Visits & medical services prices at Parkland Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $44,285.50 $44,285.50 5.3×
Airway inhalation treatment (94640) $489.50 $489.50 2.1×
Ambulatory Bp Analysis (93788) $826.75 $826.75 5.8×
Ambulatory Bp Recording (93786) $826.75 $826.75 5.8×
Analyze neurostim no prog (95970) $1,215.25 $1,215.25 8.5×
Analyze neurostim simple (95971) $1,454 $1,454 14.2×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $278.50 $278.50 19.4×
Assessment of aphasia per hr (96105) $1,083.25 $1,083.25 11.1×
Bedside Swallowing Eval (92610) $1,430.75 $1,430.75 16.9×
Behavioral and qualitative analysis of voice and resonance (92524) $932 $932 8.5×
Biofeedback training any modality (90901) $237.38 $237.38 5.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,184.75 $1,184.75 2.9×
Bundle of his recording (93600) $34,246.75 $34,246.75 4.1×
Canalith Repositioning Procedure (95992) $272.25 $272.25 6.7×
Cardiac Stress Tst,Tracing Only (93017) $3,525.75 $3,525.75 15.2×
Cardioversion (92960) $3,736.88 $3,736.88 5.2×
Cbt 1st hour (94644) $307.75 $307.75 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $287 $287 3.7×
Chemo IV push addl drug (96411) $412.75 $412.75 5.3×
Chemother, IV infusion, 1 hr (96413) $1,320.50 $1,320.50 3.7×
Chemother, IV infusion, ea add hr (96415) $839.75 $839.75 10.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $287 $287 3.7×
Chemotherapy into cns (96450) $2,344.50 $2,344.50 6.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $839.75 $839.75 10.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $760.75 $760.75 2.1×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $2,406 $2,406 6.0×
Color/duplex Doppler, complete (93975) $1,959.75 $1,959.75 7.6×
Color/duplex Doppler, limited (93976) $1,491 $1,491 13.2×
Cpap/bipap (94660) $976.25 $976.25 4.1×
Cpt initial (94667) $231.88 $231.88 1.6×
Critical care (99291) $16,022.25 $16,022.25 18.0×
Debridement Open Wound 20 Sq Cm< (97597) $986.75 $986.75 4.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,119 $1,119 9.9×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $3,022 $3,022 26.8×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $4,825.75 $4,825.75 18.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $3,217.12 $3,217.12 28.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,662.75 $1,662.75 6.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,424 $1,424 12.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $4,825.75 $4,825.75 18.8×
Dup-scan xtr veins unilateral/limited study (93971) $3,219.75 $3,219.75 28.6×
Duplex scan extracranial art compl bi study (93880) $3,759.50 $3,759.50 14.6×
Duplex Scan Hemodialysis Access (93990) $1,662.75 $1,662.75 14.8×
Echo Heart Xthoracic,Limited (93308) $2,794.25 $2,794.25 10.9×
Echo transesophageal (93312) $11,403.50 $11,403.50 19.4×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $7,136.50 $7,136.50 12.1×
EEG awake and asleep (95819) $3,386 $3,386 14.6×
EEG awake drowsy (95816) $2,875.38 $2,875.38 12.4×
EEG cerebral death evaluation (95824) $3,294 $3,294 8.2×
EEG greater than 1 hour (95813) $4,559 $4,559 19.6×
EKG rhythm strip (93041) $299.25 $299.25 4.7×
Electrocardiogram Tracing (93005) $828.12 $828.12 13.0×
Electroconvulsive Therapy (90870) $2,595.50 $2,595.50 2.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $2,918.25 $2,918.25 12.5×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $9,447 $9,447 1.1×
EMG four extremities (95864) $2,154.25 $2,154.25 15.5×
EMG one extremity (95860) $994.50 $994.50 6.9×
EMG three extremities (95863) $1,930.50 $1,930.50 13.9×
EMG two extremities (95861) $1,219.50 $1,219.50 8.5×
Ep & ablate supravent arrhyt (93653) $113,337.50 $113,337.50 4.0×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $22,440.75 $22,440.75 2.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $22,440.75 $22,440.75 2.7×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $8,029 $8,029 6.1×
Er level 1 (99281) $717.12 $717.12 7.9×
Er level ii (99282) $2,162 $2,162 13.1×
