Visits & medical services prices at Speare Memorial Hospital
Plymouth, NH · every code in this section with a posted price and a Medicare benchmark.
144 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$13.64–$32.24 | $22–$52 | varies |
| Airway Inhalation Treatment (94640) range across 4 matching MRF lines |
$129.58–$269.08 | $209–$434 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $84.32 | $136 | 5.9× |
| Application Modality 1/> Areas Infrared (97026) | $32.24 | $52 | 4.8× |
| Application on-body injector (96377) | $88.66 | $143 | 1.8× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $112.84 | $182 | 1.4× |
| Bfb training ea addl 15 min (90913) | $62.62 | $101 | 1.9× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $285.82 | $461 | 0.7× |
| Canalith repositioning proc (95992) | $97.34 | $157 | 2.4× |
| Car seat/bed test 60 min (94780) range across 2 matching MRF lines |
$68.82–$142.60 | $111–$230 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $669.60 | $1,080 | 2.9× |
| Cardiopulmonary resuscitation (92950) | $418.50 | $675 | 1.8× |
| Cardioversion (92960) | $527 | $850 | 0.7× |
| Cbt 1st hour (94644) | $195.30 | $315 | 1.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $158.10 | $255 | 2.1× |
| Chemo Hormon Antineopl Sq/Im (96402) range across 2 matching MRF lines |
$55.80–$105.40 | $90–$170 | varies |
| Chemo IV infusion addl hr (96415) | $136.40 | $220 | 1.8× |
| Chemo IV push addl drug (96411) range across 3 matching MRF lines |
$81.84–$170.50 | $132–$275 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $403 | $650 | 1.1× |
| Chemotherapy Into Cns (96450) | $541.88 | $874 | 1.5× |
| Chemotherapy Intracavitary (96440) | $541.88 | $874 | 1.5× |
| Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) | $846.30 | $1,365 | 2.4× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $136.40 | $220 | 1.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $403 | $650 | 1.1× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $217 | $350 | 0.6× |
| Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) | $348.44 | $562 | 1.0× |
| Chest Wall Manipulation (94668) | $85.56 | $138 | 0.6× |
| Color/duplex Doppler, complete (93975) | $1,674 | $2,700 | 6.6× |
| Color/duplex Doppler, limited (93976) | $868 | $1,400 | 7.8× |
| Continuous Pulse Ox (94762) | $102.30 | $165 | 0.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $403 | $650 | 1.7× |
| Cpt initial (94667) | $135.78 | $219 | 1.0× |
| Critical care first hour (99291) | $2,747.22 | $4,431 | 3.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $254.82 | $411 | 1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$852.50–$1,279.06 | $1,375–$2,063 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,224.50 | $1,975 | 4.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $775 | $1,250 | 6.9× |
| Duplex up extrem art bilat (93930) | $1,271 | $2,050 | 5.0× |
| Duplex up extrem art unilat/ltd (93931) | $806 | $1,300 | 7.2× |
| Echo Heart Xthoracic,Limited (93308) | $703.70 | $1,135 | 2.8× |
| Electrical Stimulation Ea 15 Min (97032) | $91.76 | $148 | 6.2× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$97.96–$203.98 | $158–$329 | varies |
| Emergency Dept Visit Level 2 (99282) | $480.50 | $775 | 2.9× |
| Emergency Dept Visit Level 3 (99283) | $821.50 | $1,325 | 2.8× |
| Emergency Dept Visit Level 4 (99284) | $961 | $1,550 | 2.2× |
| Er level 1 (99281) | $242.42 | $391 | 2.7× |
| Er level v (99285) | $1,085 | $1,750 | 1.7× |
| Evaluate pt use of inhaler (94664) | $29.76 | $48 | 0.1× |
| Evaluate Swallowing Function (92610) | $198.40 | $320 | 2.3× |
| Exercise test for bronchospasm (94617) | $183.52 | $296 | 1.3× |
| External ECG rec>48hr<7d recording (93242) | $248 | $400 | 6.2× |
| External ECG rec>7d<15d recording (93246) | $282.10 | $455 | 7.1× |
| External Ecg Scanning Analysis Report (93226) | $310 | $500 | 4.9× |
| Extracranial Bilat Study (93880) | $1,240 | $2,000 | 4.9× |
| Holter monitor recording (93225) | $300.70 | $485 | 2.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 4 matching MRF lines |
$13.64–$16.74 | $22–$27 | varies |
| Immunization administration (90471) range across 16 matching MRF lines |
$13.64–$21.70 | $22–$35 | varies |
| Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) | $13.64 | $22 | 0.4× |
| Intracutaneous tests w/allergenic extracts (95024) | $14.88 | $24 | 0.2× |
| Iontophoresis 15 min (97033) | $94.24 | $152 | 4.9× |
| Irrig Drug Delivery Device (96523) | $124 | $200 | 2.0× |
| IV infusion hydration each additional hour (96361) range across 4 matching MRF lines |
$82.46–$171.12 | $133–$276 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $393.70 | $635 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$85.56–$177.94 | $138–$287 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 4 matching MRF lines |
$59.52–$123.38 | $96–$199 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$101.68–$211.42 | $164–$341 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $610.70 | $985 | 2.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) range across 16 matching MRF lines |
$46.50–$174.84 | $75–$282 | varies |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 16 matching MRF lines |
$49.60–$178.56 | $80–$288 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 8 matching MRF lines |
