Visits & medical services prices at Catholic Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $26,029 $26,029 3.1×
Airway inhalation treatment (94640) $752.50 $752.50 3.1×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $173 $173 12.0×
Application on-body injector (96377) $303 $303 5.9×
Assessment of aphasia per hr (96105) $572 $572 5.9×
Bedside Swallowing Eval (92610) $671 $671 7.9×
Behavioral and qualitative analysis of voice and resonance (92524) $576 $576 5.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,756 $1,756 4.3×
Bundle of his recording (93600) $30,132 $30,132 3.5×
Canalith Repositioning Procedure (95992) $162 $162 4.0×
Car seat/bed test 60 min (94780) $267 $267 6.5×
Cardiac Stress Tst,Tracing Only (93017) $2,767 $2,767 11.7×
Cardioversion (92960) $3,452.50 $3,452.50 4.8×
Cbt 1st hour (94644) $570 $570 3.9×
Chemo Hormon Antineopl Sq/Im (96402) $443 $443 5.6×
Chemo IV push addl drug (96411) $812 $812 10.3×
Chemo prolong 8+ hrs infuse w/pump (96416) $3,694 $3,694 10.2×
Chemother, IV infusion, 1 hr (96413) $1,674 $1,674 4.6×
Chemother, IV infusion, ea add hr (96415) $448 $448 5.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $599 $599 7.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $532 $532 6.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $979 $979 2.7×
Chronic care management services 1st 20 min (99490) $347 $347 3.1×
Color/duplex Doppler, complete (93975) $2,516 $2,516 9.7×
Color/duplex Doppler, limited (93976) $1,669 $1,669 14.6×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $619 $619 3.2×
Cpap/bipap (94660) $1,053 $1,053 4.4×
Cpt initial (94667) $236 $236 1.6×
Critical care (99291) $6,409 $6,409 7.1×
Debridement Open Wound 20 Sq Cm< (97597) $846 $846 3.9×
Dermatological procedure (96999) $572 $572 2.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,853 $1,853 7.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,713 $1,713 15.0×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,936 $1,936 7.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,376 $1,376 12.0×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,936 $1,936 7.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,221 $1,221 10.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,936 $1,936 7.4×
Dup-scan xtr veins unilateral/limited study (93971) $1,408.50 $1,408.50 12.3×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $1,514 $1,514 5.8×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $1,141 $1,141 10.0×
Duplex scan extracranial art compl bi study (93880) $1,863 $1,863 7.1×
Duplex Scan Hemodialysis Access (93990) $1,001 $1,001 8.8×
Echo Heart Xthoracic,Limited (93308) $1,314.50 $1,314.50 5.0×
Echo r-t 2d w/probe placement only (93313) $5,083 $5,083 8.5×
Echo transesophageal (93312) $5,451 $5,451 9.1×
Echo Transthoracic - Congenital Tte Complete (93303) $3,268 $3,268 5.5×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $5,640 $5,640 9.4×
EEG awake and asleep (95819) $2,394 $2,394 10.1×
EEG awake drowsy (95816) $2,028 $2,028 8.6×
EEG coma or sleep only (95822) $1,891 $1,891 8.0×
EEG cont rec w/video by tech min 8 channels (95700) $1,448 $1,448 6.1×
EEG greater than 1 hour (95813) $1,794 $1,794 7.6×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $2,658 $2,658 6.5×
Electrocardiogram Tracing (93005) $470 $470 7.3×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $2,394 $2,394 10.1×
Ep & ablate supravent arrhyt (93653) $163,297 $163,297 5.7×
Ep & ablate ventric tachy (93654) $102,056 $102,056 3.6×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $47,938 $47,938 5.6×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $33,344 $33,344 3.9×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $16,012 $16,012 12.0×
Er level 1 (99281) $447 $447 4.9×
Er level ii (99282) $788 $788 4.7×
Er level iii (99283) $1,967 $1,967 6.6×
Er level IV (99284) $3,051 $3,051 6.7×
Er level v (99285) $4,184 $4,184 6.4×
Eval speech sound production (92522) $576 $576 5.1×
Evaluate Pt Use Of Inhaler (94664) $1,005 $1,005 4.2×
Evaluation of speech fluency (92521) $607 $607 4.6×
External ECG rec>48hr<7d recording (93242) $901 $901 22.1×
External ECG rec>48hr<7d scanning alys w/report (93243) $3,534 $3,534 24.3×
External ECG rec>7d<15d recording (93246) $1,147 $1,147 28.1×
External Ecg Scanning Analysis Report (93226) $2,150 $2,150 33.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $814 $814 4.1×
Fundus photography w/interpretation & report (92250) $643 $643 4.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,082 $1,082 4.6×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,352 $3,352 3.6×
Gi tract capsule endoscopy (91110) $5,248 $5,248 5.3×
Holter Monitor (93225) $992 $992 6.8×
Immunization Admin (90471) $109 $109 1.4×
Induction of arrhythmia by electrical pacing (93618) $6,810 $6,810 5.1×
Inhalation bronchial challenge testing (95070) $2,973 $2,973 7.3×
