprenorphine Oral 1mg
    DrugHCPCS J0571Hospital-published line item
    $13
    cash
    Gross $13
  • Injection, Promethazine Hcl, Up To 50 Mg
    DrugHCPCS J2550Hospital-published line item
    $13
    cash
    Gross $13
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