Er level iii (99283) $5,252.75 $5,252.75 17.9×
Er level IV (99284) $7,540.25 $7,540.25 16.8×
Er level v (99285) $10,475.50 $10,475.50 16.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $1,148.25 $1,148.25 8.3×
Eval speech sound production (92522) $932 $932 8.3×
Evaluate Pt Use Of Inhaler (94664) $265.25 $265.25 1.1×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $959.50 $959.50 7.8×
Evaluation of speech fluency (92521) $932 $932 7.0×
Exercise tst brncspsm (94617) $596.25 $596.25 4.2×
External ECG rec>48hr<7d recording (93242) $180 $180 4.5×
External ECG rec>7d<15d recording (93246) $767 $767 19.1×
External Ecg Scanning Analysis Report (93226) $2,632.50 $2,632.50 41.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,241 $2,241 2.4×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $3,745.50 $3,745.50 3.8×
Group Therapeutic Procedures (97150) $136.25 $136.25 7.6×
Hemodialysis (90935) $3,363.38 $3,363.38 4.5×
Holter Monitor (93225) $1,881.75 $1,881.75 13.1×
Ilr Device Eval Progr (93285) $365.88 $365.88 9.1×
Immunization Admin (90471) $130.75 $130.75 1.7×
Induction of arrhythmia by electrical pacing (93618) $22,440.75 $22,440.75 17.1×
Injection intra arterial (96373) $413.38 $413.38 1.8×
Interrog dev eval scrms phys/qhp in person (93291) $365.88 $365.88 11.7×
Interrog device eval heart (93289) $1,157.38 $1,157.38 28.8×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $1,046.25 $1,046.25 4.4×
Iontophoresis 15 min (97033) $278.50 $278.50 14.6×
Irrig drug delivery device (96523) $369.25 $369.25 5.8×
IV infusion hydration each additional hour (96361) $564.50 $564.50 11.2×
IV infusion hydration initial 31 min-1 hour (96360) $575.25 $575.25 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $696.38 $696.38 9.0×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,027.12 $1,027.12 4.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $643.25 $643.25 12.8×
IV push ea addl new drug (96375) $451.50 $451.50 8.9×
IV push initial (96374) $479.50 $479.50 2.1×
Manual therapy 15 min (97140) $278.50 $278.50 10.0×
Maximum voluntary ventilation (94200) $471.75 $471.75 7.4×
Mechanical traction (97012) $232.50 $232.50 16.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $78.75 $78.75 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $78.75 $78.75 2.1×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $95 $95 5.6×
Methacholine challenge (94070) $1,961.25 $1,961.25 4.9×
Microvolt T-wave alternans for assessment of ventricular arrhythmias Non-Facility (93025) $937 $937 6.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,514.25 $1,514.25 16.5×
Multiple Family Group Psychotherapy (90849) $1,095.25 $1,095.25 5.7×
Multiple Sleep Latency Test (95805) $11,843 $11,843 12.8×
Neg press wound tx >50 cm (97608) $2,219.50 $2,219.50 5.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $2,219.50 $2,219.50 5.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $742.50 $742.50 3.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $1,265.75 $1,265.75 2.9×
Neurobehavioral Status Exam (96116) $1,950.75 $1,950.75 8.4×
Newborn resuscitation (99465) $3,248.75 $3,248.75 4.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,676.75 $1,676.75 11.7×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $459.50 $459.50 3.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $284.75 $284.75 6.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $272.25 $272.25 8.5×
Ot Contrast Bath Ea 15 Min (97034) $272.25 $272.25 19.4×
Ot eval high complex 60 min (97167) $798.50 $798.50 7.9×
Ot eval low complex 30 min (97165) $798.50 $798.50 7.9×
Ot eval mod complex 45 min (97166) $798.50 $798.50 7.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $242.25 $242.25 4.8×
Ot Prosthetic Training, Each 15 Min (97761) $284.75 $284.75 7.0×
Ot re-evaluation (97168) $547.50 $547.50 8.0×
Ot therapeutic activity 15 min (97530) $284.75 $284.75 8.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $618.25 $618.25 4.5×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $618.25 $618.25 4.5×
