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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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,576.05 $9,665 0.4×
Actinotherapy Ultraviolet Light (96900) $69.93 $189 1.7×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$8.14–$28.49 $22–$77 varies
Aep threshold estimation mlt frequencies i&r (92652) $271.58 $734 1.2×
Airway Inhalation Treatment (94640) $271.58 $734 1.1×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $327.82 $886 2.3×
Ambulatory bp mntr w/sw 24 hr+ scanning a/r (93788) $390.72 $1,056 2.7×
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×
Behavral qualit analys voice (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 proc (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)
range across 2 matching MRF lines
$202.76–$506.16 $548–$1,368 varies
Cardioversion (92960)
range across 2 matching MRF lines
$118.77–$1,204.35 $321–$3,255 varies
Cardioversion elective internal (92961) $1,261.70 $3,410 1.7×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,523.84 $17,632 1.8×
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 Anti-Neopl Sq/Im (96401) $176.49 $477 2.2×
Chemo Hormon Antineopl Sq/Im (96402) $158.36 $428 2.0×
Chemo Ia Push (96420) $228.29 $617 0.6×
Chemo IV infusion addl hr (96415) $179.82 $486 2.3×
Chemo IV push addl drug (96411) $246.05 $665 3.1×
Chemother Prolong Infuse W/Pump (96416) $1,105.19 $2,987 3.1×
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 nfs tq up 1 hr 1/1st sbst/drug (96413) $524.66 $1,418 1.5×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $253.08 $684 0.7×
Chest Wall Manipulation (94668) $65.49 $177 0.5×
Color/duplex Doppler, complete (93975) $414.03 $1,119 1.6×
Color/duplex Doppler, limited (93976) $479.89 $1,297 4.2×
Cont gluc mntr physician/qhp provided equiptment (95250) $307.84 $832 2.1×
Cont Gluc Mntr Pt Prov Eqp (95249) $128.76 $348 2.0×
Continuous Pulse Ox (94762) $325.23 $879 2.3×
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 Ventilation Cpap Initiation&Mgmt (94660) $350.39 $947 1.5×
Cpt initial (94667) $65.49 $177 0.5×
Critical care first hour (99291)
range across 2 matching MRF lines
$331.89–$1,736.04 $897–$4,692 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$41.07–$287.12 $111–$776 varies
Dialysis One Evaluation (90945) $314.50 $850 0.7×
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 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 Hemodialysis Access (93990) $156.88 $424 1.4×
Duplex up extrem art bilat (93930) $654.53 $1,769 2.5×
Duplex up extrem art unilat/ltd (93931) $436.97 $1,181 3.8×
ECG/monitoring and analysis (93271) $428.83 $1,159 4.1×
Echo Congenital Complete (93303) $1,226.55 $3,315 2.1×
Echo Heart Xthoracic,Limited (93308) $740 $2,000 2.8×
Echo transesophageal (93312) $1,536.98 $4,154 2.6×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,591.37 $4,301 2.7×
Eeg 41-60 Minutes (95812) $609.02 $1,646 2.6×
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 extended monitoring 61-119 minutes (95813) $842.49 $2,277 3.6×
Eeg Sleep Only (95822) $767.75 $2,075 3.3×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $805.12 $2,176 3.4×
EEG wo vid ea 12-26hr unmntr (95708) $1,699.41 $4,593 4.2×
Electrical Stimulation Ea 15 Min (97032) $50.32 $136 3.4×
Electrocardiogram Tracing (93005) $113.59 $307 1.8×
Electroconvulsive Therapy (90870) $714.47 $1,931 0.8×
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624)
unusually low: confirm this is the full procedure
$3,971.95 $10,735 0.5×
Electrophysiology Evaluation (93642) $943.87 $2,551 0.7×
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$87.69–$289.34 $237–$782 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$128.39–$532.06 $347–$1,438 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$200.54–$946.83 $542–$2,559 varies
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×
Er level 1 (99281)
range across 2 matching MRF lines
$56.98–$182.04 $154–$492 varies
Er level v (99285)
range across 2 matching MRF lines
$239.39–$1,308.69 $647–$3,537 varies
Esophgl Balo Distension Dx Std W/Provocation (91040) $930.55 $2,515 2.3×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $759.61 $2,053 1.9×
Evaluate pt use of inhaler (94664) $122.84 $332 0.5×
Evaluate Speech Production (92522) $249.01 $673 2.2×
Evaluate Swallowing Function (92610) $249.01 $673 2.9×
Evaluation of speech fluency (92521) $249.01 $673 1.9×
Evoked Auditory Test,Limited (92587) $116.92 $316 0.5×
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×
Extracranial Bilat Study (93880) $801.05 $2,165 3.1×
Extracranial Uni/Ltd Study (93882) $719.65 $1,945 6.3×
F-up/limited tthrc echo congenital car anomaly (93304) $665.63 $1,799 1.1×
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×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,523.84 $17,632 1.8×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $446.59 $1,207 0.6×