Interrog dev eval scrms phys/qhp in person (93291) $113 $113 3.6×
Interrog device eval heart (93289) $240 $240 5.9×
Interrogate subq defib (93261) $274 $274 6.7×
Intra-atrial pacing (93610) $11,401 $11,401 1.3×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $1,259 $1,259 5.3×
Iontophoresis 15 min (97033) $173 $173 9.1×
Irrig drug delivery device (96523) $380 $380 5.9×
IV infusion hydration each additional hour (96361) $380 $380 7.4×
IV infusion hydration initial 31 min-1 hour (96360) $1,190 $1,190 5.1×
IV infusion ther proph addl sequential to 1 hr (96367) $410 $410 5.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,087 $1,087 4.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $303 $303 5.9×
IV push ea addl new drug (96375) $497 $497 9.7×
IV push initial (96374) $593 $593 2.6×
Manual therapy 15 min (97140) $204 $204 7.4×
Mechanical chest wall oscillation (94669) $368 $368 1.5×
Mechanical traction (97012) $156 $156 10.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $216 $216 6.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $249 $249 6.8×
Methacholine challenge (94070) $2,394 $2,394 5.9×
Motility study esophagus (91010) $3,237 $3,237 7.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $720 $720 7.9×
Multiple Sleep Latency Test (95805) $7,959 $7,959 8.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,730 $1,730 3.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $552 $552 2.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $681 $681 1.5×
Newborn resuscitation (99465) $2,512 $2,512 3.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $814 $814 5.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $640 $640 4.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $224 $224 4.9×
Ot eval high complex 60 min (97167) $526 $526 5.2×
Ot eval low complex 30 min (97165) $454 $454 4.5×
Ot eval mod complex 45 min (97166) $501 $501 5.0×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $224 $224 4.5×
Ot Prosthetic Training, Each 15 Min (97761) $166 $166 4.1×
Ot re-evaluation (97168) $251 $251 3.7×
Ot therapeutic activity 15 min (97530) $198 $198 5.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $583 $583 4.1×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $482 $482 3.4×
Peritoneal Dialysis (90945) $4,350.50 $4,350.50 9.5×
Phlebotomy therapeutic (99195) $496 $496 3.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $347 $347 5.4×
Plethysmography (94726) $890 $890 2.2×
Pm device eval in person (93288) $277 $277 6.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $10,752 $10,752 11.5×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $346 $346 3.1×
Pt Electrical Stimulation (97032) $160 $160 10.9×
Pt eval high complex 45 min (97163) $470 $470 4.8×
Pt eval low complex 20 min (97161) $469 $469 4.8×
Pt eval mod complex 30 min (97162) $470 $470 4.8×
Pt gait training 15 min (97116) $179 $179 6.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $212 $212 6.5×
Pt re-evaluation (97164) $280 $280 4.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $182 $182 5.6×
Pulm function test by gas (94727) $516 $516 2.2×
Pulmonary Service/Procedure (94799) $510 $510 3.6×
Pulmonary stress test simple (94618) $643 $643 4.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $1,193 $1,193 29.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $434 $434 2.0×
Rt Chest Wall Manipulation,Subsequent (94668) $236 $236 1.6×
Sleep study unattended (95806) $1,188 $1,188 5.0×
Slp caregiver training 1st 30 min (97550) $78 $78 1.5×
Speech sound lang comprehen (92523) $576 $576 2.5×
Spirometry (94010) $609 $609 2.6×
Standardized Cognitive Performance Testing (96125) $640 $640 6.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $98 $98 4.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $83 $83 3.9×
Therapeutic prophylactic/dx injection subq/im (96372) $393 $393 5.0×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $106 $106 2.6×
Tte w/doppler, complete (93306) $4,513 $4,513 7.6×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $2,311 $2,311 8.9×
Tx atrial fib pulm vein isol (93656) $157,983 $157,983 5.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $488 $488 6.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $467 $467 5.5×
Unlisted Cardiovascular Service/Procedure (93799) $24,339 $24,339 173.1×
Upr/lxtr art stdy 3+ lvls (93923) $1,248 $1,248 5.3×
Vasc Duplex Scan Extracranial,Limited (93882) $1,172 $1,172 10.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,082 $1,082 4.6×
Vent mgmt inpat init day (94002) $4,428 $4,428 6.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,369 $3,369 5.0×
Vital capacity, total (94150) $506 $506 3.6×
Wheelchair Mgmt Ea 15 Min (97542) $200 $200 6.4×
Xtrnl mobile cv telemetry w/technical support (93229) $2,303 $2,303 5.6×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $1,331 $1,331 12.8×