Visits & medical services prices at Littleton Regional Healthcare

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $95.70 $165 0.4×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $84.59 $145.84 5.9×
Application on-body injector (96377) $83.52 $144 1.7×
Bedside Swallowing Eval (92610) $267 $460.35 3.1×
Behavioral and qualitative analysis of voice and resonance (92524) $267.60 $461.39 2.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $448.92 $774 1.1×
Canalith Repositioning Procedure (95992) $92.20 $158.97 2.3×
Car seat/bed test 60 min (94780) $73.66 $127 1.8×
Cardiac Stress Tst,Tracing Only (93017) $516.20 $890 2.2×
Cardiopulmonary resuscitation (92950) $402.52 $694 1.7×
Cardioversion (92960) $437.90 $755 0.6×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $37.18 $64.10 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $160.08 $276 2.1×
Chemo IV push addl drug (96411) $160.08 $276 2.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $353.22 $609 1.0×
Chemother, IV infusion, 1 hr (96413) $440.22 $759 1.2×
Chemother, IV infusion, ea add hr (96415) $99.76 $172 1.3×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $160.08 $276 2.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $212.28 $366 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $160.08 $276 0.5×
Cont Gluc Monitoring Patient Provided Equipment (95249) $96.28 $166 1.5×
Continuous Glucose Monitoring (95250) $348.58 $601 2.5×
Cpap/bipap (94660) $121.80 $210 0.5×
Cpt initial (94667) $127.60 $220 0.9×
Critical care (99291) $958.16 $1,652 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $24.36 $42 0.1×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $21.46 $37 0.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $413.54 $713 3.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $976.14 $1,683 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $664.10 $1,145 5.9×
Duplex scan extracranial art compl bi study (93880) $1,056.18 $1,821 4.1×
Echo Heart Xthoracic,Limited (93308) $395.56 $682 1.6×
Echo transesophag congen probe plcmt only (93316) $1,288.76 $2,222 2.2×
Echo transesophageal (93312) $1,047.19 $1,805.50 1.8×
EEG awake and asleep (95819) $648.44 $1,118 2.8×
EEG awake drowsy (95816) $582.61 $1,004.50 2.5×
EEG cerebral death evaluation (95824) $1,230.99 $2,122.40 3.1×
EEG coma or sleep only (95822) $452.11 $779.50 2.0×
EEG cont rec w/video by tech min 8 channels (95700) $429.31 $740.19 1.9×
EEG greater than 1 hour (95813) $541.72 $934 2.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $541.78 $934.10 2.3×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $903.29 $1,557.40 2.3×
Electrocardiogram Tracing (93005) $99.76 $172 1.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $598.56 $1,032 2.6×
Er level 1 (99281) $177.48 $306 2.0×
Er level ii (99282) $245.92 $424 1.5×
Er level iii (99283) $357.86 $617 1.2×
Er level IV (99284) $522.58 $901 1.2×
Er level v (99285) $784.16 $1,352 1.2×
Eval speech sound production (92522) $267.60 $461.39 2.4×
Eval to use/fit voice prosth (92597) $415.42 $716.24 5.8×
Evaluate Pt Use Of Inhaler (94664) $28.42 $49 0.1×
Evaluation of speech fluency (92521) $267.60 $461.39 2.0×
External Ecg Scanning Analysis Report (93226) $100.92 $174 1.6×
Holter Monitor (93225) $278.69 $480.50 2.0×
Imm admn sarscov2 vaccine single dose (90480) $27.55 $47.50 0.6×
Immunization Admin (90471) $15.66 $27 0.2×
Inhalation bronchial challenge testing (95070) $941.92 $1,624 2.4×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) $380.48 $656 6.0×
Iontophoresis 15 min (97033) $101 $174.14 5.3×
Irrig drug delivery device (96523) $69.60 $120 1.1×
IV infusion hydration each additional hour (96361) $136.88 $236 2.7×
IV infusion hydration initial 31 min-1 hour (96360) $368.88 $636 1.6×
IV infusion ther proph addl sequential to 1 hr (96367) $173.13 $298.50 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $352.35 $607.50 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $106.14 $183 2.1×
IV push ea addl new drug (96375) $72.50 $125 1.5×
IV push initial (96374) $184.44 $318 0.8×
Manual therapy 15 min (97140) $99.76 $172 3.6×
Maximum voluntary ventilation (94200) $107.88 $186 1.7×
Mechanical traction (97012) $96.93 $167.12 6.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $78.30 $135 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $36.54 $63 1.0×
