Visits & medical services prices at Frisbie Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $17,280 $17,280 2.1×
Actigraphy testing recording analysis i&r (95803) $355 $355 5.6×
Airway inhalation treatment (94640) $649 $649 2.8×
Ambulatory Bp Analysis (93788) $300 $300 2.1×
Ambulatory Bp Recording (93786) $310 $310 2.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $224 $224 15.6×
Application Modality 1/> Areas Infrared (97026) $245 $245 36.7×
Bedside Swallowing Eval (92610) $787 $787 9.3×
Behavioral and qualitative analysis of voice and resonance (92524) $665 $665 6.1×
Biofeedback training any modality (90901) $362 $362 8.8×
Breath Hydrogen/Methane Test (91065) $961 $961 4.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,206 $1,206 3.0×
Bundle of his recording (93600) $20,958 $20,958 2.5×
Car seat/bed test 60 min (94780) $309 $309 7.7×
Cardiac Stress Tst,Tracing Only (93017) $1,294 $1,294 5.6×
Cardiopulmonary exercise testing (94621) $1,906 $1,906 4.8×
Cardioversion (92960) $5,139.50 $5,139.50 7.3×
Care mgmt svc bhvl hlth cond (99484) $72 $72 1.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $95 $95 3.6×
Cbt 1st hour (94644) $244 $244 1.7×
Chemo Admin Peritoneal Cavity (96446) $1,089 $1,089 3.1×
Chemo Hormon Antineopl Sq/Im (96402) $371 $371 4.8×
Chemo IV push addl drug (96411) $371 $371 4.8×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,877 $1,877 5.3×
Chemother, IV infusion, 1 hr (96413) $1,233 $1,233 3.5×
Chemother, IV infusion, ea add hr (96415) $252 $252 3.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $525 $525 6.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $293 $293 3.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $524 $524 1.5×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $1,965 $1,965 4.9×
Color/duplex Doppler, complete (93975) $1,509 $1,509 5.9×
Color/duplex Doppler, limited (93976) $1,025 $1,025 9.2×
Cpap/bipap (94660) $714 $714 3.1×
Cpt initial (94667) $486 $486 3.4×
Critical care (99291) $3,818 $3,818 4.3×
Debridement Open Wound 20 Sq Cm< (97597) $735 $735 3.4×
Duodenal motility study (91022) $3,360 $3,360 8.4×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $1,041 $1,041 4.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $955 $955 8.6×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,902.50 $2,902.50 11.4×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $2,064.50 $2,064.50 18.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,690 $1,690 6.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,479 $1,479 13.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,260 $3,260 12.8×
Dup-scan xtr veins unilateral/limited study (93971) $3,029 $3,029 27.1×
Duplex scan extracranial art compl bi study (93880) $2,474 $2,474 9.7×
Duplex Scan Hemodialysis Access (93990) $1,213.50 $1,213.50 10.9×
Echo Heart Xthoracic,Limited (93308) $1,466 $1,466 5.8×
Echo transesophageal (93312) $2,823.50 $2,823.50 4.8×
Echo Transesophageal - Congenital Tee Complete (93315) $2,715 $2,715 4.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,169 $3,169 5.4×
EEG awake and asleep (95819) $1,103 $1,103 4.8×
EEG awake drowsy (95816) $1,103 $1,103 4.8×
EEG cerebral death evaluation (95824) $1,896 $1,896 4.8×
Electrocardiogram Tracing (93005) $140 $140 2.2×
Electroconvulsive Therapy (90870) $1,774 $1,774 1.9×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $15,364 $15,364 1.8×
Ep & ablate supravent arrhyt (93653) $40,825 $40,825 1.5×
Ep & ablate ventric tachy (93654) $74,853 $74,853 2.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $15,364 $15,364 1.8×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $15,364 $15,364 1.8×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $3,298 $3,298 2.5×
Er level 1 (99281) $534 $534 5.9×
Er level ii (99282) $1,025 $1,025 6.3×
Er level iii (99283) $1,521 $1,521 5.2×
Er level IV (99284) $2,875 $2,875 6.5×
Er level v (99285) $4,674 $4,674 7.4×
Esoph balloon distension tst (91040) $3,360 $3,360 8.4×