Paraffin bath pt (97018) $242.25 $242.25 40.3×
Peritoneal Dialysis (90945) $1,907.25 $1,907.25 4.2×
Phlebotomy therapeutic (99195) $468.50 $468.50 3.3×
Plethysmography (94726) $1,465 $1,465 3.6×
Pm device eval in person (93288) $966.62 $966.62 24.0×
Pm device progr eval dual (93280) $966.62 $966.62 24.0×
Pm device progr eval sngl (93279) $966.62 $966.62 24.0×
Pm/Icd Remote Tech Serv (93296) $448.25 $448.25 11.1×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $12,463.50 $12,463.50 13.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $1,157.38 $1,157.38 28.8×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $1,157.38 $1,157.38 28.8×
Psych diag eval w/med srvcs (90792) $1,188.75 $1,188.75 6.2×
Psychiatric diagnostic evaluation (90791) $770.50 $770.50 4.0×
Pt Aquatic Therapy/Exercises (97113) $272.25 $272.25 7.3×
Pt Electrical Stimulation (97032) $252.50 $252.50 17.2×
Pt eval high complex 45 min (97163) $798.50 $798.50 8.2×
Pt eval low complex 20 min (97161) $798.50 $798.50 8.2×
Pt eval mod complex 30 min (97162) $798.50 $798.50 8.2×
Pt gait training 15 min (97116) $315.38 $315.38 10.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $284.75 $284.75 8.7×
Pt Physical Performance Test (97750) $232.50 $232.50 6.9×
Pt re-evaluation (97164) $547.50 $547.50 8.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $278.50 $278.50 8.6×
Pt Whirlpool Therapy (97022) $242.25 $242.25 15.4×
Pulm Funct Test Oscillometry (94728) $1,440.50 $1,440.50 10.4×
Pulm function test by gas (94727) $926 $926 4.0×
Pulmonary stress test simple (94618) $807.50 $807.50 5.6×
Refill/Maint Pump/Resvr Syst (96522) $2,858.75 $2,858.75 12.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $925.25 $925.25 23.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $660.75 $660.75 3.1×
Rt Chest Wall Manipulation,Subsequent (94668) $219.50 $219.50 1.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $550.75 $550.75 11.5×
Sensory Integration Ea 15 Min (97533) $302.50 $302.50 5.0×
Sleep study unattended (95806) $1,388.62 $1,388.62 6.0×
Smoking cessation > 10 min (99407) $129.50 $129.50 3.2×
Speech sound lang comprehen (92523) $932 $932 4.1×
Spirometry (94010) $672.75 $672.75 2.9×
Standardized Cognitive Performance Testing (96125) $923.25 $923.25 9.0×
Stress echo (93350) $8,922.50 $8,922.50 15.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $1,068.50 $1,068.50 4.7×
Subcutaneous Infusion Each Additional Hour (96370) $534 $534 10.6×
Subq Infusion Additional Pump Infusion Site (96371) $339 $339 4.4×
Temp transcutaneous pacing (92953) $10,013.25 $10,013.25 14.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $127.50 $127.50 5.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $127.50 $127.50 6.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $758.25 $758.25 7.4×
Therapeutic prophylactic/dx injection subq/im (96372) $360.75 $360.75 4.7×
Tilt table evaluation (93660) $5,669.50 $5,669.50 14.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $86.75 $86.75 2.1×
Transtelephonic rhythm strip pacemaker eval (93293) $448.25 $448.25 11.1×
Tte w/doppler, complete (93306) $8,922.50 $8,922.50 15.2×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $5,398.25 $5,398.25 21.0×
Tx atrial fib pulm vein isol (93656) $113,337.50 $113,337.50 4.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $674.12 $674.12 8.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $1,039.75 $1,039.75 12.4×
Unlisted Cardiovascular Service/Procedure (93799) $17,398.25 $17,398.25 125.5×
Upr/lxtr art stdy 3+ lvls (93923) $1,623 $1,623 7.0×
Vasc Duplex Scan Extracranial,Limited (93882) $1,348.38 $1,348.38 12.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $2,810.12 $2,810.12 12.1×
Vasopneumatic device (97016) $91 $91 7.6×
Vent mgmt inpat init day (94002) $2,830.50 $2,830.50 4.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,444 $1,444 2.2×
Vital capacity, total (94150) $139.75 $139.75 1.0×
Wheelchair Mgmt Ea 15 Min (97542) $272.25 $272.25 8.8×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $1,182 $1,182 11.5×