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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$13.34–$41.76 | $23–$72 | varies |
| Airway Inhalation Treatment (94640) | $95.70 | $165 | 0.4× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) range across 2 matching MRF lines |
$82.18–$87 | $141.69–$150 | varies |
| Application on-body injector (96377) | $83.52 | $144 | 1.7× |
| Behavral qualit analys voice (92524) range across 2 matching MRF lines |
$259.71–$275.50 | $447.78–$475 | varies |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $448.92 | $774 | 1.1× |
| Canalith repositioning proc (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) range across 3 matching MRF lines |
$412.96–$455.30 | $712–$785 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $37.18 | $64.10 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $160.08 | $276 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $160.08 | $276 | 2.1× |
| Chemo IV infusion addl hr (96415) | $99.76 | $172 | 1.3× |
| Chemo IV push addl drug (96411) | $160.08 | $276 | 2.1× |
| Chemother Prolong Infuse W/Pump (96416) | $353.22 | $609 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $212.28 | $366 | 2.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $440.22 | $759 | 1.2× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $160.08 | $276 | 0.5× |
| Chest Wall Manipulation (94668) | $80.62 | $139 | 0.6× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $348.58 | $601 | 2.5× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $96.28 | $166 | 1.5× |
| Continuous Pulse Ox (94762) | $40.02 | $69 | 0.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$56.26–$353.80 | $97–$610 | varies |
| Cpt initial (94667) | $127.60 | $220 | 0.9× |
| Critical care first hour (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) range across 3 matching MRF lines |
$193.72–$664.10 | $334–$1,145 | varies |
| ECG/monitoring and analysis (93271) range across 2 matching MRF lines |
$697.74–$739.50 | $1,203–$1,275 | varies |
| 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) range across 2 matching MRF lines |
$1,016.74–$1,077.64 | $1,753–$1,858 | varies |
| Eeg 41-60 Minutes (95812) range across 2 matching MRF lines |
$541.72–$655.40 | $934–$1,130 | varies |
| EEG awake and asleep (95819) range across 2 matching MRF lines |
$541.72–$755.16 | $934–$1,302 | varies |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$541.72–$623.50 | $934–$1,075 | varies |
| EEG cerebral death evaluation (95824) range across 2 matching MRF lines |
$923.24–$1,538.74 | $1,591.80–$2,653 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) range across 2 matching MRF lines |
$272.24–$586.38 | $469.38–$1,011 | varies |
| EEG extended monitoring 61-119 minutes (95813) | $541.72 | $934 | 2.3× |
| Eeg Sleep Only (95822) range across 2 matching MRF lines |
$362.50–$541.72 | $625–$934 | varies |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) range across 2 matching MRF lines |
$541.72–$541.84 | $934–$934.20 | varies |
| EEG wo vid ea 12-26hr unmntr (95708) range across 2 matching MRF lines |
$883.34–$923.24 | $1,523–$1,591.80 | varies |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$99.74–$105.56 | $171.97–$182 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$93.96–$281.88 | $162–$486 | varies |
| Emergency Dept Visit Level 2 (99282) | $245.92 | $424 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $357.86 | $617 | 1.2× |
| Emergency Dept Visit Level 4 (99284) | $522.58 | $901 | 1.2× |
| Er level 1 (99281) | $177.48 | $306 | 2.0× |
| Er level v (99285) | $784.16 | $1,352 | 1.2× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$28.42–$30.16 | $49–$52 | varies |
| Evaluate Speech Production (92522) range across 2 matching MRF lines |
$259.71–$275.50 | $447.78–$475 | varies |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$259.09–$274.92 | $446.70–$474 | varies |
| Evaluation of speech fluency (92521) range across 2 matching MRF lines |
$259.71–$275.50 | $447.78–$475 | varies |
| External Ecg Scanning Analysis Report (93226) range across 3 matching MRF lines |
$99.18–$104.98 | $171–$181 | varies |
| Extracranial Bilat Study (93880) | $1,056.18 | $1,821 | 4.1× |
| Holter monitor recording (93225) range across 2 matching MRF lines |
$273.18–$284.20 | $471–$490 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$12.77–$41.18 | $22.02–$71 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $941.92 | $1,624 | 2.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $380.48 | $656 | 6.0× |
| Iontophoresis 15 min (97033) range across 3 matching MRF lines |
$101–$103.24 | $174.14–$178 | varies |
| Irrig Drug Delivery Device (96523) | $69.60 | $120 | 1.1× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$68.44–$821.28 | $118–$1,416 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $368.88 | $636 | 1.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$115.42–$230.84 | $199–$398 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$70.76–$141.52 | $122–$244 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$122.96–$245.92 | $212–$424 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $107.88 | $186 | 1.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 2 matching MRF lines |