Esophagus acid perfusion test esophagitis (91030) $3,360 $3,360 8.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $3,360 $3,360 8.4×
Eval speech sound production (92522) $665 $665 5.9×
Evaluate Pt Use Of Inhaler (94664) $862 $862 3.7×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $567 $567 4.6×
Evaluation of speech fluency (92521) $665 $665 5.0×
Exercise tst brncspsm (94617) $336 $336 2.4×
External ECG rec>48hr<7d recording (93242) $312 $312 7.8×
External ECG rec>7d<15d recording (93246) $902 $902 22.6×
External Ecg Scanning Analysis Report (93226) $1,164 $1,164 18.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $575 $575 2.9×
Gastric motility studies (91020) $3,360 $3,360 8.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $3,360 $3,360 8.4×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $1,822 $1,822 7.9×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $3,360 $3,360 3.7×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $5,575 $5,575 5.8×
Gi tract capsule endoscopy (91110) $5,575 $5,575 5.8×
Gi wireless capsule measure (91112) $5,575 $5,575 5.8×
Group Therapeutic Procedures (97150) $154 $154 8.5×
Health Behavior Assessment/Re-Assessment (96156) $496 $496 4.6×
Health behavior ivntj indiv f2f 1st 30 min (96158) $496 $496 2.6×
Hemodialysis (90935) $2,598.50 $2,598.50 3.5×
Holter Monitor (93225) $1,164 $1,164 8.2×
Ilr Device Eval Progr (93285) $345 $345 8.7×
Immune Admin Oral/Nasal (90473) $65 $65 0.8×
Immunization Admin (90471) $169.50 $169.50 2.2×
Induction of arrhythmia by electrical pacing (93618) $2,804 $2,804 2.2×
Interrog dev eval scrms phys/qhp in person (93291) $200 $200 6.5×
Interrog device eval heart (93289) $594 $594 14.9×
Intra Atrial Recording (93602) $20,958 $20,958 2.5×
Intra-atrial pacing (93610) $20,958 $20,958 2.5×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $1,211 $1,211 5.2×
Intraventricular pacing (93612) $34,150 $34,150 4.1×
Iontophoresis 15 min (97033) $224 $224 11.8×
Irrig drug delivery device (96523) $178 $178 2.8×
IV infusion hydration each additional hour (96361) $181.50 $181.50 3.6×
IV infusion hydration initial 31 min-1 hour (96360) $648 $648 2.9×
IV infusion ther proph addl sequential to 1 hr (96367) $149 $149 1.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $758 $758 3.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $250 $250 5.0×
IV push ea addl new drug (96375) $172 $172 3.4×
IV push initial (96374) $692.50 $692.50 3.0×
Low frequency non-thermal us (97610) $927 $927 4.3×
Manual therapy 15 min (97140) $224 $224 8.1×
Massage 15 min (97124) $224 $224 7.5×
Mechanical traction (97012) $224 $224 15.6×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $162 $162 5.1×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $116 $116 3.2×
Methacholine challenge (94070) $2,268 $2,268 5.7×
Motility study esophagus (91010) $3,360 $3,360 8.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $787 $787 8.6×
Multiple Family Group Psychotherapy (90849) $806 $806 4.3×
Multiple Sleep Latency Test (95805) $4,737 $4,737 5.2×
Neg press wound tx >50 cm (97608) $1,053 $1,053 2.4×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,053 $1,053 2.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $700 $700 3.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,153 $1,153 2.7×
Newborn resuscitation (99465) $473 $473 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $653 $653 4.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $999 $999 7.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $224 $224 4.9×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $205 $205 6.4×
Ot Contrast Bath Ea 15 Min (97034) $205 $205 14.6×
Ot eval high complex 60 min (97167) $746 $746 7.4×
Ot eval low complex 30 min (97165) $337 $337 3.4×
Ot eval mod complex 45 min (97166) $419 $419 4.2×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $205 $205 4.1×
Ot Prosthetic Training, Each 15 Min (97761) $224 $224 5.5×
Ot re-evaluation (97168) $546 $546 8.0×
Ot therapeutic activity 15 min (97530) $224 $224 6.4×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $338 $338 2.5×
