Visits & medical services prices at Southern New Hampshire Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
unusually low: confirm this is the full procedure
$3,576.05 $9,665 0.4×
Aep Thrshld Est Mlt Freq I&R (92652) $271.58 $734 1.2×
Airway inhalation treatment (94640) $271.58 $734 1.1×
Ambulatory Bp Analysis (93788) $390.72 $1,056 2.7×
Ambulatory Bp Recording (93786) $327.82 $886 2.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $45.88 $124 3.2×
Application on-body injector (96377) $36.63 $99 0.7×
Assessment of aphasia per hr (96105) $157.62 $426 1.6×
Bedside Swallowing Eval (92610) $249.01 $673 2.9×
Behavioral and qualitative analysis of voice and resonance (92524) $249.01 $673 2.3×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $177.60 $480 2.2×
Bfb training ea addl 15 min (90913) $88.80 $240 2.7×
Biofeedback training any modality (90901) $74.37 $201 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $328.56 $888 0.8×
C motor evoked upr&lwr limbs (95939) $1,551.04 $4,192 1.7×
Canalith Repositioning Procedure (95992) $49.58 $134 1.2×
Car seat/bed test 60 min (94780) $91.39 $247 2.2×
Cardiac Stress Tst,Tracing Only (93017) $767.75 $2,075 3.3×
Cardiopulmonary resuscitation (92950) $354.46 $958 1.5×
Cardioversion (92960) $661.56 $1,788 0.9×
Cardioversion elective internal (92961) $1,261.70 $3,410 1.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,965.88 $16,124 1.7×
Cbt 1st hour (94644) $243.46 $658 1.7×
Chemo Hormon Antineopl Sq/Im (96402) $158.36 $428 2.0×
Chemo IV push addl drug (96411) $246.05 $665 3.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $1,105.19 $2,987 3.1×
Chemother, IV infusion, 1 hr (96413) $524.66 $1,418 1.5×
Chemother, IV infusion, ea add hr (96415) $179.82 $486 2.3×
Chemother,Ia Push Technique (96420) $228.29 $617 0.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $176.49 $477 2.2×
Chemotherapy into cns (96450) $732.23 $1,979 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $216.45 $585 2.8×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $253.08 $684 0.7×
Color/duplex Doppler, complete (93975) $414.03 $1,119 1.6×
Color/duplex Doppler, limited (93976) $479.89 $1,297 4.2×
Cont Gluc Monitoring Patient Provided Equipment (95249) $128.76 $348 2.0×
Continuous Glucose Monitoring (95250) $307.84 $832 2.1×
Coronary art/grft angio s&i (93455) $5,965.88 $16,124 1.7×
Coronary artery angio s&i (93454) $5,150.40 $13,920 1.5×
Cpap/bipap (94660) $350.39 $947 1.5×
Cpt initial (94667) $65.49 $177 0.5×
Critical care (99291) $1,033.96 $2,794.50 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $287.12 $776 1.3×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $116.92 $316 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $479.89 $1,297 1.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $727.79 $1,967 6.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $655.64 $1,772 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $655.64 $1,772 5.7×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $654.53 $1,769 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $436.97 $1,181 3.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $655.64 $1,772 2.5×
Dup-scan xtr veins unilateral/limited study (93971) $327.82 $886 2.9×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $236.06 $638 0.9×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $277.50 $750 2.4×
Duplex scan extracranial art compl bi study (93880) $801.05 $2,165 3.1×
Duplex Scan Hemodialysis Access (93990) $156.88 $424 1.4×
Echo Heart Xthoracic,Limited (93308) $740 $2,000 2.8×
Echo transesophageal (93312) $1,536.98 $4,154 2.6×
Echo Transthoracic - Congenital Tte Complete (93303) $1,226.55 $3,315 2.1×
Echo Transthoracic - Congenital Tte Limited (93304) $665.63 $1,799 1.1×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,591.37 $4,301 2.7×
EEG awake and asleep (95819) $855.81 $2,313 3.6×
EEG awake drowsy (95816) $587.19 $1,587 2.5×
EEG cerebral death evaluation (95824) $1,131.09 $3,057 2.8×
EEG coma or sleep only (95822) $767.75 $2,075 3.3×
EEG greater than 1 hour (95813) $842.49 $2,277 3.6×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $805.12 $2,176 3.4×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $1,699.41 $4,593 4.2×
EKG rhythm strip (93041) $44.77 $121 0.7×
Electrocardiogram Tracing (93005) $113.59 $307 1.8×