Holter monitor recording (93225) $322.27 $871 2.2×
Icd Device Interrogate (93289) $150.96 $408 3.7×
Icd Device Progr Eval Mult (93284) $92.50 $250 2.3×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$8.14–$28.49 $22–$77 varies
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228)
range across 2 matching MRF lines
$18.87–$598.66 $51–$1,618 varies
Immunization administration (90471)
range across 4 matching MRF lines
$8.14–$28.49 $22–$77 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $962.74 $2,602 2.4×
Insert/Place Heart Catheter (93503) $2,135.27 $5,771 1.2×
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 therapy prophylaxis/dx ea hour (96366)
range across 3 matching MRF lines
$24.05–$125.06 $65–$338 varies
IV push initial (96374)
range across 3 matching MRF lines
$44.40–$173.53 $120–$469 varies
L Hrt Art/Grft Angio (93459) $6,523.84 $17,632 1.8×
Lwr Xtr Vasc Stdy Bilat (93924) $382.21 $1,033 1.6×
Mechanical chest wall oscillation per session (94669) $102.12 $276 0.4×
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 Fluoroscopy/Swallow (92611) $455.84 $1,232 5.0×
Multiple Sleep Latency Test (95805) $1,098.90 $2,970 1.2×
Muscle Test Nonparaspinal (95870) $102.12 $276 0.7×
Nasopharyngoscopy (92511)
range across 2 matching MRF lines
$148–$171.68 $400–$464 varies
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×
Neuromuscular Reeducation (97112) $61.05 $165 1.9×
Newborn resuscitation (99465) $660.45 $1,785 0.9×
Oral Function Therapy (92526) $199.80 $540 2.4×
Orthc/Prostc Mgmt Sbsq Enc (97763) $37 $100 0.7×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $85.10 $230 1.8×
Ot eval high complexity (97167) $199.80 $540 2.0×
Ot Eval Low Complex (97165) $168.35 $455 1.7×
Ot Eval Moderate Complexity (97166) $187.96 $508 1.9×
Ot manual therapy 15 min (97140) $55.50 $150 2.0×
Ot paraffin bath (97018) $42.55 $115 7.1×
Ot Prosthetic Training, Each 15 Min (97761) $45.88 $124 1.1×
Ot Re-Eval Est Plan Care (97168) $120.25 $325 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×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $512.82 $1,386 2.1×
Peripheral arterial disease rehab per session (93668) $82.51 $223 1.3×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
unusually low: confirm this is the full procedure
$9,247.78 $24,994 0.5×
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×
Physical Performance Test (97750) $44.03 $119 1.3×
Plethysmography (94726) $238.28 $644 0.6×
Pm device eval in person (93288)
range across 3 matching MRF lines
$69.19–$150.96 $187–$408 varies
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×
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×
Psych diag eval w/med srvcs (90792) $169.83 $459 0.9×
Psychiatric diagnostic evaluation (90791) $257.52 $696 1.3×
Pt Eval High Complex (97163) $183.15 $495 1.9×
Pt eval low complex 20 min (97161) $179.08 $484 1.8×
Pt Eval Mod Complex (97162) $181.30 $490 1.9×
Pt gait training 15 min (97116) $56.24 $152 1.9×
Pt mechanical traction (97012) $45.88 $124 3.2×
Pt Re-Eval Est Plan Care (97164) $111 $300 1.6×
Pulm function test by gas (94727) $197.58 $534 0.8×
Pulmonary Stress Testing (94618) $163.17 $441 1.1×
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/Ventriclgrphy (93453) $4,447.03 $12,019 1.3×
Rapid Desensitization Procedure Each Hour (95180) $185 $500 0.4×
Remote 30 Day Ecg Rev/Report (93270) $448.44 $1,212 11.0×
Remote 30 Day Ecg Tech Supp (93229) $428.83 $1,159 1.1×
Respiratory flow volume loop (94375) $222.74 $602 0.9×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $44.77 $121 0.7×
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×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $194.25 $525 1.6×
Self Care Mngment Training (97535) $59.20 $160 1.8×
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×
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)
range across 2 matching MRF lines
$277.13–$1,270.58 $749–$3,434 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $46.25 $125 2.1×
Ther Ivntj Ea Addl 15 Min (97130) $46.25 $125 2.2×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $44.77 $121 1.2×
Ther/Prop/Diag Inj/Inf Proc (96379) $36.63 $99 0.7×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$18.50–$91.39 $50–$247 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$79.55–$298.22 $215–$806 varies
Therapeutic Activities (97530) $64.75 $175 1.8×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $647.50 $1,750 1.6×
Tobacco Use Cessation Intensive >10 Minutes (99407) $50.69 $137 1.2×
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/Pro/Dx Inj New Drug Addon (96375) $173.16 $468 3.4×
Upr/L Xtremity Art 2 Levels (93922) $288.23 $779 2.0×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $363.71 $983 1.5×
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×
Whirlpool Therapy (97022) $46.25 $125 2.9×

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.