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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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $30,010 $30,010 3.6×
Airway Inhalation Treatment (94640) $1,172 $1,172 5.0×
Airway resistance by oscillometry (94728) $1,507 $1,507 10.9×
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×
Behavral qualit analys voice (92524) $1,062 $1,062 9.7×
Biofeedback training any modality (90901) $245 $245 6.0×
Bioimpedance Cv Analysis (93701) $1,588 $1,588 11.1×
Bis Xtracell Fluid Analysis (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 proc (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 Anti-Neopl Sq/Im (96401) $341 $341 4.4×
Chemo Hormon Antineopl Sq/Im (96402) $341 $341 4.4×
Chemo IV push addl drug (96411) $574 $574 7.4×
Chemother Prolong Infuse W/Pump (96416) $1,414 $1,414 4.0×
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 nfs tq up 1 hr 1/1st sbst/drug (96413) $1,690 $1,690 4.7×
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×
Chest Wall Manipulation (94668) $174 $174 1.2×
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×
Continuous Pulse Ox (94762) $778 $778 5.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,222 $1,222 5.2×
Cpt initial (94667) $222 $222 1.5×
Critical care first hour (99291) $9,833 $9,833 11.0×
Debridement Open Wound 20 Sq Cm< (97597) $838 $838 3.9×
Dialysis One Evaluation (90945) $1,705 $1,705 3.8×
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 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 Hemodialysis Access (93990) $1,412 $1,412 12.5×
Duplex up extrem art bilat (93930) $1,682 $1,682 6.5×
Duplex up extrem art unilat/ltd (93931) $1,066 $1,066 9.5×
ECG/monitoring and analysis (93271) $305 $305 3.0×
Echo Congenital Complete (93303) $6,875 $6,875 11.7×
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 tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,317 $2,317 3.9×
Eeg 41-60 Minutes (95812) $3,357 $3,357 14.4×
EEG awake and asleep (95819) $3,600 $3,600 15.5×
EEG awake drowsy (95816) $1,355 $1,355 5.8×
EEG cont rec w/video by tech min 8 channels (95700) $7,917 $7,917 34.0×
EEG extended monitoring 61-119 minutes (95813) $6,304 $6,304 27.1×
Eeg Sleep Only (95822) $1,355 $1,355 5.8×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $9,010 $9,010 38.7×
EEG wo vid ea 12-26hr unmntr (95708) $1,729 $1,729 4.3×
Electrical Stimulation Ea 15 Min (97032) $245 $245 16.7×
Electrocardiogram Tracing (93005) $715 $715 11.2×
Electroconvulsive Therapy (90870) $2,822 $2,822 3.0×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $24,420 $24,420 2.9×
Electrophysiology Evaluation (93642) $7,825 $7,825 6.0×
Emergency Dept Visit Level 2 (99282) $2,135 $2,135 12.9×
Emergency Dept Visit Level 3 (99283) $3,374 $3,374 11.5×
Emergency Dept Visit Level 4 (99284) $5,539 $5,539 12.3×
Emg 3 Extremities (95863) $2,462 $2,462 17.8×
Emg 4 Extremities (95864) $2,692 $2,692 19.4×
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×
Er level 1 (99281) $1,338 $1,338 14.7×
Er level v (99285) $10,174 $10,174 15.9×
Esophageal Capsule Endoscopy (91111) $4,532 $4,532 4.6×
Esophagus acid perfusion test esophagitis (91030) $2,237 $2,237 5.6×
Evaluate Speech Production (92522) $1,062 $1,062 9.5×
Evaluate Swallowing Function (92610) $730 $730 8.6×
Evaluation of speech fluency (92521) $1,062 $1,062 8.0×
Exercise test for bronchospasm (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×
Extracranial Bilat Study (93880) $3,743 $3,743 14.6×
Extracranial Uni/Ltd Study (93882) $1,108 $1,108 9.8×
F-up/limited tthrc echo congenital car anomaly (93304) $6,875 $6,875 11.7×
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×
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 Procedure W/ Phys/Qhp Evaluation (90935) $3,440 $3,440 4.7×
Holter monitor recording (93225) $2,317 $2,317 16.2×
Icd Device Interrogate (93289) $343 $343 8.5×
Icd device progr eval dual (93283) $343 $343 8.5×
Icd Device Progr Eval Mult (93284) $343 $343 8.5×
Ilr Device Eval Progr (93285) $343 $343 8.5×
Immunization administration (90471) $350 $350 4.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $2,327 $2,327 5.8×
Intra-atrial pacing (93610) $23,563 $23,563 2.8×
Intra-atrial recording (93602) $23,563 $23,563 2.8×
Intracranial Complete Study (93886) $2,446 $2,446 9.5×
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 therapy prophylaxis/dx ea hour (96366) $710 $710 14.1×
IV push initial (96374) $739 $739 3.2×
Lung Function Test (Mbc/Mvv) (94200) $583 $583 9.2×