Methacholine challenge (94070) $145.29 $250.50 0.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $608.07 $1,048.40 6.6×
Multiple Sleep Latency Test (95805) $1,241.78 $2,141 1.4×
Nasopharyngoscopy (92511) $348.58 $601 1.6×
Newborn resuscitation (99465) $1,143.76 $1,972 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $40.02 $69 0.3×
Nonphysician Telephone Assessment 11-20 Min (98967) $37.12 $64 1.5×
Nonphysician Telephone Assessment 21-30 Min (98968) $55.10 $95 1.6×
Nonphysician Telephone Assessment 5-10 Min (98966) $18.56 $32 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $127.02 $219 2.8×
Osteopathic manipulative tx 3-4 body regions (98926) $20.88 $36 0.9×
Ot Contrast Bath Ea 15 Min (97034) $33.64 $58 2.4×
Ot eval high complex 60 min (97167) $347.13 $598.50 3.5×
Ot eval low complex 30 min (97165) $216.34 $373 2.2×
Ot eval mod complex 45 min (97166) $273.47 $471.50 2.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $118.32 $204 2.4×
Ot Prosthetic Training, Each 15 Min (97761) $96.28 $166 2.4×
Ot re-evaluation (97168) $209.22 $360.72 3.1×
Ot therapeutic activity 15 min (97530) $92.22 $159 2.6×
Paraffin bath pt (97018) $97.44 $168 16.2×
Phlebotomy therapeutic (99195) $165.30 $285 1.2×
Plethysmography (94726) $91.06 $157 0.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,937.78 $3,341 2.1×
Polysom <6 yrs 4/> paramtrs (95782) $1,726.66 $2,977 1.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,862.96 $3,212 2.0×
Prepj& allergen immunotherapy 1/mlt antigen (95165) $139.20 $240 2.8×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $19.72 $34 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $34.22 $59 0.7×
Pt Aquatic Therapy/Exercises (97113) $99.18 $171 2.7×
Pt Electrical Stimulation (97032) $103.51 $178.46 7.0×
Pt eval high complex 45 min (97163) $335.82 $579 3.4×
Pt eval low complex 20 min (97161) $202.63 $349.36 2.1×
Pt eval mod complex 30 min (97162) $261.60 $451.02 2.7×
Pt gait training 15 min (97116) $84.10 $145 2.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $113.39 $195.50 3.5×
Pt Physical Performance Test (97750) $110.78 $191 3.3×
Pt re-evaluation (97164) $217.64 $375.25 3.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $107.88 $186 3.3×
Pt Whirlpool Therapy (97022) $66.12 $114 4.2×
Pulm function test by gas (94727) $274.92 $474 1.2×
Pulmonary Service/Procedure (94799) $37.70 $65 0.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $45.82 $79 1.3×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $16.82 $29 1.4×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $29 $50 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $114.84 $198 2.9×
Respiratory flow volume loop (94375) $552.16 $952 2.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $80.04 $138 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $80.62 $139 0.6×
Short-latency somatosens ep std upr limbs (95925) $868.84 $1,498 3.8×
Sleep study unattended (95806) $274.34 $473 1.2×
Slp caregiver training 1st 30 min (97550) $182.70 $315 3.5×
Speech sound lang comprehen (92523) $267.60 $461.39 1.2×
Spirometry (94010) $130.79 $225.50 0.6×
Ssep lower limbs (95926) $868.84 $1,498 3.8×
Standardized Cognitive Performance Testing (96125) $147.20 $253.80 1.4×
Stress echo (93350) $928 $1,600 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $31.32 $54 1.4×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $30.16 $52 1.4×
Ther/prop/diag inj/inf proc (96379) $76.56 $132 1.5×
Therapeutic prophylactic/dx injection subq/im (96372) $59.16 $102 0.8×
Tilt table evaluation (93660) $3,457.38 $5,961 8.7×
Transtelephonic rhythm strip pacemaker eval (93293) $85.84 $148 2.2×
Tte w/doppler, complete (93306) $989.48 $1,706 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $235.70 $406.39 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $234.50 $404.31 2.8×
Tympanometry (92567) $30.74 $53 0.8×
Unlisted Cardiovascular Service/Procedure (93799) $4.06 $7 0.0×
Vasopneumatic device (97016) $96.93 $167.12 8.1×
Vent mgmt inpat init day (94002) $749.94 $1,293 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $663.52 $1,144 1.0×
Visual Evoked Potential Test (95930) $548.68 $946 2.4×
Visual reinforcement audiometry (vra) (92579) $132.24 $228 0.6×
Vital capacity, total (94150) $98.60 $170 0.7×
Wheelchair Mgmt Ea 15 Min (97542) $103.24 $178 3.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $718.62 $1,239 7.1×