Visits & medical services prices at MaineHealth Memorial Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $116.65 $116.65 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $44.50 $44.50 3.1×
Application on-body injector (96377) $130.85 $130.85 2.6×
Assessment of aphasia per hr (96105) $522 $522 5.4×
Bedside Swallowing Eval (92610) $757.55 $757.55 8.9×
Behavioral and qualitative analysis of voice and resonance (92524) $680.25 $680.25 6.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $323.20 $323.20 0.8×
Canalith Repositioning Procedure (95992) $117.75 $117.75 2.9×
Car seat/bed test 60 min (94780) $170.15 $170.15 4.3×
Cardiac Stress Tst,Tracing Only (93017) $1,044.05 $1,044.05 4.5×
Cardiopulmonary resuscitation (92950) $323.20 $323.20 1.4×
Cardioversion (92960) $727.40 $727.40 1.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $37.85 $37.85 1.5×
Cbt 1st hour (94644) $455.25 $455.25 3.2×
Chemo Hormon Antineopl Sq/Im (96402) $126.95 $126.95 1.7×
Chemo IV push addl drug (96411) $228.95 $228.95 3.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,342.40 $1,342.40 3.8×
Chemother, IV infusion, 1 hr (96413) $575.70 $575.70 1.6×
Chemother, IV infusion, ea add hr (96415) $188.45 $188.45 2.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $126.95 $126.95 1.7×
Chemotherapy, unspecified procedure (96549) $98.10 $98.10 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $268.20 $268.20 3.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $393.80 $393.80 1.1×
Cpap/bipap (94660) $298.25 $298.25 1.3×
Cpt initial (94667) $115.15 $115.15 0.8×
Critical care (99291) $2,095.90 $2,095.90 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $226.30 $226.30 1.1×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,244.20 $1,244.20 4.9×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $522 $522 4.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,050.20 $2,050.20 8.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $522 $522 4.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,244.20 $1,244.20 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $987.50 $987.50 8.8×
Duplex scan extracranial art compl bi study (93880) $1,536.10 $1,536.10 6.0×
Echo Heart Xthoracic,Limited (93308) $795.50 $795.50 3.1×
Echo transesophageal (93312) $1,370.75 $1,370.75 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,499 $1,499 2.6×
Electrocardiogram Tracing (93005) $331 $331 5.3×
Er level 1 (99281) $196.25 $196.25 2.2×
Er level ii (99282) $261.65 $261.65 1.6×
Er level iii (99283) $523.35 $523.35 1.8×
Er level IV (99284) $948.55 $948.55 2.1×
Er level v (99285) $1,570.05 $1,570.05 2.5×
Eval speech sound production (92522) $680.25 $680.25 6.1×
Evaluate Pt Use Of Inhaler (94664) $247.30 $247.30 1.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $353.30 $353.30 2.9×
Evaluation of speech fluency (92521) $680.25 $680.25 5.1×
External ECG rec>48hr<7d recording (93242) $392.45 $392.45 9.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $588.75 $588.75 4.1×
External ECG rec>7d<15d recording (93246) $392.45 $392.45 9.8×
External ECG rec>7d<15d scanning alys w/report (93247) $588.75 $588.75 4.1×
External Ecg Scanning Analysis Report (93226) $760.15 $760.15 12.1×
Holter Monitor (93225) $553.45 $553.45 3.9×
Iontophoresis 15 min (97033) $78.50 $78.50 4.1×
Irrig drug delivery device (96523) $102.10 $102.10 1.6×
IV infusion hydration each additional hour (96361) $98.10 $98.10 2.0×
IV infusion hydration initial 31 min-1 hour (96360) $298.25 $298.25 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $116.50 $116.50 1.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $298.25 $298.25 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $98.10 $98.10 2.0×
IV push ea addl new drug (96375) $138.65 $138.65 2.8×
IV push initial (96374) $138.65 $138.65 0.6×
Manual therapy 15 min (97140) $96.80 $96.80 3.5×
Mechanical chest wall oscillation (94669) $111.20 $111.20 0.5×