Lwr Xtr Vasc Stdy Bilat (93924) $3,597 $3,597 15.5×
Mechanical chest wall oscillation per session (94669) $1,051 $1,051 4.5×
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 Fluoroscopy/Swallow (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×
Muscle Test 2 Limbs (95861) $2,111 $2,111 14.7×
Muscle Test One Limb (95860) $1,410 $1,410 9.8×
Nasopharyngoscopy (92511) $1,906 $1,906 8.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $1,462 $1,462 3.3×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $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 1-2 Studies (95907) $289 $289 1.2×
Nerve Conduction Studies 11-12 Studies (95912) $1,061 $1,061 2.6×
Nerve conduction studies 13 or more 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×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $1,741 $1,741 12.6×
Neuromuscular Reeducation (97112) $245 $245 7.5×
Newborn resuscitation (99465) $3,077 $3,077 4.3×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $2,344 $2,344 5.8×
Oral Function Therapy (92526) $976 $976 11.6×
Orthc/Prostc Mgmt Sbsq Enc (97763) $245 $245 4.9×
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 complexity (97167) $730 $730 7.3×
Ot Eval Low Complex (97165) $730 $730 7.3×
Ot Eval Moderate Complexity (97166) $730 $730 7.3×
Ot manual therapy 15 min (97140) $245 $245 8.8×
Ot paraffin bath (97018) $100 $100 16.6×
Ot Prosthetic Training, Each 15 Min (97761) $245 $245 6.1×
Ot Re-Eval Est Plan Care (97168) $488 $488 7.1×
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×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $505 $505 2.1×
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×
Physical Performance Test (97750) $245 $245 7.3×
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×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $343 $343 8.5×
Psychiatric diagnostic evaluation (90791) $755 $755 3.9×
Pt Eval High Complex (97163) $730 $730 7.5×
Pt eval low complex 20 min (97161) $730 $730 7.5×
Pt Eval Mod Complex (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 mechanical traction (97012) $100 $100 7.0×
Pt Re-Eval Est Plan Care (97164) $488 $488 7.2×
Pulm function test by gas (94727) $360 $360 1.5×
Pulmonary Stress Testing (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 (93270) $1,074 $1,074 26.7×
Remote 30 Day Ecg Tech Supp (93229) $679 $679 1.7×
Respiratory flow volume loop (94375) $771 $771 3.3×
Right ventricular recording (93603) $23,563 $23,563 18.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$521–$522 $521–$522 varies
Self Care Mngment Training (97535) $245 $245 7.6×
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×
Somatosensory Testing (95938) $6,238 $6,238 6.7×
Speech sound lang comprehen (92523) $1,062 $1,062 4.7×
Spin/Brain Pump Refil & Main (95991) $1,706 $1,706 5.2×
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 Tte Only (93350) $2,317 $2,317 3.9×
Subcutaneous Infusion Each Additional Hour (96370) $285 $285 5.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $1,200 $1,200 5.2×
Subq Infusion Additional Pump Infusion Site (96371) $550 $550 7.1×
Surfactant Admin Thru Tube (94610) $849 $849 3.6×
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 Ea Addl 15 Min (97130) $245 $245 11.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $245 $245 6.6×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $28 $28 0.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $488 $488 4.8×
Ther/Proph/Diag Inj Ia (96373) $835 $835 3.6×
Ther/Proph/Diag Inj Sc/Im (96372) $343 $343 4.4×
Ther/Proph/Diag Iv Inf Init (96365) $1,291 $1,291 5.6×
Therapeutic Activities (97530) $245 $245 7.0×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $3,014 $3,014 7.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $150 $150 3.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $112 $112 2.8×
Tte w/doppler, complete (93306) $5,124 $5,124 8.7×
Tte W/O Doppler Complete (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/Pro/Dx Inj New Drug Addon (96375) $508 $508 10.1×
Unlisted cardiovascular service/procedure (93799) $17,082 $17,082 123.2×
Upr/L Xtremity Art 2 Levels (93922) $1,890 $1,890 13.2×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $2,867 $2,867 12.3×
Vasopneumatic device (97016) $100 $100 8.3×
Veeg 2-12 hr unmonitored (95711) $1,001 $1,001 4.3×
Veeg Ea 12-26 Hr Unmntr (95714) $1,729 $1,729 4.3×
Veeg ea 12-26hr cont mntr (95716) $10,103 $10,103 10.9×
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×

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.