Nantucket Cottage Hospital — price list
← Hospital overviewVerified from Nantucket Cottage 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.
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.
1,079 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 12 Lead ECG Interpretation and Report Only Inpatient & outpatient | PX-98500002 CDM | $41.00 | $30.75 | $8.34 – $39.03 | $8.01 | |
| 1st Hospital IP/Obs Care High Mdm 75 Minutes Inpatient & outpatient | PX-98300813 CDM | $882 | $662 | $180 – $840 | $195 | |
| 1st Hospital IP/Obs Care Moderate Mdm 55 Minutes Inpatient & outpatient | PX-98300812 CDM | $601 | $451 | $135 – $572 | $132 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient & outpatient | PX-98300811 CDM | $440 | $330 | $85.41 – $419 | $485 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Outpatient | PX-98300811 CDM | $440 | $330 | $403 – $415 | $226 | |
| E-Stim, Unattended Inpatient & outpatient | PX-43000079 CDM | $130 | $97.50 | $85.80 – $124 | $103 | |
| Abdom Paracentesis Dx/Ther withImaging Guidance Inpatient & outpatient | PX-36000168 CDM | $564 | $423 | $372 – $1,192 | $1,192 | |
| Abdominal Paracentesis W/ Imaging Inpatient & outpatient | PX-75000278 CDM | $2,778 | $2,084 | $1,192 – $2,645 | $1,192 | |
| Abdominal Paracentesis W/ Imaging Outpatient | PX-75000278 CDM | $2,778 | $2,084 | $871 – $871 | $2,566 | |
| Acth Stimulation Panel Adrenal Outpatient | PX-30000040 CDM | $377 | $283 | $345 – $355 | $160 | |
| Actin Smooth Muscle Antibody Each Inpatient & outpatient | PX-30003761 CDM | $103 | $77.25 | $12.05 – $98.06 | $84.15 | |
| Acute Adjustment Reaction And Psychosocial Dysfunction Inpatient | 880 MS-DRG | $27,875 | $20,906 | $10,649 – $10,649 | $13,018 | |
| Acute Hepatitis Panel Inpatient & outpatient | PX-30000176 CDM | $626 | $470 | $47.63 – $596 | $404 | |
| Acute kidney injury,moderate Inpatient | 469 MS-DRG | $21,013 | — | $5,403 – $5,403 | $175 | |
| Acute Myocardial Infarction, Discharged Alive With Cc Inpatient | 281 MS-DRG | $16,958 | $12,719 | $10,287 – $10,287 | $12,518 | |
| Adalimumab Ab, S Inpatient & outpatient | PX-30003604 CDM | $201 | $151 | $17.27 – $191 | $185 | |
| Adalimumab Qn Inpatient & outpatient | PX-30003603 CDM | $203 | $152 | $18.64 – $193 | $158 | |
| Admin of Influenza Vaccine Inpatient & outpatient | PX-77100007 CDM | $33.00 | $24.75 | $21.78 – $58.68 | $58.69 | |
| Adrenocorticotropic (Acth) Inpatient & outpatient | PX-30000279 CDM | $282 | $212 | $38.62 – $268 | $231 | |
| Aerosol Neb/Mdi/Ippb Demo/Eval Inpatient & outpatient | PX-46000007 CDM | $289 | $217 | $191 – $275 | $259 | |
| Aftercare, Musculoskeletal System And Connective Tissue With Cc Inpatient | 560 MS-DRG | $26,963 | $20,222 | $12,112 – $12,112 | $129 | |
| Albumin Serum/Plasma/Blood Inpatient & outpatient | PX-30000281 CDM | $37.00 | $27.75 | $4.95 – $35.22 | $34.26 | |
| Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC Inpatient | 897 MS-DRG | $18,335 | $13,751 | $9,967 – $9,967 | $11,980 | |
| Alcoholic liver disease,major Inpatient | 280 MS-DRG | $19,138 | — | $11,172 – $11,172 | $128 | |
| Aldolase Inpatient & outpatient | PX-30000288 CDM | $85.00 | $63.75 | $9.71 – $80.92 | $78.04 | |
| Aldosterone Inpatient & outpatient | PX-30000289 CDM | $290 | $218 | $40.75 – $276 | $216 | |
| Allergen Spec Ige Recombinant/Purified Compnt each Inpatient & outpatient | PX-30003473 CDM | $199 | $149 | $17.93 – $189 | $148 | |
| Alpha Fetoprotein Serum Inpatient & outpatient | PX-30000293 CDM | $138 | $104 | $16.77 – $131 | $106 | |
| Alpha-1 Antitrypsin Total Inpatient & outpatient | PX-30000291 CDM | $109 | $81.75 | $13.44 – $104 | $89.25 | |
| Alt/Sgpt Inpatient & outpatient | PX-30000706 CDM | $43.00 | $32.25 | $5.30 – $40.94 | $39.97 |