Electroconvulsive Therapy (90870) $714.47 $1,931 0.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $609.02 $1,646 2.6×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$3,971.95 $10,735 0.5×
Ep & ablate supravent arrhyt (93653) $24,785.56 $66,988 0.9×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,600.17 $20,541 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,600.17 $20,541 0.9×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $943.87 $2,551 0.7×
Er level 1 (99281) $119.51 $323 1.3×
Er level ii (99282) $188.52 $509.50 1.1×
Er level iii (99283) $330.22 $892.50 1.1×
Er level IV (99284) $573.68 $1,550.50 1.3×
Er level v (99285) $774.04 $2,092 1.2×
Esoph balloon distension tst (91040) $930.55 $2,515 2.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $759.61 $2,053 1.9×
Eval speech sound production (92522) $249.01 $673 2.2×
Evaluate Pt Use Of Inhaler (94664) $122.84 $332 0.5×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $194.25 $525 1.6×
Evaluation of speech fluency (92521) $249.01 $673 1.9×
External ECG rec>48hr<7d recording (93242) $229.40 $620 5.6×
External ECG rec>48hr<7d scanning alys w/report (93243) $351.50 $950 2.4×
External ECG rec>7d<15d recording (93246) $309.32 $836 7.6×
External ECG rec>7d<15d scanning alys w/report (93247) $351.50 $950 2.4×
External Ecg Scanning Analysis Report (93226) $322.27 $871 5.0×
Gastric motility studies (91020) $971.25 $2,625 2.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,556.59 $4,207 3.8×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $316.35 $855 1.3×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $730.75 $1,975 0.8×
Hemodialysis (90935) $446.59 $1,207 0.6×
Holter Monitor (93225) $322.27 $871 2.2×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $308.76 $834.50 7.6×
Imm admn sarscov2 vaccine single dose (90480) $18.32 $49.50 0.4×
Immune Admin Oral/Nasal (90473) $18.32 $49.50 0.2×
Immunization Admin (90471) $18.32 $49.50 0.2×
Inhalation bronchial challenge testing (95070) $962.74 $2,602 2.4×
Ins swan ganz bedside (93503) $2,135.27 $5,771 1.2×
Interrog device eval heart (93289) $150.96 $408 3.7×
Iontophoresis 15 min (97033) $50.32 $136 2.6×
Irrig drug delivery device (96523) $118.40 $320 1.8×
IV infusion hydration each additional hour (96361) $121.73 $329 2.4×
IV infusion hydration initial 31 min-1 hour (96360) $269.73 $729 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $139.12 $376 1.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $298.22 $806 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $125.06 $338 2.4×
IV push ea addl new drug (96375) $173.16 $468 3.4×
IV push initial (96374) $173.53 $469 0.7×
L hrt art/grft angio (93459) $6,523.84 $17,632 1.8×
Manual therapy 15 min (97140) $55.50 $150 2.0×
Mechanical chest wall oscillation (94669) $102.12 $276 0.4×
Mechanical traction (97012) $45.88 $124 3.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $58.83 $159 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $68.82 $186 1.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $35.89 $97 2.1×
Methacholine challenge (94070) $602.36 $1,628 1.5×
Motility study esophagus (91010) $644.54 $1,742 1.6×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $455.84 $1,232 5.0×
Multiple Sleep Latency Test (95805) $1,098.90 $2,970 1.2×
Nasopharyngoscopy (92511) $159.84 $432 0.7×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $102.12 $276 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $262.70 $710 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $429.20 $1,160 1.0×
Newborn resuscitation (99465) $660.45 $1,785 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $288.23 $779 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $325.23 $879 2.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $85.10 $230 1.8×
Ot eval high complex 60 min (97167) $199.80 $540 2.0×
Ot eval low complex 30 min (97165) $168.35 $455 1.7×
Ot eval mod complex 45 min (97166) $187.96 $508 1.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $37 $100 0.7×
Ot Prosthetic Training, Each 15 Min (97761) $45.88 $124 1.1×
Ot re-evaluation (97168) $120.25 $325 1.8×
Ot therapeutic activity 15 min (97530) $64.75 $175 1.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $109.89 $297 0.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $94.35 $255 0.7×
Paraffin bath pt (97018) $42.55 $115 7.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $512.82 $1,386 2.1×
Peripheral arterial disease rehab per session (93668) $82.51 $223 1.3×
