Visits & medical services prices at Monadnock Community Hospital
Peterborough, NH · every code in this section with a posted price and a Medicare benchmark.
127 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 1St psychiatric collab care mgmt 1st 70 mins (99492) range across 2 matching MRF lines |
$58.20–$97.80 | $97–$163 | varies |
| Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) | $36 | $60 | 1.2× |
| Admn Sarscov2 Vacc 1 Dose (90480) | $29.40 | $49 | 0.7× |
| Advncd Care Plan 30 Min (99497) | $83.40 | $139 | 0.8× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$67.80–$75.60 | $113–$126 | varies |
| Application on-body injector (96377) | $106.80 | $178 | 2.1× |
| Assmt & care planning pt w/cognitive impairment (99483) range across 2 matching MRF lines |
$61.20–$172.80 | $102–$288 | varies |
| Brief Emotional/Behav Assmt (96127) | $6 | $10 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $332.40 | $554 | 0.8× |
| C motor evoked uppr limbs (95928) | $2,079 | $3,465 | 2.3× |
| C motor evoked upr&lwr limbs (95939) | $2,079 | $3,465 | 2.3× |
| Car seat/bed test 60 min (94780) | $139.20 | $232 | 3.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $928.20 | $1,547 | 4.0× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$511.80–$885.60 | $853–$1,476 | varies |
| Cardioversion (92960) range across 3 matching MRF lines |
$190.80–$1,303.20 | $318–$2,172 | varies |
| Care mgmt services behavioral hlth cond 20 mins (99484) range across 2 matching MRF lines |
$12.60–$44.40 | $21–$74 | varies |
| Cbt 1st hour (94644) | $176.40 | $294 | 1.2× |
| Chemo Anti-Neopl Sq/Im (96401) | $322.20 | $537 | 4.2× |
| Chemo Hormon Antineopl Sq/Im (96402) | $322.20 | $537 | 4.2× |
| Chemo IV infusion addl hr (96415) | $322.20 | $537 | 4.2× |
| Chemo IV push addl drug (96411) | $322.20 | $537 | 4.2× |
| Chemother Prolong Infuse W/Pump (96416) | $411 | $685 | 1.2× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $372.60 | $621 | 4.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $335.40 | $559 | 1.0× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $322.20 | $537 | 0.9× |
| Chest Wall Manipulation (94668) | $157.20 | $262 | 1.1× |
| Chron Care Mgmt Srvc 20 Min (99490) | $64.80 | $108 | 0.6× |
| Color/duplex Doppler, complete (93975) | $642.72 | $1,071.20 | 2.5× |
| Color/duplex Doppler, limited (93976) | $302.20 | $503.67 | 2.7× |
| Continuous Pulse Ox (94762) | $150 | $250 | 1.1× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $142.80 | $238 | 0.6× |
| Cpt initial (94667) | $198.60 | $331 | 1.4× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$593.28–$1,452.60 | $988.80–$2,421 | varies |
| Ctr Motor Ep Std Transcrnl Motor Stimj Lwr Limbs (95929) | $1,075.20 | $1,792 | 2.7× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 5 matching MRF lines |
$42–$331.20 | $70–$552 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $872 | $1,453.33 | 3.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $708.85 | $1,181.41 | 6.3× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,183.47 | $1,972.45 | 4.6× |
| Dup-scan xtr veins unilateral/limited study (93971) | $787.95 | $1,313.25 | 7.1× |
| Duplex up extrem art bilat (93930) | $1,062.96 | $1,771.60 | 4.2× |
| Duplex up extrem art unilat/ltd (93931) | $651.99 | $1,086.65 | 5.8× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$43.80–$514.86 | $73–$858.10 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$145.20–$1,522.82 | $242–$2,538.03 | varies |
| EEG awake and asleep (95819) | $448.80 | $748 | 1.9× |
| EEG awake drowsy (95816) | $448.80 | $748 | 1.9× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$130.20–$143.40 | $217–$239 | varies |
| Emergency Dept Visit Level 2 (99282) range across 3 matching MRF lines |
$40.80–$352.20 | $68–$587 | varies |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$61.20–$668.40 | $102–$1,114 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$115.80–$874.20 | $193–$1,457 | varies |
| Emg 3 Extremities (95863) | $242.40 | $404 | 1.8× |
| Emg 4 Extremities (95864) | $242.40 | $404 | 1.8× |
| Er level 1 (99281) | $192 | $320 | 2.1× |
| Er level v (99285) range across 3 matching MRF lines |
$170.40–$1,359 | $284–$2,265 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$64.80–$71.40 | $108–$119 | varies |
| Evoked Auditory Test,Limited (92587) | $194.40 | $324 | 0.8× |
| External ECG rec>48hr<7d recording (93242) | $670.80 | $1,118 | 16.8× |
| External ECG rec>48hr<7d scanning alys w/report (93243) | $282 | $470 | 2.0× |
| External ECG rec>7d<15d recording (93246) | $670.80 | $1,118 | 16.8× |
| External Ecg Scanning Analysis Report (93226) | $282 | $470 | 4.5× |
| Extracranial Bilat Study (93880) | $526.54 | $877.56 | 2.1× |
| Extracranial Uni/Ltd Study (93882) | $526.54 | $877.56 | 4.7× |
| Gi tract capsule endoscopy (91110) range across 3 matching MRF lines |
$197.40–$1,116 | $329–$1,860 | varies |
