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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $144.90 $230 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $85.68 $136 6.0×
Assessment of aphasia per hr (96105) $275.31 $437 2.8×
Bedside Swallowing Eval (92610) $201.60 $320 2.4×
Behavioral and qualitative analysis of voice and resonance (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) $579.60 $920 0.8×
Chemother, IV infusion, 1 hr (96413) $675.99 $1,073 1.9×
Chemother, IV infusion, ea add hr (96415) $158.76 $252 2.1×
Color/duplex Doppler, limited (93976) $808.29 $1,283 7.2×
Comprehensive Hearing Test (92557) $132.30 $210 1.0×
Cpap/bipap (94660) $441 $700 1.9×
Critical care (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×
Duplex scan extracranial art compl bi study (93880) $885.15 $1,405 3.5×
Echo transesophageal (93312) $1,346.31 $2,137 2.3×
EEG awake and asleep (95819) $715.68 $1,136 3.1×
EEG awake drowsy (95816) $590.94 $938 2.6×
Electrocardiogram Tracing (93005) $207.27 $329 3.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $417.69 $663 1.8×
Er level 1 (99281) $156.87 $249 1.7×
Er level ii (99282) $283.50 $450 1.7×
Er level iii (99283) $500.22 $794 1.7×
Er level IV (99284) $786.87 $1,249 1.8×
Er level v (99285) $1,129.59 $1,793 1.8×
Eval speech sound production (92522) $280.98 $446 2.5×
Evaluate Pt Use Of Inhaler (94664) $138.60 $220 0.6×
External ECG rec>48hr<7d recording (93242) $286.65 $455 7.2×
External ECG rec>7d<15d recording (93246) $286.65 $455 7.2×
Immunization Admin (90471) $33.39 $53 0.4×
Irrig drug delivery device (96523) $137.97 $219 2.2×
IV infusion hydration each additional hour (96361) $172.30 $273.50 3.4×
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, therap/proph/diagnost,initial,1st hour (96365) $368.24 $584.50 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $128.52 $204 2.6×
IV push ea addl new drug (96375) $139.23 $221 2.8×
IV push initial (96374) $214.83 $341 0.9×
Manual therapy 15 min (97140) $110.25 $175 4.0×
Massage 15 min (97124) $50.08 $79.50 1.7×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $592.83 $941 6.5×
Multiple Sleep Latency Test (95805) $1,311.03 $2,081 1.4×
Nerve Conduction Studies 11-12 Studies (95912) $721.35 $1,145 1.8×
Nerve conduction studies 13/> 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×
Nerve conduction studies; 1-2 studies (95907) $202.23 $321 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $451.08 $716 3.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $228.06 $362 1.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $83.48 $132.50 1.8×
Ot eval low complex 30 min (97165) $242.55 $385 2.4×
Ot eval mod complex 45 min (97166) $273.42 $434 2.7×
Ot Prosthetic Training, Each 15 Min (97761) $94.50 $150 2.3×
Ot therapeutic activity 15 min (97530) $108.68 $172.50 3.1×
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×
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 Aquatic Therapy/Exercises (97113) $111.51 $177 3.0×
Pt Electrical Stimulation (97032) $74.97 $119 5.1×
Pt eval high complex 45 min (97163) $309.33 $491 3.2×
Pt eval low complex 20 min (97161) $242.55 $385 2.5×
Pt eval mod complex 30 min (97162) $273.42 $434 2.8×
Pt gait training 15 min (97116) $97.02 $154 3.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $108.04 $171.50 3.3×
Pt Physical Performance Test (97750) $96.39 $153 2.9×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $98.91 $157 3.1×
Pt Whirlpool Therapy (97022) $71.82 $114 4.6×
Pulmonary stress test simple (94618) $137.34 $218 1.0×
Pure Tone Audiometry Air & Bone (92553) $136.08 $216 1.0×
Pure Tone Audiometry Air Only (92552) $52.92 $84 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $81.90 $130 0.6×
Sleep study unattended (95806) $400.05 $635 1.7×
Spirometry (94010) $44.10 $70 0.2×
Stress echo (93350) $1,270.71 $2,017 2.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $69.30 $110 3.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $63.63 $101 3.0×
Therapeutic prophylactic/dx injection subq/im (96372) $88.20 $140 1.1×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $197.19 $313 2.3×
Tympanometry (92567) $32.76 $52 0.8×
Vent mgmt inpat init day (94002) $824.04 $1,308 1.2×