Supplies, drugs & other prices at Monadnock Community Hospital
Peterborough, NH · every code in this section with a posted price and a Medicare benchmark.
37 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $40.80 | $68 | 0.8× |
| Admin influenza virus vac (G0008) | $40.80 | $68 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $40.80 | $68 | 0.8× |
| Ca screen;flexi sigmoidscope (G0104) | $57.60 | $96 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) | $28.80 | $48 | 0.3× |
| Colon ca scrn not hi rsk ind (G0121) | $685.20 | $1,142 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $685.20 | $1,142 | 0.7× |
| Demonstrate use home inr mon (G0248) | $40.20 | $67 | 0.3× |
| Diab manage trn per indiv (G0108) | $106.20 | $177 | 1.9× |
| Diab manage trn ind/group (G0109) | $49.20 | $82 | 3.1× |
| Direct refer hospital observ (G0379) | $367.86 | $613.10 | 0.6× |
| Ekg tracing for initial prev (G0404) | $143.40 | $239 | 4.6× |
| Fecal blood scrn immunoassay (G0328) | $54.60 | $91 | 3.0× |
| Hospital outpt clinic visit (G0463) | $205.20 | $342 | 1.4× |
| Initial preventive exam (G0402) | $101.70 | $169.50 | 0.7× |
| Mnt subs tx for change dx (G0270) | $32.40 | $54 | 1.0× |
| Mra w/cont, abd (C8900) | $2,093.78 | $3,489.64 | 5.6× |
| Mra w/cont, chest (C8909) | $2,093.78 | $3,489.64 | 5.6× |
| Mra w/cont, lwr ext (C8912) | $2,093.78 | $3,489.64 | 5.6× |
| Mra w/cont, pelvis (C8918) | $1,901.59 | $3,169.31 | 5.1× |
| Mra w/o cont, abd (C8901) | $1,756.36 | $2,927.26 | 6.9× |
| Mra w/o cont, chest (C8910) | $1,756.36 | $2,927.26 | 6.9× |
| Mra w/o cont, lwr ext (C8913) | $1,932.49 | $3,220.81 | 7.6× |
| Mra w/o cont, pelvis (C8919) | $1,756.36 | $2,927.26 | 6.9× |
| Mra w/o fol w/cont, abd (C8902) | $2,501.66 | $4,169.44 | 6.7× |
| Mra w/o fol w/cont, chest (C8911) | $2,098.11 | $3,496.85 | 5.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,779.76 | $4,632.94 | 7.5× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,070.92 | $3,451.53 | 5.6× |
| Obtaining screen pap smear (Q0091) | $24.60 | $41 | 0.8× |
| Oth resp proc, group (G0239) | $97.20 | $162 | 2.4× |
| Oth resp proc, indiv (G0238) | $49.20 | $82 | 1.6× |
| Pne flu hepb cov home admin (M0201) | $33 | $55 | 0.9× |
| Potassium hydroxide preps (Q0112) | $33.60 | $56 | 5.8× |
| Ppps, initial visit (G0438) | $169.20 | $282 | 1.0× |
| Ppps, subseq visit (G0439) | $128.40 | $214 | 0.9× |
| Psa screening (G0103) | $87.76 | $146.26 | 4.5× |
| Therapeutic procd strg endur (G0237) | $54.60 | $91 | 1.8× |