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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (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 mntr w/sw 24 hr+ recording only (93786) | $310 | $310 | 2.2× |
| Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) | $300 | $300 | 2.1× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $224 | $224 | 15.6× |
| Application Modality 1/> Areas Infrared (97026) | $245 | $245 | 36.7× |
| Arrhythmia Induction (93618) | $2,804 | $2,804 | 2.2× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$652–$678 | $652–$678 | varies |
| Biofeedback training any modality (90901) range across 3 matching MRF lines |
$362–$457 | $362–$457 | varies |
| 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) range across 2 matching MRF lines |
$4,055–$6,224 | $4,055–$6,224 | varies |
| Care mgmt services behavioral hlth cond 20 mins (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 Anti-Neopl Sq/Im (96401) | $525 | $525 | 6.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $371 | $371 | 4.8× |
| Chemo IV infusion addl hr (96415) | $252 | $252 | 3.3× |
| Chemo IV push addl drug (96411) | $371 | $371 | 4.8× |
| Chemother Prolong Infuse W/Pump (96416) | $1,877 | $1,877 | 5.3× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $293 | $293 | 3.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $1,233 | $1,233 | 3.5× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $524 | $524 | 1.5× |
| Chest Wall Manipulation (94668) | $486 | $486 | 3.4× |
| Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) | $1,965 | $1,965 | 4.9× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$1,172–$1,846 | $1,172–$1,846 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$645–$1,405 | $645–$1,405 | varies |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $205 | $205 | 6.4× |
| Continuous Pulse Ox (94762) | $999 | $999 | 7.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $714 | $714 | 3.1× |
| Cpt initial (94667) | $486 | $486 | 3.4× |
| Critical care first hour (99291) | $3,818 | $3,818 | 4.3× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$103–$1,038 | $103–$1,038 | varies |
| Dialysis One Evaluation (90945) range across 6 matching MRF lines |
$2,223–$2,329 | $2,223–$2,329 | varies |
| 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) range across 2 matching MRF lines |
$1,258–$4,547 | $1,258–$4,547 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$1,100–$3,029 | $1,100–$3,029 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$1,973–$4,547 | $1,973–$4,547 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 4 matching MRF lines |
$1,525–$3,029 | $1,525–$3,029 | varies |
| Duplex Scan Hemodialysis Access (93990) range across 2 matching MRF lines |
$859–$1,568 | $859–$1,568 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$1,568–$1,812 | $1,568–$1,812 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 2 matching MRF lines |
$1,341–$1,617 | $1,341–$1,617 | varies |
| Echo Heart Xthoracic,Limited (93308) | $1,466 | $1,466 | 5.8× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$2,715–$2,932 | $2,715–$2,932 | varies |
| 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× |
| Electrical Stimulation Ea 15 Min (97032) | $224 | $224 | 15.2× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$68–$392 | $68–$392 | varies |
| Electroconvulsive Therapy (90870) | $1,774 | $1,774 | 1.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $15,364 | $15,364 | 1.8× |
| Electrophysiology Evaluation (93642) | $3,298 | $3,298 | 2.5× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$986–$1,064 | $986–$1,064 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$1,509–$1,533 | $1,509–$1,533 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$2,819–$2,931 | $2,819–$2,931 | varies |
| 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× |
| Er level 1 (99281) range across 3 matching MRF lines |
$157–$804 | $157–$804 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$4,399–$4,949 | $4,399–$4,949 | varies |
| Esophageal Capsule Endoscopy (91111) | $5,575 | $5,575 | 5.8× |
| Esophagus acid perfusion test esophagitis (91030) | $3,360 | $3,360 | 8.4× |
| Esophgl Balo Distension Dx Std W/Provocation (91040) | $3,360 | $3,360 | 8.4× |
| Esophgl funcj g-esop rflx impd eltrd prolng (91038) | $3,360 | $3,360 | 8.4× |
| Evaluate pt use of inhaler (94664) | $862 | $862 | 3.7× |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$652–$678 | $652–$678 | varies |
| Evaluate Swallowing Function (92610) | $787 | $787 | 9.3× |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$652–$678 | $652–$678 | varies |
| Exercise test for bronchospasm (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× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$1,405–$3,543 | $1,405–$3,543 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$459–$1,795 | $459–$1,795 | varies |
| 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× |
| 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 Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,563–$3,634 | $1,563–$3,634 | varies |
| Holter monitor recording (93225) | $1,164 | $1,164 | 8.2× |
| Icd Device Interrogate (93289) range across 2 matching MRF lines |
$95–$1,093 | $95–$1,093 | varies |
| Icd device progr eval dual (93283) range across 2 matching MRF lines |
$120–$1,093 | $120–$1,093 | varies |
| Icd Device Progr Eval Mult (93284) | $120 | $120 | 3.0× |
| Ilr Device Eval Progr (93285) | $345 | $345 | 8.7× |
| Ilr Device Interrogate (93291) range across 2 matching MRF lines |
$55–$345 | $55–$345 | varies |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 2 matching MRF lines |
$39–$91 | $39–$91 | varies |
| Immunization administration (90471) range across 6 matching MRF lines |
