Visits & medical services prices at Portsmouth Regional Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $30,010 $30,010 3.6×
Airway inhalation treatment (94640) $1,172 $1,172 5.0×
Analyze neurostim complex (95972) $879 $879 8.6×
Analyze neurostim no prog (95970) $549 $549 3.8×
Analyze neurostim simple (95971) $879 $879 8.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $100 $100 7.0×
Assessment of aphasia per hr (96105) $1,275 $1,275 13.1×
Bedside Swallowing Eval (92610) $730 $730 8.6×
Behavioral and qualitative analysis of voice and resonance (92524) $1,062 $1,062 9.7×
Biofeedback training any modality (90901) $245 $245 6.0×
Bioimpedance-derived physiologic cardiovascular analysis Facility (93701) $1,588 $1,588 11.1×
Bis extracellular fluid alys lymphedema assmnt (93702) $687 $687 5.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $1,511 $1,511 3.8×
Bundle of his recording (93600) $23,563 $23,563 2.8×
Canalith Repositioning Procedure (95992) $302 $302 7.4×
Car seat/bed test 60 min (94780) $309 $309 7.7×
Cardiac Stress Tst,Tracing Only (93017) $2,831 $2,831 12.2×
Cardiopulmonary exercise testing (94621) $2,247 $2,247 5.6×
Cardioversion (92960) $2,895 $2,895 4.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $93 $93 3.6×
Cbt 1st hour (94644) $371 $371 2.6×
Chemo Admin Peritoneal Cavity (96446) $898 $898 2.5×
Chemo Hormon Antineopl Sq/Im (96402) $341 $341 4.4×
Chemo IV push addl drug (96411) $574 $574 7.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,414 $1,414 4.0×
Chemother, IV infusion, 1 hr (96413) $1,690 $1,690 4.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $341 $341 4.4×
Chemotherapy into cns (96450) $1,438 $1,438 4.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $347 $347 4.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $953 $953 2.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $756 $756 2.1×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $7,672 $7,672 19.1×
Color/duplex Doppler, complete (93975) $2,540 $2,540 9.9×
Color/duplex Doppler, limited (93976) $2,007 $2,007 17.8×
Cpap/bipap (94660) $1,222 $1,222 5.2×
Cpt initial (94667) $222 $222 1.5×
Critical care (99291) $9,833 $9,833 11.0×
Debridement Open Wound 20 Sq Cm< (97597) $838 $838 3.9×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $2,076 $2,076 8.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,484 $1,484 13.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $2,355 $2,355 9.2×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $1,187 $1,187 10.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,682 $1,682 6.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $1,066 $1,066 9.5×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $4,282 $4,282 16.7×
Dup-scan xtr veins unilateral/limited study (93971) $2,543 $2,543 22.6×
Duplex scan extracranial art compl bi study (93880) $3,743 $3,743 14.6×
Duplex Scan Hemodialysis Access (93990) $1,412 $1,412 12.5×
Echo Heart Xthoracic,Limited (93308) $2,870 $2,870 11.2×
Echo transesophageal (93312) $7,003 $7,003 11.9×
Echo Transesophageal - Congenital Tee Complete (93315) $6,463 $6,463 11.0×
Echo Transthoracic - Congenital Tte Complete (93303) $6,875 $6,875 11.7×
Echo Transthoracic - Congenital Tte Limited (93304) $6,875 $6,875 11.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,317 $2,317 3.9×
EEG awake and asleep (95819) $3,600 $3,600 15.5×
EEG awake drowsy (95816) $1,355 $1,355 5.8×
EEG coma or sleep only (95822) $1,355 $1,355 5.8×
EEG cont rec w/video by tech min 8 channels (95700) $7,917 $7,917 34.0×
EEG greater than 1 hour (95813) $6,304 $6,304 27.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $9,010 $9,010 38.7×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,729 $1,729 4.3×
Electrocardiogram Tracing (93005) $715 $715 11.2×
Electroconvulsive Therapy (90870) $2,822 $2,822 3.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $3,357 $3,357 14.4×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $24,420 $24,420 2.9×
EMG four extremities (95864) $2,692 $2,692 19.4×
EMG one extremity (95860) $1,410 $1,410 9.8×
EMG three extremities (95863) $2,462 $2,462 17.8×
EMG two extremities (95861) $2,111 $2,111 14.7×
Ep & ablate supravent arrhyt (93653) $80,184 $80,184 2.8×
Ep & ablate ventric tachy (93654) $80,184 $80,184 2.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $24,420 $24,420 2.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $24,420 $24,420 2.9×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $7,825 $7,825 6.0×
Er level 1 (99281) $1,338 $1,338 14.7×
Er level ii (99282) $2,135 $2,135 12.9×
Er level iii (99283) $3,374 $3,374 11.5×
Er level IV (99284) $5,539 $5,539 12.3×
Er level v (99285) $10,174 $10,174 15.9×