$31–$62 | $50–$100 | varies |
| Methacholine challenge (94070) | $158.10 | $255 | 0.4× |
| Multiple Sleep Latency Test (95805) | $1,326.80 | $2,140 | 1.4× |
| Nasopharyngoscopy (92511) | $288.30 | $465 | 1.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $317.44 | $512 | 0.7× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $429.66 | $693 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $256.68 | $414 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $275.90 | $445 | 0.6× |
| Neuromuscular Reeducation (97112) | $158.10 | $255 | 4.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $96.10 | $155 | 1.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $102.30 | $165 | 2.2× |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $31 | $50 | 1.3× |
| Osteopathic manipulative tx 3-4 body regions (98926) | $36.58 | $59 | 1.6× |
| Ot Contrast Bath Ea 15 Min (97034) | $52.70 | $85 | 3.8× |
| Ot eval high complexity (97167) | $269.70 | $435 | 2.7× |
| Ot Eval Low Complex (97165) | $238.70 | $385 | 2.4× |
| Ot Eval Moderate Complexity (97166) | $254.20 | $410 | 2.5× |
| Ot manual therapy 15 min (97140) | $193.44 | $312 | 7.0× |
| Ot paraffin bath (97018) | $59.52 | $96 | 9.9× |
| Ot Prosthetic Training, Each 15 Min (97761) | $93 | $150 | 2.3× |
| Ot Re-Eval Est Plan Care (97168) | $148.80 | $240 | 2.2× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $228.16 | $368 | 1.7× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $205.84 | $332 | 1.5× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $195.30 | $315 | 0.8× |
| Phlebotomy therapeutic (99195) | $161.20 | $260 | 1.1× |
| Physical Performance Test (97750) | $93 | $150 | 2.8× |
| Plethysmography (94726) | $545.60 | $880 | 1.4× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 3 matching MRF lines |
$2,201–$2,708.78 | $3,550–$4,369 | varies |
| Psych diag eval w/med srvcs (90792) | $200.26 | $323 | 1.1× |
| Psychiatric diagnostic evaluation (90791) | $177.94 | $287 | 0.9× |
| Psychoanalysis (90845) | $143.22 | $231 | 0.8× |
| Psytx Crisis Initial 60 Min (90839) | $225.06 | $363 | 1.2× |
| Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) | $96.10 | $155 | 2.5× |
| Pt Eval High Complex (97163) | $257.30 | $415 | 2.6× |
| Pt eval low complex 20 min (97161) | $226.30 | $365 | 2.3× |
| Pt Eval Mod Complex (97162) | $241.80 | $390 | 2.5× |
| Pt gait training 15 min (97116) | $86.80 | $140 | 3.0× |
| Pt mechanical traction (97012) | $68.20 | $110 | 4.7× |
| Pt Re-Eval Est Plan Care (97164) | $124 | $200 | 1.8× |
| Pulm function test by gas (94727) | $151.90 | $245 | 0.7× |
| Pulmonary Stress Testing (94618) | $114.70 | $185 | 0.8× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $31 | $50 | 1.3× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $62 | $100 | 1.8× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $17.98 | $29 | 1.5× |
| Refill/Maint Portable Pump (96521) | $297.60 | $480 | 1.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $248 | $400 | 6.2× |
| Respiratory flow volume loop (94375) | $215.76 | $348 | 0.9× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $208.32 | $336 | 1.0× |
| Self Care Mngment Training (97535) | $107.88 | $174 | 3.3× |
| Sensory Integration Ea 15 Min (97533) | $124 | $200 | 2.0× |
| Sleep study unattended (95806) | $557.38 | $899 | 2.4× |
| Speech sound lang comprehen (92523) | $351.54 | $567 | 1.6× |
| Spirometry (94010) range across 3 matching MRF lines |
$119.04–$248 | $192–$400 | varies |
| Stress Tte Only (93350) | $1,642.38 | $2,649 | 2.8× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$55.18–$114.70 | $89–$185 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$304.42–$364.56 | $491–$588 | varies |
| Temp transcutaneous pacing (92953) | $527 | $850 | 0.7× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $62 | $100 | 2.8× |
| Ther Ivntj Ea Addl 15 Min (97130) | $58.90 | $95 | 2.8× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $47.74 | $77 | 1.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 12 matching MRF lines |
$13.64–$175.46 | $22–$283 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 4 matching MRF lines |
$192.82–$400.52 | $311–$646 | varies |
| Therapeutic Activities (97530) range across 4 matching MRF lines |
$92.38–$184.14 | $149–$297 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) range across 3 matching MRF lines |
$36.58–$55.80 | $59–$90 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 3 matching MRF lines |
$19.22–$24.80 | $31–$40 | varies |
| Tte w/doppler, complete (93306) | $1,817.84 | $2,932 | 3.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$88.04–$182.28 | $142–$294 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $282.10 | $455 | 2.0× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $496 | $800 | 2.2× |
| Vasopneumatic device (97016) | $80.60 | $130 | 6.7× |
| Vent Mgmt Inpat Init Day (94002) | $799.80 | $1,290 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $449.50 | $725 | 0.7× |
| Vital capacity, total (94150) range across 2 matching MRF lines |
$49.60–$102.30 | $80–$165 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $108.50 | $175 | 3.5× |
| Whirlpool Therapy (97022) | $69.44 | $112 | 4.4× |
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.