| Holter monitor recording (93225) | $670.80 | $1,118 | 4.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $13.21 | $22.02 | 0.2× |
| Immunization administration (90471) range across 3 matching MRF lines |
$13.21–$40.80 | $22.02–$68 | varies |
| Irrig Drug Delivery Device (96523) | $112.20 | $187 | 1.8× |
| IV infusion hydration each additional hour (96361) | $119.40 | $199 | 2.4× |
| IV infusion hydration initial 31 min-1 hour (96360) | $247.20 | $412 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $297.60 | $496 | 3.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $119.40 | $199 | 2.4× |
| IV push initial (96374) | $119.40 | $199 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $33.60 | $56 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $39 | $65 | 1.1× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $47.40 | $79 | 2.8× |
| Muscle Test 2 Limbs (95861) | $193.80 | $323 | 1.4× |
| Muscle Test Nonparaspinal (95870) | $193.80 | $323 | 1.4× |
| Muscle Test One Limb (95860) | $193.80 | $323 | 1.4× |
| Needle electromyography larynx (95865) | $258 | $430 | 1.8× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $394.80 | $658 | 0.9× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $394.80 | $658 | 0.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$25.80–$205.80 | $43–$343 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $394.80 | $658 | 0.9× |
| Neurobehavioral Status Exam (96116) | $330 | $550 | 1.4× |
| Newborn resuscitation (99465) | $928.80 | $1,548 | 1.3× |
| Nonphysician Telephone Assessment 11-20 Min (98967) | $44.40 | $74 | 1.8× |
| Nonphysician Telephone Assessment 5-10 Min (98966) | $22.20 | $37 | 1.6× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) range across 2 matching MRF lines |
$7.80–$23.40 | $13–$39 | varies |
| Osteopathic manipulative tx 3-4 body regions (98926) range across 2 matching MRF lines |
$9.60–$35.40 | $16–$59 | varies |
| Osteopathic manipulative tx 5-6 body regions (98927) range across 2 matching MRF lines |
$12–$47.40 | $20–$79 | varies |
| Osteopathic manipulative tx 7-8 body regions (98928) range across 2 matching MRF lines |
$12.60–$58.80 | $21–$98 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $147 | $245 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $147 | $245 | 1.1× |
| Phlebotomy therapeutic (99195) | $427.80 | $713 | 3.0× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $16.20 | $27 | 0.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $19.80 | $33 | 0.4× |
| Psych diag eval w/med srvcs (90792) range across 2 matching MRF lines |
$7.80–$139.80 | $13–$233 | varies |
| Psychiatric diagnostic evaluation (90791) range across 2 matching MRF lines |
$33.60–$120 | $56–$200 | varies |
| Psytx Crisis Initial 60 Min (90839) | $222 | $370 | 1.2× |
| Pulm function test by gas (94727) | $297.60 | $496 | 1.3× |
| Pulmonary service/procedure (94799) | $324 | $540 | 2.4× |
| Pulmonary Stress Testing (94618) | $270 | $450 | 1.9× |
| Refill/Maint Portable Pump (96521) | $699.60 | $1,166 | 3.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $478.20 | $797 | 2.1× |
| Remote 30 Day Ecg Rev/Report (93270) | $527.40 | $879 | 13.2× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 3 matching MRF lines |
$4.94–$44.40 | $8.24–$74 | varies |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$9–$115.20 | $15–$192 | varies |
| Sbsq Psyc Collab Care Mgmt (99493) range across 2 matching MRF lines |
$37.20–$106.20 | $62–$177 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $622.80 | $1,038 | 2.7× |
| Somatosensory Testing (95938) | $1,075.20 | $1,792 | 1.2× |
| Spirometry (94010) | $194.40 | $324 | 0.8× |
| Ssep lower limbs (95926) | $622.80 | $1,038 | 2.7× |
| Stress Tte Only (93350) | $587.10 | $978.50 | 1.0× |
| Temp transcutaneous pacing (92953) range across 2 matching MRF lines |
$41.41–$508.80 | $69.01–$848 | varies |
| Ther/Proph/Diag Inj Sc/Im (96372) | $44.40 | $74 | 0.6× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$249–$345 | $415–$575 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $51 | $85 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $33.60 | $56 | 0.8× |
| Trans Care Mgmt 14 Day Disch (99495) range across 3 matching MRF lines |
$36.60–$204 | $61–$340 | varies |
| Trans Care Mgmt 7 Day Disch (99496) range across 2 matching MRF lines |
$34.20–$202.20 | $57–$337 | varies |
| Tte w/doppler, complete (93306) range across 3 matching MRF lines |
$121.20–$1,628.50 | $202–$2,714.16 | varies |
| Tte W/O Doppler Complete (93307) | $543.22 | $905.37 | 2.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $53.40 | $89 | 1.1× |
| Tympanometry (92567) | $14.40 | $24 | 0.4× |
| Unlisted Diagnostic Gastroenterology Procedure (91299) | $195.88 | $326.46 | 1.4× |
| Upr/L Xtremity Art 2 Levels (93922) | $462 | $770 | 3.3× |
| Vent Mgmt Inpat Init Day (94002) | $482.40 | $804 | 0.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $244.20 | $407 | 0.4× |
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.