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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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $26,029 $26,029 3.1×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $246–$1,259 $246–$1,259 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $173 $173 12.0×
Application on-body injector (96377) $303 $303 5.9×
Arrhythmia Induction (93618) $6,810 $6,810 5.1×
Assessment of aphasia per hr (96105) $572 $572 5.9×
Behavral qualit analys voice (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 proc (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)
range across 2 matching MRF lines		 $3,356–$3,549 $3,356–$3,549 varies
Cbt 1st hour (94644) $570 $570 3.9×
Chemo Anti-Neopl Sq/Im (96401) $599 $599 7.6×
Chemo Hormon Antineopl Sq/Im (96402) $443 $443 5.6×
Chemo IV infusion addl hr (96415) $448 $448 5.7×
Chemo IV push addl drug (96411) $812 $812 10.3×
Chemother Prolong Infuse W/Pump (96416) $3,694 $3,694 10.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $532 $532 6.8×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,674 $1,674 4.6×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $979 $979 2.7×
Chest Wall Manipulation (94668) $236 $236 1.6×
Chron Care Mgmt Srvc 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×
Continuous Pulse Ox (94762)
range across 2 matching MRF lines		 $596–$684 $596–$684 varies
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines		 $1,010–$1,342 $1,010–$1,342 varies
Cpt initial (94667) $236 $236 1.6×
Critical care first hour (99291) $6,409 $6,409 7.1×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines		 $680–$1,012 $680–$1,012 varies
Dialysis One Evaluation (90945)
range across 2 matching MRF lines		 $4,240–$4,461 $4,240–$4,461 varies
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 Xtr Veins Complete Bilateral Study (93970) $1,936 $1,936 7.4×
Dup-scan xtr veins unilateral/limited study (93971)
range across 2 matching MRF lines		 $1,386–$1,431 $1,386–$1,431 varies
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 Hemodialysis Access (93990) $1,001 $1,001 8.8×
Duplex up extrem art bilat (93930) $1,936 $1,936 7.4×
Duplex up extrem art unilat/ltd (93931) $1,221 $1,221 10.7×
ECG/monitoring and analysis (93271) $1,331 $1,331 12.8×
Echo Congenital Complete (93303) $3,268 $3,268 5.5×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $1,283–$1,346 $1,283–$1,346 varies
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 tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $4,529–$6,751 $4,529–$6,751 varies
Eeg 41-60 Minutes (95812) $2,394 $2,394 10.1×
EEG awake and asleep (95819) $2,394 $2,394 10.1×
EEG awake drowsy (95816) $2,028 $2,028 8.6×
EEG cont rec w/video by tech min 8 channels (95700) $1,448 $1,448 6.1×
EEG extended monitoring 61-119 minutes (95813) $1,794 $1,794 7.6×
Eeg Sleep Only (95822) $1,891 $1,891 8.0×
EEG wo vid ea 12-26hr unmntr (95708) $2,658 $2,658 6.5×
Electrical Stimulation Ea 15 Min (97032) $160 $160 10.9×
Electrocardiogram Tracing (93005) $470 $470 7.3×
Electrophysiology Evaluation (93642) $16,012 $16,012 12.0×
Emergency Dept Visit Level 2 (99282) $788 $788 4.7×
Emergency Dept Visit Level 3 (99283) $1,967 $1,967 6.6×
Emergency Dept Visit Level 4 (99284) $3,051 $3,051 6.7×
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×
Er level 1 (99281) $447 $447 4.9×
Er level v (99285) $4,184 $4,184 6.4×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines		 $751–$1,259 $751–$1,259 varies
Evaluate Speech Production (92522) $576 $576 5.1×
Evaluate Swallowing Function (92610) $671 $671 7.9×
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)
range across 2 matching MRF lines		 $1,299–$3,001 $1,299–$3,001 varies
Extracranial Bilat Study (93880) $1,863 $1,863 7.1×
Extracranial Uni/Ltd Study (93882) $1,172 $1,172 10.3×
Flexible endoscopic eval swallow c/v rec (92612) $814 $814 4.1×
Fundus photography (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 recording (93225) $992 $992 6.8×
Icd Device Interrogate (93289) $240 $240 5.9×
Ilr Device Interrogate (93291) $113 $113 3.6×
Immunization administration (90471) $109 $109 1.4×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $2,973 $2,973 7.3×
Interrogate Subq Defib (93261) $274 $274 6.7×
Intra-atrial pacing (93610) $11,401 $11,401 1.3×
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 therapy prophylaxis/dx ea hour (96366) $303 $303 5.9×
IV push initial (96374) $593 $593 2.6×
Lwr Xtr Vasc Stdy Bilat (93924) $1,082 $1,082 4.6×
Mechanical chest wall oscillation per session (94669) $368 $368 1.5×
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 Fluoroscopy/Swallow (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)
range across 2 matching MRF lines		 $1,397–$2,063 $1,397–$2,063 varies
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×
Neuromuscular Reeducation (97112) $212 $212 6.5×
Newborn resuscitation (99465) $2,512 $2,512 3.5×
Oral Function Therapy (92526) $467 $467 5.5×
Orthc/Prostc Mgmt Sbsq Enc (97763) $224 $224 4.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $224 $224 4.9×
Ot eval high complexity (97167) $526 $526 5.2×
Ot Eval Low Complex (97165) $454 $454 4.5×
Ot Eval Moderate Complexity (97166) $501 $501 5.0×
Ot manual therapy 15 min (97140) $204 $204 7.4×
Ot Prosthetic Training, Each 15 Min (97761) $166 $166 4.1×
Ot Re-Eval Est Plan Care (97168) $251 $251 3.7×
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×
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 Eval High Complex (97163) $470 $470 4.8×
Pt eval low complex 20 min (97161) $469 $469 4.8×
Pt Eval Mod Complex (97162) $470 $470 4.8×
Pt gait training 15 min (97116) $179 $179 6.2×
Pt mechanical traction (97012) $156 $156 10.9×
Pt Re-Eval Est Plan Care (97164) $280 $280 4.1×
Pulm function test by gas (94727) $516 $516 2.2×
Pulmonary service/procedure (94799) $510 $510 3.6×
Pulmonary Stress Testing (94618) $643 $643 4.4×
Remote 30 Day Ecg Rev/Report (93270) $1,193 $1,193 29.3×
Remote 30 Day Ecg Tech Supp (93229) $2,303 $2,303 5.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $434 $434 2.0×
Self Care Mngment Training (97535)
range across 2 matching MRF lines		 $174–$190 $174–$190 varies
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×
Surfactant Admin Thru Tube (94610) $1,259 $1,259 5.3×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $98 $98 4.4×
Ther Ivntj Ea Addl 15 Min (97130) $83 $83 3.9×
Ther/Proph/Diag Inj Sc/Im (96372) $393 $393 5.0×
Ther/Proph/Diag Iv Inf Init (96365) $1,087 $1,087 4.7×
Therapeutic Activities (97530) $198 $198 5.6×
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 (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/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines		 $462–$532 $462–$532 varies
Unlisted cardiovascular service/procedure (93799) $24,339 $24,339 173.1×
Unlisted Special Dermatological Service/Px (96999) $572 $572 2.6×
Upr/L Xtremity Art 2 Levels (93922) $814 $814 5.6×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,248 $1,248 5.3×
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×

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.