Paraffin bath pt (97018) $224 $224 37.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $826 $826 3.5×
Peritoneal Dialysis (90945) $2,223 $2,223 5.0×
Phlebotomy therapeutic (99195) $283 $283 2.0×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $317 $317 5.0×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $317 $317 5.0×
Plethysmography (94726) $575 $575 1.4×
Pm device eval in person (93288) $485 $485 12.2×
Pm device progr eval dual (93280) $501 $501 12.6×
Pm device progr eval multi (93281) $96 $96 2.4×
Pm device progr eval sngl (93279) $493 $493 12.4×
Pm/Icd Remote Tech Serv (93296) $425 $425 10.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $8,377 $8,377 9.1×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $120 $120 3.0×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $591 $591 14.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $606.50 $606.50 15.2×
Psychiatric diagnostic evaluation (90791) $887 $887 4.7×
Pt Aquatic Therapy/Exercises (97113) $224 $224 6.0×
Pt Electrical Stimulation (97032) $224 $224 15.2×
Pt eval high complex 45 min (97163) $836 $836 8.5×
Pt eval low complex 20 min (97161) $387 $387 4.0×
Pt eval mod complex 30 min (97162) $600 $600 6.1×
Pt gait training 15 min (97116) $154 $154 5.3×
Pt group caregiver training (97552) $80 $80 3.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $224 $224 6.8×
Pt Physical Performance Test (97750) $1,471.50 $1,471.50 43.6×
Pt re-evaluation (97164) $546 $546 8.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $154 $154 4.8×
Pt Whirlpool Therapy (97022) $224 $224 14.3×
Pulmonary stress test simple (94618) $271 $271 1.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $1,093 $1,093 27.4×
Repet tms tx initial w/map/motr threshld/del&m (90867) $1,756 $1,756 7.6×
Repet tms tx subseq motr threshld w/deliv & mn (90869) $1,756 $1,756 7.6×
Respiratory flow volume loop (94375) $785 $785 3.4×
Right ventricular recording (93603) $2,804 $2,804 2.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $735 $735 3.4×
Rt Chest Wall Manipulation,Subsequent (94668) $486 $486 3.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $281 $281 5.9×
Sensory Integration Ea 15 Min (97533) $222 $222 3.7×
Sleep study attended (95807) $2,395 $2,395 6.0×
Sleep study unattended (95806) $805 $805 3.5×
Slp caregiver training 1st 30 min (97550) $189 $189 3.6×
Smoking cessation > 10 min (99407) $112 $112 2.8×
Speech sound lang comprehen (92523) $665 $665 2.9×
Spirometry (94010) $488 $488 2.1×
Standardized Cognitive Performance Testing (96125) $571 $571 5.6×
Stress echo (93350) $2,390 $2,390 4.1×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $506 $506 2.2×
Subcutaneous Infusion Each Additional Hour (96370) $506 $506 10.1×
Temp transcutaneous pacing (92953) $2,023 $2,023 2.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $224 $224 10.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $224 $224 10.6×
Therap repetitive tms tx subseq delivery & mng (90868) $1,756 $1,756 7.6×
Therapeutic prophylactic/dx injection subq/im (96372) $305 $305 4.0×
Tilt table evaluation (93660) $1,416 $1,416 3.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $50 $50 1.2×
Trans Care Mgmt 14 Day Disch (99495) $234 $234 1.6×
Transtelephonic rhythm strip pacemaker eval (93293) $425 $425 10.7×
Tte w/doppler, complete (93306) $4,189 $4,189 7.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,816 $1,816 7.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $642 $642 8.4×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $149 $149 6.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $229 $229 2.7×
Upr/lxtr art stdy 3+ lvls (93923) $1,110 $1,110 4.8×
Vasc Duplex Scan Extracranial,Limited (93882) $1,127 $1,127 10.1×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,788.50 $1,788.50 7.8×
Vasopneumatic device (97016) $205 $205 17.1×
Vent mgmt inpat init day (94002) $2,101 $2,101 3.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,101 $2,101 3.2×
Vital capacity, total (94150) $565 $565 4.1×
Wheelchair Mgmt Ea 15 Min (97542) $205 $205 6.6×