Vibra Hospital Of Western Mass - Central Campus

Rochdale, MA · CMS ID: 222046

This hospital has pricing data for 33 procedures.

Procedures (33)

AMIODARONE 50MG/ML

45802073030

Cash Price

(No Insurance)

—

Gross Charge

—

Insurance Negotiated Rates

MultiPlan Complimentary 737$11

ATOMOXETINE 80MG

73560 LT

Cash Price

(No Insurance)

—

Gross Charge

—

Insurance Negotiated Rates

MultiPlan Complimentary 737$33

CASTOR OIL 100%

73030 RT

Cash Price

(No Insurance)

—

Gross Charge

—

Insurance Negotiated Rates

MultiPlan Complimentary 737$10

Chest X-Ray 1 View

71045

Cash Price

(No Insurance)

—

Gross Charge

$79

Medicare Rate

$24

Insurance Negotiated Rates

MultiPlan Complimentary 737$2

Chest X-Ray 2 Views

71046

Cash Price

(No Insurance)

—

Gross Charge

$42

Medicare Rate

$31

Insurance Negotiated Rates

MultiPlan Complimentary 737$21

CHOLESTYRAMINE 4 GMP

378005301

Cash Price

(No Insurance)

—

Gross Charge

—

Insurance Negotiated Rates

MultiPlan Complimentary 737$7

Colonoscopy Diagnostic

45378

Cash Price

(No Insurance)

—

Gross Charge

$279

Medicare Rate

$356

No payer-negotiated rates available

Colonoscopy with Biopsy

45380

Cash Price

(No Insurance)

—

Gross Charge

$96

Medicare Rate

$450

No payer-negotiated rates available

Colonoscopy with Polyp Removal

45385

Cash Price

(No Insurance)

—

Gross Charge

$320

Medicare Rate

$471

No payer-negotiated rates available

Complete Blood Count (CBC)

85025

Cash Price

(No Insurance)

—

Gross Charge

$16

Insurance Negotiated Rates

MultiPlan Complimentary 737$8

Comprehensive Metabolic Panel

80053

Cash Price

(No Insurance)

—

Gross Charge

Insurance Negotiated Rates

MultiPlan Complimentary 737$3

CT Abdomen/Pelvis with Contrast

74177

Cash Price

(No Insurance)

—

Gross Charge

$42

Medicare Rate

$280

No payer-negotiated rates available

CT Abdomen/Pelvis without Contrast

74176

Cash Price

(No Insurance)

—

Gross Charge

$76

Medicare Rate

$172

No payer-negotiated rates available

CT Chest with Contrast

71260

Cash Price

(No Insurance)

—

Gross Charge

$29

Medicare Rate

$156

Insurance Negotiated Rates

MultiPlan Complimentary 737$160

DIGOXIN 0.05MG/ML

73560 RT

Cash Price

(No Insurance)

—

Gross Charge

—

Insurance Negotiated Rates

MultiPlan Complimentary 737$5

Hemoglobin A1C

83036

Cash Price

(No Insurance)

—

Gross Charge

Insurance Negotiated Rates

MultiPlan Complimentary 737$2

Knee X-Ray

73560

Cash Price

(No Insurance)

—

Gross Charge

$11

Medicare Rate

$32

No payer-negotiated rates available

Lipid Panel

80061

Cash Price

(No Insurance)

—

Gross Charge

$669

Insurance Negotiated Rates

MultiPlan Complimentary 737$327

MEPRON 750 MG/5ML

70594004301

Cash Price

(No Insurance)

—

Gross Charge

—

Insurance Negotiated Rates

MultiPlan Complimentary 737$74

MRI Brain

70551

Cash Price

(No Insurance)

—

Gross Charge

Medicare Rate

$183

No payer-negotiated rates available

MRI Brain with Contrast

70553

Cash Price

(No Insurance)

—

Gross Charge

$46

Medicare Rate

$296

No payer-negotiated rates available

MRI Cervical Spine

72141

Cash Price

(No Insurance)

—

Gross Charge

$34

Medicare Rate

$179

No payer-negotiated rates available

MRI Lumbar Spine

72148

Cash Price

(No Insurance)

—

Gross Charge

Medicare Rate

$180

No payer-negotiated rates available

MRI Shoulder

73221

Cash Price

(No Insurance)

—

Gross Charge

$12

Medicare Rate

$191

No payer-negotiated rates available

MYCOPHENOLATE OR SUS

73030 LT

Cash Price

(No Insurance)

—

Gross Charge

—

Insurance Negotiated Rates

MultiPlan Complimentary 737$1,772

Shoulder X-Ray

73030

Cash Price

(No Insurance)

—

Gross Charge

$20

Medicare Rate

$33

No payer-negotiated rates available

TSH (Thyroid)

84443

Cash Price

(No Insurance)

—

Gross Charge

Insurance Negotiated Rates

MultiPlan Complimentary 737$1

Ultrasound Abdomen

76700

Cash Price

(No Insurance)

—

Gross Charge

$267

Medicare Rate

$107

No payer-negotiated rates available

Ultrasound Transvaginal

76830

Cash Price

(No Insurance)

—

Gross Charge

$53

Medicare Rate

$109

No payer-negotiated rates available

Upper Endoscopy Diagnostic

43235

Cash Price

(No Insurance)

—

Gross Charge

$38

Medicare Rate

$301

No payer-negotiated rates available

Upper Endoscopy with Biopsy

43239

Cash Price

(No Insurance)

—

Gross Charge

$39

Medicare Rate

$390

No payer-negotiated rates available

Urinalysis

81001

Cash Price

(No Insurance)

—

Gross Charge

Insurance Negotiated Rates

MultiPlan Complimentary 737$2

Vaginal Delivery

59400

Cash Price

(No Insurance)

—

Gross Charge

$152

Medicare Rate

$2,163

No payer-negotiated rates available