Esophagus acid perfusion test esophagitis (91030) $2,237 $2,237 5.6×
Eval speech sound production (92522) $1,062 $1,062 9.5×
Evaluation of speech fluency (92521) $1,062 $1,062 8.0×
Exercise tst brncspsm (94617) $567 $567 4.0×
External ECG rec>48hr<7d recording (93242) $152 $152 3.8×
External ECG rec>7d<15d recording (93246) $254 $254 6.3×
External Ecg Scanning Analysis Report (93226) $1,383 $1,383 21.8×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $1,414 $1,414 7.1×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $4,524 $4,524 11.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $2,540 $2,540 2.7×
Gastrointestinal Tract Imaging Esophagus W/I&R (91111) $4,532 $4,532 4.6×
Gi tract capsule endoscopy (91110) $3,770 $3,770 3.9×
Group Therapeutic Procedures (97150) $472 $472 26.2×
Health Behavior Assessment/Re-Assessment (96156) $337 $337 3.1×
Health behavior ivntj indiv f2f 1st 30 min (96158) $337 $337 1.8×
Hemodialysis (90935) $3,440 $3,440 4.7×
Holter Monitor (93225) $2,317 $2,317 16.2×
Ilr Device Eval Progr (93285) $343 $343 8.5×
Immunization Admin (90471) $350 $350 4.5×
Inhalation bronchial challenge testing (95070) $2,327 $2,327 5.8×
Injection intra arterial (96373) $835 $835 3.6×
Interrog device eval heart (93289) $343 $343 8.5×
Intra Atrial Recording (93602) $23,563 $23,563 2.8×
Intra-atrial pacing (93610) $23,563 $23,563 2.8×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $849 $849 3.6×
Iontophoresis 15 min (97033) $245 $245 12.9×
Irrig drug delivery device (96523) $333 $333 5.2×
IV infusion hydration each additional hour (96361) $510 $510 10.1×
IV infusion hydration initial 31 min-1 hour (96360) $808 $808 3.5×
IV infusion ther proph addl sequential to 1 hr (96367) $710 $710 9.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,291 $1,291 5.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $710 $710 14.1×
IV push ea addl new drug (96375) $508 $508 10.1×
IV push initial (96374) $739 $739 3.2×
Manual therapy 15 min (97140) $245 $245 8.8×
Massage 15 min (97124) $28 $28 0.9×
Maximum voluntary ventilation (94200) $583 $583 9.2×
Mechanical chest wall oscillation (94669) $1,051 $1,051 4.5×
Mechanical traction (97012) $100 $100 7.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $116 $116 3.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $116 $116 3.2×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $130 $130 7.6×
Methacholine challenge (94070) $2,043 $2,043 5.1×
Motility study esophagus (91010) $2,096 $2,096 5.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $1,313 $1,313 14.3×
Multiple Family Group Psychotherapy (90849) $728 $728 3.8×
Multiple Sleep Latency Test (95805) $9,886 $9,886 10.7×
Nasopharyngoscopy (92511) $1,906 $1,906 8.9×
Neg press wound tx >50 cm (97608) $1,462 $1,462 3.3×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,462 $1,462 3.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $508 $508 2.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $887 $887 2.0×
Nerve Conduction Studies 11-12 Studies (95912) $1,061 $1,061 2.6×
Nerve conduction studies 13/> studies (95913) $1,325 $1,325 3.3×
Nerve Conduction Studies 3-4 Studies (95908) $1,341 $1,341 5.8×
Nerve Conduction Studies 5-6 Studies (95909) $571 $571 2.5×
Nerve Conduction Studies 7-8 Studies (95910) $713 $713 1.8×
Nerve Conduction Studies 9-10 Studies (95911) $2,403 $2,403 6.0×
Nerve conduction studies; 1-2 studies (95907) $289 $289 1.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $1,741 $1,741 12.6×
Newborn resuscitation (99465) $3,077 $3,077 4.3×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,890 $1,890 13.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $778 $778 5.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $2,344 $2,344 5.8×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $245 $245 5.3×
Ot Contrast Bath Ea 15 Min (97034) $100 $100 7.1×
Ot eval high complex 60 min (97167) $730 $730 7.3×
Ot eval low complex 30 min (97165) $730 $730 7.3×
Ot eval mod complex 45 min (97166) $730 $730 7.3×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $245 $245 4.9×
Ot Prosthetic Training, Each 15 Min (97761) $245 $245 6.1×
Ot re-evaluation (97168) $488 $488 7.1×
Ot therapeutic activity 15 min (97530) $245 $245 7.0×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $326 $326 2.3×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $326 $326 2.3×
Paraffin bath pt (97018) $100 $100 16.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $505 $505 2.1×
Peritoneal Dialysis (90945) $1,705 $1,705 3.8×
Phlebotomy therapeutic (99195) $942 $942 6.6×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $600 $600 9.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $552 $552 8.7×
