Visits & medical services prices at Upper Connecticut Valley Hospital
Colebrook, NH · every code in this section with a posted price and a Medicare benchmark.
53 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $75.48 | $136 | 5.3× |
| Assessment of aphasia per hr (96105) | $242.54 | $437 | 2.5× |
| Behavral qualit analys voice (92524) | $251.42 | $453 | 2.3× |
| Chemo IV infusion addl hr (96415) | $144.30 | $260 | 1.9× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $634.37 | $1,143 | 1.8× |
| Critical care first hour (99291) | $2,076.81 | $3,742 | 2.4× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $997.89 | $1,798 | 3.9× |
| Dup-scan xtr veins unilateral/limited study (93971) | $820.29 | $1,478 | 7.3× |
| Electrical Stimulation Ea 15 Min (97032) | $70.49 | $127 | 4.8× |
| Electrocardiogram Tracing (93005) | $182.60 | $329 | 2.9× |
| Emergency Dept Visit Level 2 (99282) | $249.75 | $450 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $440.67 | $794 | 1.5× |
| Emergency Dept Visit Level 4 (99284) | $693.20 | $1,249 | 1.6× |
| Er level 1 (99281) | $138.20 | $249 | 1.5× |
| Er level v (99285) | $995.12 | $1,793 | 1.6× |
| Evaluate Swallowing Function (92610) range across 2 matching MRF lines |
$177.60–$254.19 | $320–$458 | varies |
| External ECG rec>48hr<7d recording (93242) | $252.53 | $455 | 6.3× |
| External ECG rec>7d<15d recording (93246) | $252.53 | $455 | 6.3× |
| Extracranial Bilat Study (93880) | $779.78 | $1,405 | 3.1× |
| Immunization administration (90471) range across 4 matching MRF lines |
$29.42–$30.53 | $53–$55 | varies |
| Irrig Drug Delivery Device (96523) | $121.55 | $219 | 1.9× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$202.58–$212.57 | $365–$383 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $259.19 | $467 | 1.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $139.31 | $251 | 1.8× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $113.22 | $204 | 2.3× |
| IV push initial (96374) | $189.26 | $341 | 0.8× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $35.52 | $64 | 1.1× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $37.74 | $68 | 1.0× |
| Neuromuscular Reeducation (97112) | $98.24 | $177 | 3.0× |
| Oral Function Therapy (92526) | $173.72 | $313 | 2.1× |
| Ot eval high complexity (97167) | $272.51 | $491 | 2.7× |
| Ot Eval Low Complex (97165) | $213.68 | $385 | 2.1× |
| Ot Eval Moderate Complexity (97166) | $240.87 | $434 | 2.4× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$86.58–$102.12 | $156–$184 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $165.95 | $299 | 1.2× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $127.65 | $230 | 0.9× |
| Phlebotomy therapeutic (99195) | $181.49 | $327 | 1.3× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 2 matching MRF lines |
$17.76–$26.64 | $32–$48 | varies |
| Pt Eval High Complex (97163) | $272.51 | $491 | 2.8× |
| Pt eval low complex 20 min (97161) | $213.68 | $385 | 2.2× |
| Pt Eval Mod Complex (97162) | $240.87 | $434 | 2.5× |
| Pt Re-Eval Est Plan Care (97164) | $117.11 | $211 | 1.7× |
| Self Care Mngment Training (97535) | $89.91 | $162 | 2.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $61.05 | $110 | 2.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $56.06 | $101 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $45.51 | $82 | 1.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$77.70–$82.70 | $140–$149 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $341.88 | $616 | 1.5× |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$92.69–$98.79 | $167–$178 | varies |
| Tte w/doppler, complete (93306) | $1,523.48 | $2,745 | 2.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $198.14 | $357 | 2.6× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$122.66–$132.09 | $221–$238 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $397.38 | $716 | 2.8× |
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.