Peritoneal Dialysis (90945) $314.50 $850 0.7×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $5,525.95 $14,935 0.9×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,065.63 $21,799 0.6×
Phlebotomy therapeutic (99195) $345.58 $934 2.4×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $102.12 $276 1.6×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $89.91 $243 1.4×
Plethysmography (94726) $238.28 $644 0.6×
Pm device eval in person (93288) $150.96 $408 3.7×
Pm device progr eval dual (93280) $92.50 $250 2.3×
Pm device progr eval multi (93281) $92.50 $250 2.3×
Pm device progr eval sngl (93279) $92.50 $250 2.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,829.76 $7,648 3.0×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $92.50 $250 2.3×
Prq Card Stent W/Angio 1 Vsl (92928)
unusually low: confirm this is the full procedure
$5,384.24 $14,552 0.4×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$7,912.45 $21,385 0.4×
Prq Revasc Byp Graft 1 Vsl (92937)
unusually low: confirm this is the full procedure
$5,384.24 $14,552 0.4×
Prq tcat plmt ntrac st 2+les (92930)
unusually low: confirm this is the full procedure
$9,247.78 $24,994 0.5×
Psych diag eval w/med srvcs (90792) $169.83 $459 0.9×
Psychiatric diagnostic evaluation (90791) $257.52 $696 1.3×
Pt Aquatic Therapy/Exercises (97113) $44.77 $121 1.2×
Pt Electrical Stimulation (97032) $50.32 $136 3.4×
Pt eval high complex 45 min (97163) $183.15 $495 1.9×
Pt eval low complex 20 min (97161) $179.08 $484 1.8×
Pt eval mod complex 30 min (97162) $181.30 $490 1.9×
Pt gait training 15 min (97116) $56.24 $152 1.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $61.05 $165 1.9×
Pt Physical Performance Test (97750) $44.03 $119 1.3×
Pt re-evaluation (97164) $111 $300 1.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $59.20 $160 1.8×
Pt Whirlpool Therapy (97022) $46.25 $125 2.9×
Pulm function test by gas (94727) $197.58 $534 0.8×
Pulmonary stress test simple (94618) $163.17 $441 1.1×
R & l hrt cath w/njx l ventriculog img s&i (93453) $4,447.03 $12,019 1.3×
R hrt art/grft angio (93457) $6,523.84 $17,632 1.8×
R hrt coronary artery angio (93456) $5,965.88 $16,124 1.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $6,523.84 $17,632 1.8×
R&l hrt art/ventricle angio (93460) $6,523.84 $17,632 1.8×
Rapid Desensitization Procedure Each Hour (95180) $185 $500 0.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $448.44 $1,212 11.0×
Respiratory flow volume loop (94375) $222.74 $602 0.9×
Right heart cath (93451) $3,871.31 $10,463 1.1×
Right ventricular recording (93603) $3,655.97 $9,881 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $236.43 $639 1.1×
Rt Chest Wall Manipulation,Subsequent (94668) $65.49 $177 0.5×
Sensory Integration Ea 15 Min (97533) $41.44 $112 0.7×
Sleep study unattended (95806) $589.04 $1,592 2.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $569.43 $1,539 2.4×
Smoking cessation > 10 min (99407) $50.69 $137 1.2×
Somatosensory testing (95938) $774.04 $2,092 0.8×
Speech sound lang comprehen (92523) $249.01 $673 1.1×
Spirometry (94010) $158.36 $428 0.7×
Standardized Cognitive Performance Testing (96125) $146.52 $396 1.4×
Temp transcutaneous pacing (92953) $773.86 $2,091.50 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $46.25 $125 2.1×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $46.25 $125 2.2×
Ther/prop/diag inj/inf proc (96379) $36.63 $99 0.7×
Therapeutic prophylactic/dx injection subq/im (96372) $91.39 $247 1.2×
Tilt table evaluation (93660) $647.50 $1,750 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $25.53 $69 0.6×
Tte w/doppler, complete (93306) $1,295 $3,500 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $237.17 $641 3.1×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $199.80 $540 2.4×
Ultraviolet Light Therapy (96900) $69.93 $189 1.7×
Upr/lxtr art stdy 3+ lvls (93923) $363.71 $983 1.5×
Vasc Duplex Scan Extracranial,Limited (93882) $719.65 $1,945 6.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $382.21 $1,033 1.6×
Vent mgmt inpat init day (94002) $1,101.12 $2,976 1.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $862.10 $2,330 1.3×
Vital capacity, total (94150) $132.09 $357 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $52.91 $143 1.7×
Xtrnl mobile cv telemetry w/technical support (93229) $428.83 $1,159 1.1×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $428.83 $1,159 4.1×