Visits & medical services prices at Androscoggin Valley Hospital

Berlin, NH · every code in this section with a posted price and a Medicare benchmark.

92 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 5 matching MRF lines
$99.54–$144.90 $158–$230 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 3 matching MRF lines
$78.12–$85.68 $124–$136 varies
Assessment of aphasia per hr (96105) $275.31 $437 2.8×
Audiometry Air & Bone (92553) $136.08 $216 1.0×
Behavral qualit analys voice (92524) $285.39 $453 2.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $193.41 $307 0.5×
Cardiac Stress Tst,Tracing Only (93017) $836.01 $1,327 3.6×
Cardiopulmonary resuscitation (92950) $581.49 $923 2.5×
Cardioversion (92960)
range across 2 matching MRF lines
$439.11–$720.09 $697–$1,143 varies
Chemo IV infusion addl hr (96415)
range across 2 matching MRF lines
$153.72–$163.80 $244–$260 varies
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 2 matching MRF lines
$631.89–$720.09 $1,003–$1,143 varies
Chest Wall Manipulation (94668) $81.90 $130 0.6×
Color/duplex Doppler, limited (93976) $808.29 $1,283 7.2×
Comprehensive Hearing Test (92557) $132.30 $210 1.0×
Continuous Pulse Ox (94762) $228.06 $362 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $441 $700 1.9×
Critical care first hour (99291) $2,357.46 $3,742 2.7×
Debridement Open Wound 20 Sq Cm< (97597) $162.54 $258 0.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $827.19 $1,313 7.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,132.74 $1,798 4.4×
Dup-scan xtr veins unilateral/limited study (93971) $931.14 $1,478 8.3×
Echo transesophageal (93312) $1,346.31 $2,137 2.3×
Eeg 41-60 Minutes (95812) $417.69 $663 1.8×
EEG awake and asleep (95819) $715.68 $1,136 3.1×
EEG awake drowsy (95816) $590.94 $938 2.6×
Electrical Stimulation Ea 15 Min (97032)
range across 3 matching MRF lines
$74.97–$80.01 $119–$127 varies
Electrocardiogram Tracing (93005) $207.27 $329 3.3×
Emergency Dept Visit Level 2 (99282) $283.50 $450 1.7×
Emergency Dept Visit Level 3 (99283) $500.22 $794 1.7×
Emergency Dept Visit Level 4 (99284) $786.87 $1,249 1.8×
Er level 1 (99281) $156.87 $249 1.7×
Er level v (99285) $1,129.59 $1,793 1.8×
Evaluate pt use of inhaler (94664) $138.60 $220 0.6×
Evaluate Speech Production (92522) $280.98 $446 2.5×
Evaluate Swallowing Function (92610) $201.60 $320 2.4×
External ECG rec>48hr<7d recording (93242) $286.65 $455 7.2×
External ECG rec>7d<15d recording (93246) $286.65 $455 7.2×
Extracranial Bilat Study (93880) $885.15 $1,405 3.5×
Immunization administration (90471)
range across 14 matching MRF lines
$31.50–$35.91 $50–$57 varies
Irrig Drug Delivery Device (96523) $137.97 $219 2.2×
IV infusion hydration each additional hour (96361)
range across 6 matching MRF lines
$155.61–$241.29 $247–$383 varies
IV infusion hydration initial 31 min-1 hour (96360) $294.21 $467 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $158.13 $251 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $128.52 $204 2.6×
IV push initial (96374)
range across 3 matching MRF lines
$200.34–$214.83 $318–$341 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $40.32 $64 1.3×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $42.84 $68 1.2×
Motion Fluoroscopy/Swallow (92611) $592.83 $941 6.5×
Multiple Sleep Latency Test (95805) $1,311.03 $2,081 1.4×
Nerve Conduction Studies 1-2 Studies (95907) $202.23 $321 0.9×
Nerve Conduction Studies 11-12 Studies (95912) $721.35 $1,145 1.8×
Nerve conduction studies 13 or more studies (95913) $769.86 $1,222 1.9×
Nerve conduction studies 5-6 studies (95909) $408.87 $649 1.8×
Nerve conduction studies 7-8 studies (95910) $408.87 $649 1.0×
Nerve Conduction Studies 9-10 Studies (95911) $769.86 $1,222 1.9×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$104.58–$111.51 $166–$177 varies
Oral Function Therapy (92526) $197.19 $313 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$80.64–$86.31 $128–$137 varies
Ot Eval Low Complex (97165) $242.55 $385 2.4×
Ot Eval Moderate Complexity (97166) $273.42 $434 2.7×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$98.28–$115.92 $156–$184 varies
Ot Prosthetic Training, Each 15 Min (97761) $94.50 $150 2.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $188.37 $299 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $144.90 $230 1.1×
Phlebotomy therapeutic (99195) $206.01 $327 1.5×
Physical Performance Test (97750) $96.39 $153 2.9×
Plethysmography (94726) $115.92 $184 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,752.47 $4,369 3.0×
Pt Eval High Complex (97163) $309.33 $491 3.2×
Pt eval low complex 20 min (97161) $242.55 $385 2.5×
Pt Eval Mod Complex (97162) $273.42 $434 2.8×
Pt gait training 15 min (97116) $97.02 $154 3.3×
Pulmonary Stress Testing (94618) $137.34 $218 1.0×
Pure Tone Audiometry Air (92552) $52.92 $84 0.4×
Self Care Mngment Training (97535)
range across 2 matching MRF lines
$95.76–$102.06 $152–$162 varies
Sleep study unattended (95806) $400.05 $635 1.7×
Spirometry (94010)
range across 3 matching MRF lines
$18.27–$56.70 $29–$90 varies
Stress Tte Only (93350) $1,270.71 $2,017 2.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $69.30 $110 3.1×
Ther Ivntj Ea Addl 15 Min (97130) $63.63 $101 3.0×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $111.51 $177 3.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 2 matching MRF lines
$48.51–$51.66 $77–$82 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 3 matching MRF lines
$78.12–$93.87 $124–$149 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$348.39–$388.08 $553–$616 varies
Therapeutic Activities (97530)
range across 6 matching MRF lines
$105.21–$112.14 $167–$178 varies
Tte w/doppler, complete (93306) $1,729.35 $2,745 3.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $224.91 $357 3.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$134.19–$149.94 $213–$238 varies
Tympanometry (92567) $32.76 $52 0.8×
Upr/L Xtremity Art 2 Levels (93922) $451.08 $716 3.2×
Vent Mgmt Inpat Init Day (94002) $824.04 $1,308 1.2×
Whirlpool Therapy (97022) $71.82 $114 4.6×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.