Plethysmography (94726) $1,355 $1,355 3.4×
Pm device eval in person (93288) $261 $261 6.5×
Pm device progr eval dual (93280) $261 $261 6.5×
Pm device progr eval multi (93281) $261 $261 6.5×
Pm device progr eval sngl (93279) $261 $261 6.5×
Pm/Icd Remote Tech Serv (93296) $314 $314 7.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $10,760 $10,760 11.6×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $343 $343 8.5×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $343 $343 8.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93282) $343 $343 8.5×
Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of… (93283) $343 $343 8.5×
Psychiatric diagnostic evaluation (90791) $755 $755 3.9×
Pt Aquatic Therapy/Exercises (97113) $245 $245 6.6×
Pt Electrical Stimulation (97032) $245 $245 16.7×
Pt eval high complex 45 min (97163) $730 $730 7.5×
Pt eval low complex 20 min (97161) $730 $730 7.5×
Pt eval mod complex 30 min (97162) $730 $730 7.5×
Pt gait training 15 min (97116) $245 $245 8.4×
Pt group caregiver training (97552) $79 $79 3.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $245 $245 7.5×
Pt Physical Performance Test (97750) $245 $245 7.3×
Pt re-evaluation (97164) $488 $488 7.2×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $245 $245 7.6×
Pulm Funct Test Oscillometry (94728) $1,507 $1,507 10.9×
Pulm function test by gas (94727) $360 $360 1.5×
Pulmonary stress test simple (94618) $567 $567 4.0×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $1,630 $1,630 4.6×
Refill/Maint Portable Pump (96521) $954 $954 4.2×
Refill/Maint Pump/Resvr Syst (96522) $1,034 $1,034 4.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $1,074 $1,074 26.7×
Respiratory flow volume loop (94375) $771 $771 3.3×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $1,706 $1,706 5.2×
Right ventricular recording (93603) $23,563 $23,563 18.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $521.50 $521.50 2.4×
Rt Chest Wall Manipulation,Subsequent (94668) $174 $174 1.2×
Sensory Integration Ea 15 Min (97533) $271 $271 4.5×
Short-latency somatosens ep std upr limbs (95925) $3,455 $3,455 14.8×
Sleep study attended (95807) $2,499 $2,499 6.2×
Sleep study unattended (95806) $1,256 $1,256 5.4×
Slp caregiver training 1st 30 min (97550) $186 $186 3.5×
Smoking cessation > 10 min (99407) $150 $150 3.7×
Somatosensory testing (95938) $6,238 $6,238 6.7×
Speech sound lang comprehen (92523) $1,062 $1,062 4.7×
Spirometry (94010) $1,066 $1,066 4.6×
Ssep lower limbs (95926) $3,455 $3,455 14.8×
Standardized Cognitive Performance Testing (96125) $906 $906 8.8×
Stress echo (93350) $2,317 $2,317 3.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $1,200 $1,200 5.2×
Subcutaneous Infusion Each Additional Hour (96370) $285 $285 5.6×
Subq Infusion Additional Pump Infusion Site (96371) $550 $550 7.1×
Temp transcutaneous pacing (92953) $2,721 $2,721 3.8×
Tensilon test (95857) $862 $862 3.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $245 $245 10.9×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $245 $245 11.6×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $488 $488 4.8×
Therapeutic prophylactic/dx injection subq/im (96372) $343 $343 4.4×
Tilt table evaluation (93660) $3,014 $3,014 7.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $112 $112 2.8×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $2,446 $2,446 9.5×
Tte w/doppler, complete (93306) $5,124 $5,124 8.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $5,033 $5,033 19.6×
Tx atrial fib pulm vein isol (93656) $80,184 $80,184 2.8×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $730 $730 9.6×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $472 $472 19.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $976 $976 11.6×
Unlisted Cardiovascular Service/Procedure (93799) $17,082 $17,082 123.2×
Upr/lxtr art stdy 3+ lvls (93923) $2,867 $2,867 12.3×
Vasc Duplex Scan Extracranial,Limited (93882) $1,108 $1,108 9.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $3,597 $3,597 15.5×
Vasopneumatic device (97016) $100 $100 8.3×
Veeg 2-12 hr unmonitored (95711) $1,001 $1,001 4.3×
Veeg by tech ea incr 12-26 hr cont r-t mntr (95716) $10,103 $10,103 10.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,729 $1,729 4.3×
Vent mgmt inpat init day (94002) $2,913 $2,913 4.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,093 $2,093 3.1×
Visual Evoked Potential Test (95930) $3,226 $3,226 13.9×
Vital capacity, total (94150) $741 $741 5.3×
Wheelchair Mgmt Ea 15 Min (97542) $302 $302 9.7×
Xtrnl mobile cv telemetry w/technical support (93229) $679 $679 1.7×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $305 $305 3.0×