Supplies, drugs & other prices at Southern New Hampshire Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Admin hepatitis b vaccine (G0010) $8.14 $22 0.2×
Admin influenza virus vac (G0008) $8.14 $22 0.2×
Admin pneumococcal vaccine (G0009) $8.14 $22 0.2×
Ca screen;flexi sigmoidscope (G0104) $416.25 $1,125 0.4×
Chemo extend iv infus w/pump (G0498) $307.47 $831 0.9×
Colon ca scrn not hi rsk ind (G0121) $1,406.74 $3,802 1.4×
Colorectal scrn; hi risk ind (G0105) $1,406.74 $3,802 1.4×
Diab manage trn per indiv (G0108) $93.61 $253 1.7×
Diab manage trn ind/group (G0109) $40.33 $109 2.5×
Direct refer hospital observ (G0379) $113.59 $307 0.2×
Drug test def 1-7 classes (G0480) $110.63 $299 1.0×
Drug test def 8-14 classes (G0481) $134.31 $363 0.9×
Endo defect closure gi tract (C9901) $14,060 $38,000 1.2×
Endo outlet restrict w/tube (C9785) $14,060 $38,000 1.2×
Esd endoscopy or colonoscopy (C9779) $5,365 $14,500 1.3×
Hpv combo assay ca screen (G0476) $209.42 $566 6.0×
Neuro csf prion prtn qual (0035U) $824.36 $2,228 1.5×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $284.16 $768 0.9×
Onc Merkel Cll Carc Srm Quan (0058U) $293.04 $792 0.9×
Oth resp proc, indiv (G0238) $66.23 $179 2.1×
Pathogen test for platelets (P9100) $59.57 $161 0.9×
Perq Sacral Augmt Unilat Inj (0200T)
unusually low: confirm this is the full procedure
$3,603.06 $9,738 0.5×
Psa screening (G0103) $69.56 $188 3.6×
Revasc intra lithotrip-stent (C9765)
unusually low: confirm this is the full procedure
$8,385.31 $22,663 0.4×
Revasc intravasc lithotripsy (C9764) $8,385.31 $22,663 0.7×
Therapeutic procd strg endur (G0237) $34.04 $92 1.1×
Tomosynthesis, mammo (G0279) $56.24 $152 4.4×
Trauma respons w/hosp criti (G0390) $2,960 $8,000 2.0×
Unsched dialysis esrd pt hos (G0257) $891.70 $2,410 1.2×