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Home > Visitor > Cost of Services - MA

Typical Medical Costs in Massachusetts (outpatient only)

How much do medical tests and treatments cost? It's an important, but difficult, question to try to answer. Harvard Pilgrim is dedicated to helping you make the best decisions about your care, and there are times when cost can, and should, be one factor to consider. That's why we have developed the cost information in the chart below as a guide for you to use when you need care. Of course, you should always talk to your doctor about your specific medical needs. Please note that the actual cost of your care may be above or below the range listed. For details on what is included for each procedure, view the "Description" links.

Coming soon:
Now iKnowSM
treatment cost and quality calculator.
The new tool will enable members to locate physicians and hospitals and receive treatment price comparisons for their specific health plan. Now iKnow will also provide physician and hospital quality ratings based on national benchmarking data.

Facts about Typical Medical Costs - Important things you should know before you use the cost information in the chart below. This is the first time Harvard Pilgrim has been able to provide cost estimates to our members. We hope you will find it useful, and we welcome your feedback.

Allergy Shots-Professional Services only Cost Range
Allergy (Immunotherapy) Shots - Professional Services only Description  $16 - 26
Allergy - Preparation of Allergy Extract Description $14 - $20

Complex Services (Average Episodes) Cost Range
Arthroscopy Knee Description $3,380 - $7,070
Colonoscopy Diagnostic, without polyp removal Description $824 - $2,032
Colonoscopy with removal of polyps Description $1,175 - $2,594
Emergency Room Typical visit, not including hospitalization Description $396 - $1,055
Endoscopy Upper gastrointestinal tract Description $1,143 - $2,720

CT Scan (Computed Tomography) Cost Range
Abdomen, with contrast Description $315 - $555
Head or Brain, without contrast Description $375 - $588
Pelvis, with contrast Description $377 - $660
Thorax (Chest), with contrast Description $298 - $654

Early Intervention Program Cost Range
Home visit (per 15 minutes) Description $20 - $25

Echocardiogram Cost Range
Echocardiogram with Interpretation Description $376 - $580

Electrocardiogram (ECG) Cost Range
Routine with Interpretation Description $30 - $52

Exercise Stress Test Cost Range
Interpretation and report (in addition to below) Description $26 - $42
Tracing Only, without Interpret/Report Description $278 - $399

Lab Tests Cost Range
Blood Typing Description $7 - $15
Complete Blood Count - Red cells, White cells, Platelets Description $12 - $24
Creatinine - Kidney blood test Description $7 - $15
Liver Function Panel - blood tests Description $15 - $28
Metabolic Panel - Electrolytes, kidney, liver blood tests Description $20 - $38
Pap smear Description $181 - $291
Pregnancy Blood Test - (hCG) Description $23 - $48
Prenatal Blood Test (Alpha-Fetoprotein) Description $22 - $53
Prothrombin Time - Warfarin (Coumadin) blood test Description $6 - $12
Strep A Test: Rapid screening with throat swab Description $17 - $32
Thyroid Test (TSH) - blood test (checks for low thyroid) Description $25 - $52
Urinalysis - Strips without microscopy Description $4 - $8

MRI (Magnetic Resonance Imaging) Cost Range
Any leg joint, without contrast Description $646 - $1,018
Brain, with contrast Description $1,066 - $1,662
Lower Back, without contrast Description $620 - $1,012
Neck, without contrast Description $627 - $984

Myocardial Perfusion Scan Cost Range
Ejection Fraction (in addition to below) Description $66 - $407
Myocardial Perfusion Scan Description $650 - $1,314
Wall Motion Study (in addition to above) Description $182 - $793

PET Scan (Positron Emission Tomography) Cost Range
PET Scan - Positron Emission Tomography Description $2,178 - $3,174

Physical Therapy (PT) Cost Range
Physical Therapy Initial Evaluation Visit Description $67 - $71
Physical Therapy Treatment Visit Description $34 - $65

Rehabilitation Cost Range
Cardiac Rehabilitation Program Description $55 - $105

Specialist Office Visits Cost Range
Behavioral Health, Initial Office Visit Description $77 - $123
Cardiologist, Office Visit Description $289 - $443
Gastroenterologist, Office Visit Description $251 - $408

Ultrasound (US) Cost Range
Pelvic (Non-Obstetric) Description $148 - $230
Transvaginal Description $132 - $244

X-Ray Cost Range
Single Body Part (such as arm, knee, ankle) $51 - $144
Mammography: 2 view film study bilateral Description $147 - $227
Mammography: Producing direct digital image, bilateral Description $237 - $331