HealthAlliance-Clinton, Leominster Campus — price list
← Hospital overviewVerified from HealthAlliance-Clinton, Leominster Campus’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACCESS PORT WITH BLADELESS OPTICAL TIP AND PALM GRIP 12MM X 100MM Inpatient & outpatient | SUP-IAS12-100LPI CDM | $912 | $912 | $294 – $912 | — | |
| ACCESS PORT WITH BLADELESS OPTICAL TIP AND PALM GRIP 12MMX120MM Inpatient & outpatient | SUP-IAS12-120LPI CDM | $1,035 | $1,035 | $294 – $1,035 | — | |
| ADAPTER 36MM Inpatient & outpatient | SUP-DWB991 CDM | $24,338 | $24,338 | $294 – $24,338 | — | |
| ADAPTER DRIVER SET SCREW FENESTRATED CD HORIZON Inpatient & outpatient | SUP-7480741T CDM | $1,890 | $1,890 | $294 – $1,890 | — | |
| ADAPTER HEMI SMALL REVERSE WITH SCREW ALTIVATE Inpatient & outpatient | SUP-533-01-002 CDM | $5,210 | $5,210 | $294 – $5,210 | — | |
| ADAPTER METAPHYSE UNION SCREW AEQUALIS REVERSED Inpatient & outpatient | SUP-DWD054 CDM | $5,670 | $5,670 | $294 – $5,670 | — | |
| ADAPTER SIDE ARM ROTATABLE DISPOSBLE STERILE Inpatient & outpatient | SUP-G22677 CDM | $476 | $476 | $156 – $476 | — | |
| ADAPTER Y PLUS GATEWAY Inpatient & outpatient | SUP-M001153223 CDM | $428 | $428 | $141 – $428 | — | |
| ADMINISTRATION SET CARDIOPLEGIA WITH TRANS. DOUBLE LINED Inpatient & outpatient | SUP-113274 CDM | $161 | $161 | $52.95 – $294 | — | |
| AGENT HEMOSTATIC POWDER APPLICATION STATSEAL ADVANCED Inpatient & outpatient | SUP-LP607 CDM | $349 | $349 | $115 – $349 | — | |
| ALLODERM SELECT PERFORATED THICKNESS MEDIUM 16CMX20CM Inpatient & outpatient | SUP-1518320P CDM | $42,131 | $42,131 | $32.29 – $42,131 | — | |
| ALLOGRAFT VASCULAR ARTERY FEMORAL DURABLE BLOOD TYPE A B AB O GREATER THAN 30CM RESTOREFLOW Inpatient & outpatient | SUP-FA303 CDM | $34,247 | $34,247 | $294 – $34,247 | — | |
| ALLOGRAFT WOUND MATRIX LYOPRESERVED PLACENTAL MEMBRANE STERILE LATEX FREE 5CMX5CM GRAFIX PL PRIME Inpatient & outpatient | SUP-PS13055 CDM | $16,404 | $16,404 | $149 – $16,404 | — | |
| ANCHOR SUTURE BIOABSORBABLE PANACRYL STERILE CP2 NEEDLE NUMBER 2 3.5MM PANALOK Inpatient & outpatient | SUP-210725 CDM | $5,521 | $5,521 | $294 – $5,521 | — | |
| ANCHOR SUTURE BR3 WITH DYNACORD 5.5MM Inpatient & outpatient | SUP-222005 CDM | $3,638 | $3,638 | $294 – $3,638 | — | |
| ANCHOR SUTURE BRAIDED ORTHOCORD DOUBLE STRAND PEEK NUMBER 2 GRYPHON Inpatient & outpatient | SUP-210813 CDM | $2,930 | $2,930 | $294 – $2,930 | — | |
| ANCHOR SUTURE BRAIDED ORTHOCORD PEEK NUMBER 2 GRYPHON Inpatient & outpatient | SUP-210814 CDM | $2,788 | $2,788 | $294 – $2,788 | — | |
| ANCHOR SUTURE BRAIDED WITH PROKNOT TECHNOLOGY GRYPHON Inpatient & outpatient | SUP-210820 CDM | $5,297 | $5,297 | $294 – $5,297 | — | |
| ANCHOR SUTURE CORKSCREW KNOTLESS 3.9MMX11.2MM PEEK Inpatient & outpatient | SUP-AR-1941PS CDM | $3,943 | $3,943 | $294 – $3,943 | — | |
| ANCHOR SUTURE ORTHOCORD PEEK/TITANIUM VIOLET/BLUE SIZE 2 36IN VERSALOK Inpatient & outpatient | SUP-210808 CDM | $5,665 | $5,665 | $294 – $5,665 | — | |
| ANCHOR SUTURE SOFT TISSUE 2 ORTHOCORD VIOLET 36IN LUPINE BR Inpatient & outpatient | SUP-210711 CDM | $5,045 | $5,045 | $294 – $5,045 | — | |
| ANCHOR SUTURE SOFT TISSUE 2-0 LOOP DUAL SIZE ORTHOCORD VIOLET LUPINE BR Inpatient & outpatient | SUP-210712 CDM | $5,045 | $5,045 | $294 – $5,045 | — | |
| ANCHOR SUTURE SOFT TISSUE LOOP BRAIDED ORTHOCORD LUPINE PLUS Inpatient & outpatient | SUP-210709 CDM | $5,045 | $5,045 | $294 – $5,045 | — | |
| APPLICATOR SUCTION FLEXIBLE SHEATH RIGID TIP 65MM Inpatient & outpatient | SUP-20150-230 CDM | $2,792 | $2,792 | $294 – $2,792 | — | |
| ATHEROSCLEROSIS WITH MCC Inpatient | 302 MS-DRG | $16,640 | $16,640 | $758 – $22,147 | — | |
| ATHEROSCLEROSIS WITHOUT MCC Inpatient | 303 MS-DRG | $28,143 | $28,143 | $758 – $8,525 | — | |
| AUGMENT TIBIAL LEFT LATERAL/RIGHT MEDIAL 67MMX15MM VANGUARD 360 Inpatient & outpatient | SUP-185252 CDM | $8,543 | $8,543 | $294 – $8,543 | — | |
| AUGMENT TIBIAL REVISION LM/RL CEMENTED SIZE 5/6 10MM Inpatient & outpatient | SUP-1523-05-102 CDM | $10,694 | $10,694 | $294 – $10,694 | — | |
| BALLOON DILATION ANGIOPLASTY CATHETER LOWER EXTREMITY LOW PROFILE WIRE THE OVER STERILE 2.5MMX60MMX150CM COYOTE Inpatient & outpatient | SUP-H74939186250610 CDM | $1,481 | $1,481 | $294 – $1,481 | — | |
| BALLOON DILATION ANGIOPLASTY CATHETER LOWER EXTREMITY LOW PROFILE WIRE THE OVER STERILE 2.5MMX80MMX150CM COYOTE Inpatient & outpatient | SUP-H74939186250810 CDM | $1,481 | $1,481 | $294 – $1,481 | — |