Visits & medical services prices at New London Hospital

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $84 $84 1.9×
Airway Inhalation Treatment (94640) $81.35 $178 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $40.67 $89 2.8×
Application on-body injector (96377) $79.98 $175 1.6×
Assessment of aphasia per hr (96105) $165.89 $363 1.7×
Behavral qualit analys voice (92524) $127.96 $280 1.2×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $90.49 $198 1.1×
Bfb training ea addl 15 min (90913) $51.18 $112 1.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$252.72–$302.53 $553–$662 varies
C motor evoked upr&lwr limbs (95939) $995.35 $2,178 1.1×
Canalith repositioning proc (95992) $59.87 $131 1.5×
Cardiac Stress Tst,Tracing Only (93017) $319.44 $699 1.4×
Cardiopulmonary resuscitation (92950) $336.81 $737 1.5×
Cardioversion (92960) $594.10 $1,300 0.8×
Cbt 1st hour (94644) $104.65 $229 0.7×
Chemo Anti-Neopl Sq/Im (96401) $78.15 $171 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $78.15 $171 1.0×
Chemo IV infusion addl hr (96415) $98.71 $216 1.3×
Chemo IV push addl drug (96411) $133.90 $293 1.7×
Chemother Prolong Infuse W/Pump (96416) $308.48 $675 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $98.71 $216 1.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $309.85 $678 0.9×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $239.92 $525 0.7×
Chest Wall Manipulation (94668) $56.67 $124 0.4×
Color/duplex Doppler, complete (93975) $1,058.87 $2,317 4.2×
Color/duplex Doppler, limited (93976) $531.03 $1,162 4.8×
Community/Work Reintegration Trainj Ea 15 Min (97537) $60.32 $132 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $137.10 $300 0.6×
Cpt initial (94667) $72.66 $159 0.5×
Critical care first hour (99291) $735.77 $1,610 0.8×
Debridement Open Wound 20 Sq Cm< (97597) $113.34 $248 0.5×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $375.65 $822 3.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $773.70 $1,693 3.0×
Dup-scan xtr veins unilateral/limited study (93971) $484.88 $1,061 4.3×
Echo Heart Xthoracic,Limited (93308) $262.32 $574 1.0×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines
$1,133.36–$1,237.10 $2,480–$2,707 varies
Electrical Stimulation Ea 15 Min (97032) $61.24 $134 4.2×
Electrocardiogram Tracing (93005) $74.95 $164 1.2×
Emergency Dept Visit Level 2 (99282) $168.63 $369 1.0×
Emergency Dept Visit Level 3 (99283) $306.19 $670 1.1×
Emergency Dept Visit Level 4 (99284) $454.72 $995 1.0×
Emg 4 Extremities (95864) $748.57 $1,638 5.4×
Er level 1 (99281) $112.42 $246 1.2×
Er level v (99285) $648.94 $1,420 1.0×
Evaluate pt use of inhaler (94664) $26.51 $58 0.1×
Evaluate Speech Production (92522) $137.56 $301 1.2×
Evaluate Swallowing Function (92610) $204.74 $448 2.4×
Evaluation of speech fluency (92521) $164.52 $360 1.2×
External ECG rec>48hr<7d recording (93242) $174.12 $381 4.4×
External ECG rec>7d<15d recording (93246) $174.12 $381 4.4×
External Ecg Scanning Analysis Report (93226) $288.82 $632 4.6×
Extracranial Bilat Study (93880) $770.04 $1,685 3.0×
Group Therapeutic Procedures (97150) $57.58 $126 3.2×
Holter monitor recording (93225) $288.82 $632 2.0×
Immunization administration (90471) $38.39 $84 0.5×
Iontophoresis 15 min (97033) $66.26 $145 3.5×
Irrig Drug Delivery Device (96523) $84.54 $185 1.3×
IV infusion hydration each additional hour (96361) $75.40 $165 1.5×
