Martha's Vineyard Hospital — price list
← Hospital overviewVerified from Martha's Vineyard Hospital’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) | |
|---|---|---|---|---|---|---|
| 1 25 Dihydroxy Inc Fraction Outpatient | PX-30000412 CDM | $200 | $150 | $39.70 – $141 | $67.90 | |
| 12 Lead Ecg Interpretation and Report Only Inpatient | PX-98500002 CDM | $125 | $93.75 | $56.13 – $84.99 | $88.56 | |
| 12 Lead Ecg Interpretation and Report Only Inpatient & outpatient | PX-98500002 CDM | $125 | $93.75 | $73.75 – $117 | $8.01 | |
| 12 Lead Ecg Interpretation and Report Only Outpatient | PX-98500002 CDM | $125 | $93.75 | $8.34 – $88.10 | $9.28 | |
| 1st Hospital IP/Obs Care High Mdm 75 Minutes Inpatient & outpatient | PX-98300813 CDM | $421 | $316 | $248 – $392 | $362 | |
| 1st Hospital IP/Obs Care High Mdm 75 Minutes Inpatient | PX-98300813 CDM | $421 | $316 | $189 – $286 | $199 | |
| 1st Hospital IP/Obs Care High Mdm 75 Minutes Outpatient | PX-98300813 CDM | $421 | $316 | $180 – $297 | $199 | |
| 1st Hospital IP/Obs Care Moderate Mdm 55 Minutes Inpatient & outpatient | PX-98300812 CDM | $421 | $316 | $248 – $392 | $362 | |
| 1st Hospital IP/Obs Care Moderate Mdm 55 Minutes Inpatient | PX-98300812 CDM | $421 | $316 | $189 – $286 | $150 | |
| 1st Hospital IP/Obs Care Moderate Mdm 55 Minutes Outpatient | PX-98300812 CDM | $421 | $316 | $135 – $383 | $150 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient & outpatient | PX-98300811 CDM | $259 | $194 | $153 – $241 | $82.59 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient | PX-98300811 CDM | $259 | $194 | $116 – $236 | $94.92 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Outpatient | PX-98300811 CDM | $259 | $194 | $85.41 – $183 | $89.95 | |
| 9vhpv Vacc 2/3 Dose Sched Im Use Inpatient & outpatient | PX-63601160 CDM | $474 | $356 | $280 – $442 | $383 | |
| 9vhpv Vacc 2/3 Dose Sched Im Use Outpatient | PX-63601160 CDM | $474 | $356 | $237 – $334 | $345 | |
| Abdom Paracentesis Dx/Ther W/Imaging Guidance Outpatient | PX-36000168 CDM | $2,835 | $2,126 | $110 – $1,998 | $2,013 | |
| Abdominal Paracentesis W/ Imaging Outpatient | PX-75000278 CDM | $2,676 | $2,007 | $1,338 – $1,886 | $2,013 | |
| Abdominal Paracentesis W/O Imaging Outpatient | PX-75000277 CDM | $1,743 | $1,307 | $872 – $872 | $672 | |
| ACETABULAR LINER 32MM SZ D HOODED HIGHCROSS UHMWPE MPACT Inpatient & outpatient | SUP-ITM-10299138 CDM | $2,190 | $1,643 | $1,292 – $2,041 | $2,089 | |
| ACETABULAR LINER 32MM SZ D HOODED HIGHCROSS UHMWPE MPACT Outpatient | SUP-ITM-10299138 CDM | $2,190 | $1,643 | $1,544 – $1,544 | $1,781 | |
| ACETABULAR LINER 36MM SZ E 4MM OFFSET HIGHCROSS UHMWPE MPACT Inpatient & outpatient | SUP-ITM-10299164 CDM | $4,786 | $3,590 | $2,824 – $4,461 | $2,089 | |
| ACETABULAR LINER 36MM SZ E 4MM OFFSET HIGHCROSS UHMWPE MPACT Outpatient | SUP-ITM-10299164 CDM | $4,786 | $3,590 | $3,373 – $3,373 | $1,781 | |
| ACETABULAR SHELL 48MM 3 HOLE TITANIUM STANDARD Inpatient & outpatient | SUP-ITM-10028412 CDM | $1,953 | $1,465 | $1,152 – $1,820 | $2,089 | |
| ACETABULAR SHELL 48MM 3 HOLE TITANIUM STANDARD Outpatient | SUP-ITM-10028412 CDM | $1,953 | $1,465 | $1,376 – $1,376 | $1,781 | |
| ACETABULAR SHELL 54MM PINNACLE GRIPTION POROUS COATING 100 SERIES Inpatient & outpatient | SUP-ITM-10118724 CDM | $2,700 | $2,025 | $1,593 – $2,516 | $2,089 | |
| ACETABULAR SHELL 54MM PINNACLE GRIPTION POROUS COATING 100 SERIES Outpatient | SUP-ITM-10118724 CDM | $2,700 | $2,025 | $1,903 – $1,903 | $1,781 | |
| ACETABULAR SHELL 58MM PINNACLE SECTOR GRIPTION COATING Inpatient & outpatient | SUP-ITM-10077063 CDM | $2,700 | $2,025 | $1,593 – $2,516 | $2,089 | |
| ACETABULAR SHELL 58MM PINNACLE SECTOR GRIPTION COATING Outpatient | SUP-ITM-10077063 CDM | $2,700 | $2,025 | $1,903 – $1,903 | $1,781 | |
| Acetone/Ketones Serum Qn Inpatient & outpatient | PX-30000275 CDM | $150 | $113 | $88.50 – $140 | $118 | |
| Acetone/Ketones Serum Qn Outpatient | PX-30000275 CDM | $150 | $113 | $8.44 – $106 | $143 |