$39–$304 | $39–$304 | varies |
| Intra-atrial pacing (93610) | $20,958 | $20,958 | 2.5× |
| Intra-atrial recording (93602) | $20,958 | $20,958 | 2.5× |
| 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) range across 4 matching MRF lines |
$114–$503 | $114–$503 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 4 matching MRF lines |
$503–$1,208 | $503–$1,208 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$123–$243 | $123–$243 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$158–$574 | $158–$574 | varies |
| IV push initial (96374) range across 4 matching MRF lines |
$585–$1,151 | $585–$1,151 | varies |
| Low frequency non-thermal us (97610) | $927 | $927 | 4.3× |
| Lwr Xtr Vasc Stdy Bilat (93924) range across 2 matching MRF lines |
$930–$2,647 | $930–$2,647 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $162 | $162 | 5.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$54–$178 | $54–$178 | varies |
| Methacholine challenge (94070) | $2,268 | $2,268 | 5.7× |
| Motility study esophagus (91010) | $3,360 | $3,360 | 8.4× |
| Motion Fluoroscopy/Swallow (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 Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $1,053 | $1,053 | 2.4× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $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× |
| Neuromuscular Reeducation (97112) | $224 | $224 | 6.8× |
| Newborn resuscitation (99465) | $473 | $473 | 0.7× |
| Oral Function Therapy (92526) | $229 | $229 | 2.7× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $205 | $205 | 4.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $224 | $224 | 4.9× |
| Ot Contrast Bath Ea 15 Min (97034) | $205 | $205 | 14.6× |
| Ot eval high complexity (97167) | $746 | $746 | 7.4× |
| Ot Eval Low Complex (97165) | $337 | $337 | 3.4× |
| Ot Eval Moderate Complexity (97166) | $419 | $419 | 4.2× |
| Ot manual therapy 15 min (97140) | $224 | $224 | 8.1× |
| Ot paraffin bath (97018) | $224 | $224 | 37.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $224 | $224 | 5.5× |
| Ot Re-Eval Est Plan Care (97168) | $546 | $546 | 8.0× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $338 | $338 | 2.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $826 | $826 | 3.5× |
| 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× |
| Physical Performance Test (97750) range across 2 matching MRF lines |
$261–$2,682 | $261–$2,682 | varies |
| Plethysmography (94726) | $575 | $575 | 1.4× |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$56–$914 | $56–$914 | varies |
| Pm device progr eval dual (93280) range across 2 matching MRF lines |
$88–$914 | $88–$914 | varies |
| Pm device progr eval multi (93281) | $96 | $96 | 2.4× |
| Pm Device Progr Eval Sngl (93279) range across 2 matching MRF lines |
$72–$914 | $72–$914 | varies |
| 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× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) range across 2 matching MRF lines |
$89–$1,093 | $89–$1,093 | varies |
| Psychiatric diagnostic evaluation (90791) | $887 | $887 | 4.7× |
| Pt Eval High Complex (97163) | $836 | $836 | 8.5× |
| Pt eval low complex 20 min (97161) | $387 | $387 | 4.0× |
| Pt Eval Mod Complex (97162) | $600 | $600 | 6.1× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$154–$228 | $154–$228 | varies |
| Pt group caregiver training (97552) | $80 | $80 | 3.6× |
| Pt mechanical traction (97012) | $224 | $224 | 15.6× |
| Pt Re-Eval Est Plan Care (97164) | $546 | $546 | 8.1× |
| Pulmonary Stress Testing (94618) | $271 | $271 | 1.9× |
| Remote 30 Day Ecg Rev/Report (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 & Mngt (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) range across 3 matching MRF lines |
$700–$735 | $700–$735 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $567 | $567 | 4.6× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $281 | $281 | 5.9× |
| Self Care Mngment Training (97535) | $154 | $154 | 4.8× |
| 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× |
| Speech sound lang comprehen (92523) range across 2 matching MRF lines |
$652–$678 | $652–$678 | varies |
| Spirometry (94010) | $488 | $488 | 2.1× |
| Standardized Cognitive Performance Testing (96125) | $571 | $571 | 5.6× |
| Stress Tte Only (93350) | $2,390 | $2,390 | 4.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $506 | $506 | 10.1× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $506 | $506 | 2.2× |
| Surfactant Admin Thru Tube (94610) | $1,211 | $1,211 | 5.2× |
| 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 Ea Addl 15 Min (97130) | $224 | $224 | 10.6× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $224 | $224 | 6.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$155–$224 | $155–$224 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 8 matching MRF lines |
$101–$703 | $101–$703 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$589–$1,156 | $589–$1,156 | varies |
| Therap repetitive tms tx subseq delivery & mng (90868) | $1,756 | $1,756 | 7.6× |
| Therapeutic Activities (97530) | $224 | $224 | 6.4× |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,416 | $1,416 | 3.6× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $112 | $112 | 2.8× |
| 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 (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/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$143–$268 | $143–$268 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$333–$1,579 | $333–$1,579 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 3 matching MRF lines |
$983–$1,529 | $983–$1,529 | varies |
| 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× |
| Whirlpool Therapy (97022) | $224 | $224 | 14.3× |
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.