IV infusion hydration initial 31 min-1 hour (96360) $178.69 $391 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $118.82 $260 1.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $72.21 $158 1.4×
IV push initial (96374) $118.36 $259 0.5×
Motion Fluoroscopy/Swallow (92611) $211.59 $463 2.3×
Muscle Test 2 Limbs (95861) $373.83 $818 2.6×
Muscle Test Nonparaspinal (95870) $373.83 $818 2.6×
Muscle Test One Limb (95860) $258.66 $566 1.8×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $704.69 $1,542 3.1×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $373.83 $818 1.6×
Nerve Conduction Studies 1-2 Studies (95907) $218.45 $478 0.9×
Nerve Conduction Studies 3-4 Studies (95908) $271.46 $594 1.2×
Nerve conduction studies 5-6 studies (95909) $325.38 $712 1.4×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $226.22 $495 1.6×
Neuromuscular Reeducation (97112) $69.46 $152 2.1×
Oral Function Therapy (92526) $74.95 $164 0.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $58.50 $128 1.2×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $70.38 $154 1.5×
Ot Contrast Bath Ea 15 Min (97034) $33.36 $73 2.4×
Ot eval high complexity (97167) $191.94 $420 1.9×
Ot Eval Low Complex (97165) $153.55 $336 1.5×
Ot Eval Moderate Complexity (97166) $178.69 $391 1.8×
Ot manual therapy 15 min (97140) $74.49 $163 2.7×
Ot paraffin bath (97018) $35.19 $77 5.9×
Ot Prosthetic Training, Each 15 Min (97761) $72.21 $158 1.8×
Ot Re-Eval Est Plan Care (97168) $102.37 $224 1.5×
Phlebotomy therapeutic (99195) $199.25 $436 1.4×
Physical Performance Test (97750) $69.46 $152 2.1×
Pt Eval High Complex (97163) $178.69 $391 1.8×
Pt eval low complex 20 min (97161) $140.76 $308 1.4×
Pt Eval Mod Complex (97162) $165.89 $363 1.7×
Pt gait training 15 min (97116) $52.56 $115 1.8×
Pt mechanical traction (97012) $46.16 $101 3.2×
Pt Re-Eval Est Plan Care (97164) $89.57 $196 1.3×
Pulmonary Stress Testing (94618) $30.62 $67 0.2×
Refill/Maint Portable Pump (96521) $178.69 $391 0.8×
Remote 30 Day Ecg Rev/Report (93270) $69.92 $153 1.8×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $80.89 $177 0.4×
Self Care Mngment Training (97535) $60.32 $132 1.9×
Sensory Integration Ea 15 Min (97533) $63.52 $139 1.0×
Short-latency somatosens ep std upr limbs (95925) $345.49 $756 1.5×
Slp caregiver training 1st 30 min (97550) $120.65 $264 2.3×
Somatosensory Testing (95938) $791.52 $1,732 0.9×
Speech sound lang comprehen (92523) $188.74 $413 0.8×
Spirometry (94010) $151.27 $331 0.7×
Standardized Cognitive Performance Testing (96125) $90.03 $197 0.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $67.18 $147 3.0×
Ther Ivntj Ea Addl 15 Min (97130) $67.18 $147 3.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $72.66 $159 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $67.18 $147 2.3×
Ther/Proph/Diag Inj Ia (96373) $89.57 $196 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $40.67 $89 0.5×
Ther/Proph/Diag Iv Inf Init (96365) $227.59 $498 1.0×
Therapeutic Activities (97530) $63.07 $138 1.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,237.10–$1,373.28 $2,707–$3,005 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $95.51 $209 1.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $84.54 $185 1.7×
Vasopneumatic device (97016) $43.87 $96 3.6×
Vent Mgmt Inpat Init Day (94002) $613.75 $1,343 0.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $477.11 $1,044 0.7×
Vital capacity, total (94150) $38.39 $84 0.3×
Wheelchair Mgmt Ea 15 Min (97542) $51.18 $112 1.6×

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.