Speare Memorial Hospital
Plymouth, NH · Critical Access Hospital
Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,007.50 | $1,625 | 9.0× |
| MRI brain without contrast (70551) range across 4 matching MRF lines |
$744–$1,550 | $1,200–$2,500 | varies |
| MRI brain with contrast (70552) | $2,015 | $3,250 | 5.4× |
| MRI brain without and with contrast (70553) | $2,480 | $4,000 | 6.7× |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$164.30–$342.24 | $265–$552 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$892.80–$1,860 | $1,440–$3,000 | varies |
| CT pelvis with contrast (72193) | $1,581 | $2,550 | 8.4× |
| MRI lower-extremity joint without contrast (73721) range across 12 matching MRF lines |
$744–$1,550 | $1,200–$2,500 | varies |
| CT abdomen and pelvis with contrast (74177) | $2,449 | $3,950 | 6.6× |
| Ultrasound, abdomen complete (76700) | $657.20 | $1,060 | 5.9× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 5 matching MRF lines |
$330.46–$688.20 | $533–$1,110 | varies |
| Ultrasound, transvaginal (76830) range across 3 matching MRF lines |
$342.24–$713 | $552–$1,150 | varies |
| Mammography, one breast (diagnostic) (77065) range across 11 matching MRF lines |
$682–$744 | $1,100–$1,200 | varies |
| Mammography, both breasts (diagnostic) (77066) | $868 | $1,400 | 7.9× |
| Mammography, screening (bilateral) (77067) | $744 | $1,200 | 8.2× |
| Basic metabolic panel (80048) | $47.74 | $77 | 5.6× |
| Comprehensive metabolic panel (80053) | $92.38 | $149 | 8.7× |
| Obstetric panel (80055) | $267.22 | $431 | 5.6× |
| Lipid panel (80061) | $75.02 | $121 | 5.6× |
| Renal function panel (80069) | $48.98 | $79 | 5.6× |
| Hepatic function panel (80076) | $45.88 | $74 | 5.6× |
| Urinalysis, non-automated, without microscopy (81002) range across 3 matching MRF lines |
$8.68–$17.98 | $14–$29 | varies |
| PSA, total (84153) | $102.92 | $166 | 5.6× |
| Thyroid stimulating hormone (TSH) (84443) | $94.24 | $152 | 5.6× |
| CBC with automated differential (85025) | $67.58 | $109 | 8.7× |
| CBC, automated (85027) | $36.58 | $59 | 5.7× |
| Prothrombin time (PT) (85610) range across 8 matching MRF lines |
$11.16–$24.18 | $18–$39 | varies |
| Partial thromboplastin time (PTT) (85730) | $34.10 | $55 | 5.7× |
| Psychotherapy, 30 minutes (90832) | $107.26 | $173 | 0.6× |
| Psychotherapy, 45 minutes (90834) | $143.22 | $231 | 0.8× |
| Psychotherapy, 60 minutes (90837) | $170.50 | $275 | 0.9× |
| Electrocardiogram (ECG), complete (93000) | $117.80 | $190 | 1.9× |
| Sleep study (attended polysomnography) (95810) | $2,201 | $3,550 | 2.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $155.62 | $251 | 5.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $155 | $250 | 1.1× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $182.90 | $295 | 1.3× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $238.70 | $385 | 1.7× |
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.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 266 codes with posted prices and Medicare benchmarks
- Lab & pathology: 659 codes with posted prices and Medicare benchmarks
- Visits & medical services: 144 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 321 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 20 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 15.0 MB) ↓ — captured 2026-08-28
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.