$31.32–$125.28 | $54–$216 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $36.54 | $63 | 1.0× |
| Methacholine challenge (94070) range across 2 matching MRF lines |
$140.94–$149.64 | $243–$258 | varies |
| Motion Fluoroscopy/Swallow (92611) range across 2 matching MRF lines |
$590.32–$625.82 | $1,017.79–$1,079 | varies |
| Multiple Sleep Latency Test (95805) | $1,241.78 | $2,141 | 1.4× |
| Nasopharyngoscopy (92511) | $348.58 | $601 | 1.6× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$110.20–$116.58 | $190–$201 | varies |
| Newborn resuscitation (99465) | $1,143.76 | $1,972 | 1.6× |
| 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× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$227.72–$241.28 | $392.62–$416 | varies |
| Oral Speech Device Eval (92597) range across 2 matching MRF lines |
$403.37–$427.46 | $695.47–$737 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 3 matching MRF lines |
$118.32–$125.28 | $204–$216 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 3 matching MRF lines |
$120.06–$240.12 | $207–$414 | varies |
| 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 complexity (97167) range across 2 matching MRF lines |
$336.98–$357.28 | $581–$616 | varies |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$216.34–$229.10 | $373–$395 | varies |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$265.64–$281.30 | $458–$485 | varies |
| Ot manual therapy 15 min (97140) range across 5 matching MRF lines |
$94.10–$376.40 | $162.24–$648.96 | varies |
| Ot paraffin bath (97018) range across 2 matching MRF lines |
$94.54–$100.34 | $163–$173 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$93.38–$99.18 | $161–$171 | varies |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$203.26–$215.18 | $350.44–$371 | varies |
| Phlebotomy therapeutic (99195) | $165.30 | $285 | 1.2× |
| Physical Performance Test (97750) range across 3 matching MRF lines |
$104.40–$208.80 | $180–$360 | varies |
| 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) range across 2 matching MRF lines |
$69.60–$208.80 | $120–$360 | varies |
| 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) range across 2 matching MRF lines |
$27.84–$40.60 | $48–$70 | varies |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$325.96–$345.68 | $562–$596 | varies |
| Pt eval low complex 20 min (97161) range across 3 matching MRF lines |
$202.63–$214.60 | $349.36–$370 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$254.07–$269.12 | $438.05–$464 | varies |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$81.78–$86.42 | $141–$149 | varies |
| Pt mechanical traction (97012) range across 2 matching MRF lines |
$94.10–$99.76 | $162.24–$172 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$211.41–$223.88 | $364.50–$386 | varies |
| Pulm function test by gas (94727) | $274.92 | $474 | 1.2× |
| Pulmonary service/procedure (94799) range across 4 matching MRF lines |
$14.50–$274.92 | $25–$474 | varies |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $29 | $50 | 1.3× |
| 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× |
| Remote 30 Day Ecg Rev/Report (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× |
| Self Care Mngment Training (97535) range across 5 matching MRF lines |
$101.50–$304.50 | $175–$525 | varies |
| 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) range across 2 matching MRF lines |
$259.71–$275.50 | $447.78–$475 | varies |
| Spirometry (94010) range across 4 matching MRF lines |
$23.20–$232.58 | $40–$401 | varies |
| Ssep lower limbs (95926) | $868.84 | $1,498 | 3.8× |
| Standardized Cognitive Performance Testing (96125) range across 2 matching MRF lines |
$143.03–$151.38 | $246.60–$261 | varies |
| Stress Tte Only (93350) | $928 | $1,600 | 1.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 3 matching MRF lines |
$29.49–$71.92 | $50.84–$124 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$28.23–$84.69 | $48.67–$146.01 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $99.18 | $171 | 2.7× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $76.56 | $132 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$55.68–$118.32 | $96–$204 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$304.50–$400.20 | $525–$690 | varies |
| Therapeutic Activities (97530) range across 5 matching MRF lines |
$87.20–$348.79 | $150.34–$601.36 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) range across 2 matching MRF lines |
$3,389.52–$3,525.24 | $5,844–$6,078 | varies |
| 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) range across 2 matching MRF lines |
$228.97–$242.44 | $394.78–$418 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$69.60–$145 | $120–$250 | varies |
| Tympanometry (92567) | $30.74 | $53 | 0.8× |
| Unlisted cardiovascular service/procedure (93799) | $4.06 | $7 | 0.0× |
| Vasopneumatic device (97016) range across 2 matching MRF lines |
$94.10–$99.76 | $162.24–$172 | varies |
| 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) range across 3 matching MRF lines |
$97.44–$412.96 | $168–$712 | varies |
| Whirlpool Therapy (97022) | $66.12 | $114 | 4.2× |
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.