Mechanical traction (97012) $53.65 $53.65 3.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $57.60 $57.60 1.8×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $65.40 $65.40 1.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $771.95 $771.95 8.4×
Multiple Sleep Latency Test (95805) $2,693.85 $2,693.85 2.9×
Nasopharyngoscopy (92511) $281.25 $281.25 1.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $348 $348 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $92.90 $92.90 0.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $116.45 $116.45 2.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $64.25 $64.25 2.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $119.05 $119.05 3.7×
Ot eval high complex 60 min (97167) $342.85 $342.85 3.4×
Ot eval low complex 30 min (97165) $342.85 $342.85 3.4×
Ot eval mod complex 45 min (97166) $342.85 $342.85 3.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $124.35 $124.35 2.5×
Ot re-evaluation (97168) $162 $162 2.4×
Ot therapeutic activity 15 min (97530) $108.60 $108.60 3.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $286.50 $286.50 2.1×
Paraffin bath pt (97018) $79.80 $79.80 13.3×
Peripheral arterial disease rehab per session (93668) $140 $140 2.2×
Phlebotomy therapeutic (99195) $448.75 $448.75 3.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $140 $140 2.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $140 $140 2.2×
Plethysmography (94726) $194.90 $194.90 0.5×
Pm device eval in person (93288) $120.95 $120.95 3.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $5,055.40 $5,055.40 5.5×
Pt eval high complex 45 min (97163) $320.55 $320.55 3.3×
Pt eval low complex 20 min (97161) $320.55 $320.55 3.3×
Pt eval mod complex 30 min (97162) $320.55 $320.55 3.3×
Pt gait training 15 min (97116) $129.55 $129.55 4.5×
Pt group caregiver training (97552) $16.50 $16.50 0.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $106 $106 3.2×
Pt Physical Performance Test (97750) $108.60 $108.60 3.2×
Pt re-evaluation (97164) $143.90 $143.90 2.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $109.90 $109.90 3.4×
Pulm function test by gas (94727) $242.05 $242.05 1.0×
Pulmonary Service/Procedure (94799) $147.85 $147.85 1.1×
Pulmonary stress test simple (94618) $170.15 $170.15 1.2×
Refill/Maint Pump/Resvr Syst (96522) $403.20 $403.20 1.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $409.50 $409.50 10.3×
Rt Chest Wall Manipulation,Subsequent (94668) $189.85 $189.85 1.3×
Slp caregiver training 1st 30 min (97550) $70.30 $70.30 1.3×
Speech sound lang comprehen (92523) $680.25 $680.25 3.0×
Spirometry (94010) $202.75 $202.75 0.9×
Standardized Cognitive Performance Testing (96125) $478.85 $478.85 4.7×
Stress echo (93350) $1,593.60 $1,593.60 2.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $74.80 $74.80 3.3×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $72.25 $72.25 3.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $448.75 $448.75 4.4×
Therapeutic prophylactic/dx injection subq/im (96372) $45.80 $45.80 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $45.80 $45.80 1.1×
Tte w/doppler, complete (93306) $1,593.60 $1,593.60 2.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $1,593.70 $1,593.70 6.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $329.75 $329.75 4.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $358.45 $358.45 4.3×
Ultraviolet Light Therapy (96900) $53.65 $53.65 1.3×
Upr/lxtr art stdy 3+ lvls (93923) $643.70 $643.70 2.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $1,041.40 $1,041.40 4.5×
Vasopneumatic device (97016) $53.65 $53.65 4.5×
Vent mgmt inpat init day (94002) $989.15 $989.15 1.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $791.60 $791.60 1.2×
Vital capacity, total (94150) $163.55 $163.55 1.2×
Xtrnl mobile cv telemetry w/technical support (93229) $498.45 $498.45 1.3×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $792.85 $792.85 7.8×