Supplies, drugs & other prices at Littleton Regional Healthcare

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

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,365.90 $2,355 1.6×
2d tte w or w/o fol w/con,fu (C8924) $679.18 $1,171 1.8×
Ca screen;pelvic/breast exam (G0101) $28.93 $49.88 0.3×
Colon ca scrn not hi rsk ind (G0121) $1,003.54 $1,730.25 1.0×
Colorectal scrn; hi risk ind (G0105) $1,185.52 $2,044 1.2×
Diab manage trn per indiv (G0108) $147.90 $255 2.7×
Diab manage trn ind/group (G0109) $26.10 $45 1.6×
Drug test def 1-7 classes (G0480) $186.76 $322 1.6×
Drug test def 8-14 classes (G0481) $464.87 $801.50 3.0×
Hep c screen high risk/other (G0472) $173.42 $299 3.7×
Hospital outpt clinic visit (G0463) $107.88 $186 0.8×
Oth resp proc, group (G0239) $117.74 $203 3.0×
Oth resp proc, indiv (G0238) $77.72 $134 2.5×
Pathogen test for platelets (P9100) $254.04 $438 4.0×
Prostate biopsy, any mthd (G0416) $1,209.30 $2,085 3.2×
Psa screening (G0103) $127.31 $219.50 6.6×
Tomosynthesis, mammo (G0279) $48.14 $83 3.8×
Tte w or w/o fol w/con,stres (C8928) $1,365.90 $2,355 1.6×
Tte w or wo fol wcon,doppler (C8929) $1,365.90 $2,355 1.6×
Visit to determ ldct elig (G0296) $41.18 $71 0.4×