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 →

ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $269.08 $434 1.2×
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×
Bedside Swallowing Eval (92610) $198.40 $320 2.3×
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 Procedure (95992) $97.34 $157 2.4×
Car seat/bed test 60 min (94780) $105.71 $170.50 2.7×
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 Hormon Antineopl Sq/Im (96402) $80.60 $130 1.0×
Chemo IV push addl drug (96411) $170.50 $275 2.2×
Chemo prolong 8+ hrs infuse w/pump (96416) $403 $650 1.1×
Chemother, IV infusion, 1 hr (96413) $403 $650 1.1×
Chemother, IV infusion, ea add hr (96415) $136.40 $220 1.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $158.10 $255 2.1×
Chemotherapy into cns (96450) $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 push tq 1/1st sbst/drug (96409) $217 $350 0.6×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $541.88 $874 1.5×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $348.44 $562 1.0×
Color/duplex Doppler, complete (93975) $1,674 $2,700 6.6×
Color/duplex Doppler, limited (93976) $868 $1,400 7.8×
Cpap/bipap (94660) $403 $650 1.7×
Cpt initial (94667) $135.78 $219 1.0×
Critical care (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) $852.50 $1,375 7.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $1,271 $2,050 5.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $806 $1,300 7.2×
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 scan extracranial art compl bi study (93880) $1,240 $2,000 4.9×
Echo Heart Xthoracic,Limited (93308) $703.70 $1,135 2.8×
Electrocardiogram Tracing (93005) $203.98 $329 3.2×
Er level 1 (99281) $242.42 $391 2.7×
Er level ii (99282) $480.50 $775 2.9×
Er level iii (99283) $821.50 $1,325 2.8×
Er level IV (99284) $961 $1,550 2.2×
Er level v (99285) $1,085 $1,750 1.7×
Evaluate Pt Use Of Inhaler (94664) $29.76 $48 0.1×
Exercise tst brncspsm (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×
Holter Monitor (93225) $300.70 $485 2.1×
Imm admn sarscov2 vaccine single dose (90480) $22.94 $37 0.5×
Immune Admin Oral/Nasal (90473) $13.64 $22 0.2×
Immunization Admin (90471) $21.70 $35 0.3×
Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and… (95024) $14.88 $24 0.2×
Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens,… (95027) $13.64 $22 0.4×
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) $171.12 $276 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $393.70 $635 1.7×
IV infusion ther proph addl sequential to 1 hr (96367) $177.94 $287 2.3×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $296.67 $478.50 1.3×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $91.45 $147.50 1.8×
IV push ea addl new drug (96375) $182.28 $294 3.6×
IV push initial (96374) $211.42 $341 0.9×
Manual therapy 15 min (97140) $193.44 $312 7.0×
Massage 15 min (97124) $47.74 $77 1.6×
Mechanical traction (97012) $68.20 $110 4.7×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $134.85 $217.50 4.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $143.84 $232 3.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $52.70 $85 3.1×
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 press wound tx >50 cm (97608) $429.66 $693 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $317.44 $512 0.7×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $282.10 $455 2.0×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $102.30 $165 0.7×
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 complex 60 min (97167) $269.70 $435 2.7×
Ot eval low complex 30 min (97165) $238.70 $385 2.4×
Ot eval mod complex 45 min (97166) $254.20 $410 2.5×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $96.10 $155 1.9×
Ot Prosthetic Training, Each 15 Min (97761) $93 $150 2.3×
Ot re-evaluation (97168) $148.80 $240 2.2×
Ot therapeutic activity 15 min (97530) $92.38 $149 2.6×
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×
Paraffin bath pt (97018) $59.52 $96 9.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $195.30 $315 0.8×
Phlebotomy therapeutic (99195) $161.20 $260 1.1×
Plethysmography (94726) $545.60 $880 1.4×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,708.78 $4,369 3.0×
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 Electrical Stimulation (97032) $91.76 $148 6.2×
Pt eval high complex 45 min (97163) $257.30 $415 2.6×
Pt eval low complex 20 min (97161) $226.30 $365 2.3×
Pt eval mod complex 30 min (97162) $241.80 $390 2.5×
Pt gait training 15 min (97116) $86.80 $140 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $158.10 $255 4.8×
Pt Physical Performance Test (97750) $93 $150 2.8×
Pt re-evaluation (97164) $124 $200 1.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $107.88 $174 3.3×
Pt Whirlpool Therapy (97022) $69.44 $112 4.4×
Pulm function test by gas (94727) $151.90 $245 0.7×
Pulmonary stress test simple (94618) $114.70 $185 0.8×
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×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98971) $31 $50 1.3×
Refill/Maint Portable Pump (96521) $297.60 $480 1.3×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (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×
Rt Chest Wall Manipulation,Subsequent (94668) $85.56 $138 0.6×
Sensory Integration Ea 15 Min (97533) $124 $200 2.0×
Sleep study unattended (95806) $557.38 $899 2.4×
Smoking cessation > 10 min (99407) $55.80 $90 1.4×
Speech sound lang comprehen (92523) $351.54 $567 1.6×
Spirometry (94010) $248 $400 1.1×
Stress echo (93350) $1,642.38 $2,649 2.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $334.49 $539.50 1.5×
Subcutaneous Infusion Each Additional Hour (96370) $84.94 $137 1.7×
Temp transcutaneous pacing (92953) $527 $850 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $62 $100 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $58.90 $95 2.8×
Therapeutic prophylactic/dx injection subq/im (96372) $129.89 $209.50 1.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.80 $40 0.6×
Tte w/doppler, complete (93306) $1,817.84 $2,932 3.1×
Upr/lxtr art stdy 3+ lvls (93923) $496 $800 2.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $610.70 $985 2.6×
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) $75.95 $122.50 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $108.50 $175 3.5×