Visits & medical services prices at Cottage Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $101 $202 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $41.50 $83 2.9×
Application Modality 1/> Areas Infrared (97026) $17 $34 2.5×
Bedside Swallowing Eval (92610) $164 $328 1.9×
Behavioral and qualitative analysis of voice and resonance (92524) $287.75 $575.50 2.6×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $133 $266 1.6×
Bfb training ea addl 15 min (90913) $72 $144 2.2×
Biofeedback training any modality (90901) $60 $120 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $154.50 $309 0.4×
Canalith Repositioning Procedure (95992) $84.50 $169 2.1×
Cardiac Stress Tst,Tracing Only (93017) $333 $666 1.4×
Cardiopulmonary resuscitation (92950) $806.50 $1,613 3.5×
Cardioversion (92960) $551.50 $1,103 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $80.50 $161 1.0×
Chemo IV push addl drug (96411) $268 $536 3.5×
Chemother, IV infusion, 1 hr (96413) $351 $702 1.0×
Chemother, IV infusion, ea add hr (96415) $109.50 $219 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $206 $412 2.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $308 $616 4.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $361.50 $723 1.0×
Color/duplex Doppler, complete (93975) $391.50 $783 1.5×
Color/duplex Doppler, limited (93976) $385 $770 3.4×
Cpap/bipap (94660) $360.50 $721 1.5×
Cpt initial (94667) $50 $100 0.4×
Critical care (99291) $857.50 $1,715 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $167.50 $335 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $388 $776 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $388 $776 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $314.50 $629 2.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $443 $886 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $268 $536 2.4×
Duplex scan extracranial art compl bi study (93880) $571.50 $1,143 2.2×
Echo Heart Xthoracic,Limited (93308) $229 $458 0.9×
Echo r-t 2d w/probe placement only (93313) $26 $52 0.0×
Echo Transthoracic - Congenital Tte Complete (93303) $577.50 $1,155 1.0×
Echo Transthoracic - Congenital Tte Limited (93304) $398.50 $797 0.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $338 $676 0.6×
EKG rhythm strip (93041) $79 $158 1.3×
Electrocardiogram Tracing (93005) $134.50 $269 2.1×
Er level 1 (99281) $110 $220 1.2×
Er level ii (99282) $285 $570 1.7×
Er level iii (99283) $350 $700 1.2×
Er level IV (99284) $500 $1,000 1.1×
Er level v (99285) $750 $1,500 1.2×
Eval speech sound production (92522) $292 $584 2.6×
Evaluate Pt Use Of Inhaler (94664) $101 $202 0.4×
Evaluation of speech fluency (92521) $292 $584 2.2×
External ECG rec>48hr<7d recording (93242) $138.50 $277 3.5×
External ECG rec>7d<15d recording (93246) $138 $276 3.5×
External Ecg Scanning Analysis Report (93226) $256.50 $513 4.1×
Group Therapeutic Procedures (97150) $59.50 $119 3.3×
Holter Monitor (93225) $264.25 $528.50 1.9×
Immunization Admin (90471) $13.50 $27 0.2×
Injection intra arterial (96373) $78 $156 0.3×
Irrig drug delivery device (96523) $69.50 $139 1.1×
IV infusion hydration each additional hour (96361) $130.75 $261.50 2.6×
IV infusion hydration initial 31 min-1 hour (96360) $298.75 $597.50 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $171.25 $342.50 2.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $322.25 $644.50 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $114.50 $229 2.3×
IV push ea addl new drug (96375) $112.50 $225 2.3×
IV push initial (96374) $249 $498 1.1×
Laryngeal Function Studies (92520) $115.50 $231 0.8×
Manual therapy 15 min (97140) $71.50 $143 2.6×
Massage 15 min (97124) $53.50 $107 1.8×
Maximum voluntary ventilation (94200) $23.50 $47 0.4×
Mechanical traction (97012) $54.50 $109 3.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $134.50 $269 1.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $140.50 $281 0.7×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $162 $324 0.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $334.50 $669 2.4×
Nonphysician Telephone Assessment 11-20 Min (98967) $60.50 $121 2.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $98.50 $197 2.1×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $75 $150 3.3×
Ot Contrast Bath Ea 15 Min (97034) $40 $80 2.9×
Ot eval high complex 60 min (97167) $231.50 $463 2.3×
Ot eval low complex 30 min (97165) $155.50 $311 1.5×
Ot eval mod complex 45 min (97166) $206.50 $413 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $120.50 $241 2.4×
Ot Range Motion Measure,Each Extrem (95851) $50.50 $101 1.9×
Ot re-evaluation (97168) $103.50 $207 1.5×
Ot therapeutic activity 15 min (97530) $71.50 $143 2.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $121.50 $243 0.9×
Paraffin bath pt (97018) $37.50 $75 6.2×
Pt Aquatic Therapy/Exercises (97113) $107 $214 2.9×
Pt Electrical Stimulation (97032) $97.50 $195 6.6×
Pt eval high complex 45 min (97163) $235 $470 2.4×
Pt eval low complex 20 min (97161) $157.75 $315.50 1.6×
Pt eval mod complex 30 min (97162) $209.50 $419 2.1×
Pt gait training 15 min (97116) $61.50 $123 2.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $69.50 $139 2.1×
Pt re-evaluation (97164) $105 $210 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $71 $142 2.2×
Pt Whirlpool Therapy (97022) $46.50 $93 3.0×
Pulm function test by gas (94727) $95 $190 0.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $139.50 $279 3.5×
Respiratory flow volume loop (94375) $93.50 $187 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $99 $198 0.5×
Rom meas&reprt hand w/wo comparison normal sid (95852) $39 $78 1.8×
Rt Chest Wall Manipulation,Subsequent (94668) $49 $98 0.3×
Smoking cessation > 10 min (99407) $127 $254 3.2×
Speech sound lang comprehen (92523) $287.75 $575.50 1.3×
Spirometry (94010) $95 $190 0.4×
Standardized Cognitive Performance Testing (96125) $229 $458 2.2×
Stress echo (93350) $339.50 $679 0.6×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $454 $908 2.0×
Subcutaneous Infusion Each Additional Hour (96370) $44.50 $89 0.9×
Subq Infusion Additional Pump Infusion Site (96371) $235.50 $471 3.1×
Temp transcutaneous pacing (92953) $45 $90 0.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $58.50 $117 2.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $56.50 $113 2.7×
Therapeutic prophylactic/dx injection subq/im (96372) $32.50 $65 0.4×
Tte w/doppler, complete (93306) $875.50 $1,751 1.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $305 $610 4.0×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $86.50 $173 1.0×
Vasc Duplex Scan Extracranial,Limited (93882) $428 $856 3.8×
Vasopneumatic device (97016) $37 $74 3.1×
Vent mgmt inpat init day (94002) $538 $1,076 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $458 $916 0.7×
Vital capacity, total (94150) $66.50 $133 0.5×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $487.50 $975 4.8×