Visits & medical services prices at Valley Regional Hospital

Claremont, NH · every code in this section with a posted price and a Medicare benchmark.

185 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $125.95 $229 1.2×
Acoustic Reflex Testing (92568)
range across 4 matching MRF lines
$23.65–$26.40 $43–$48 varies
Acupunct W/Stimul 15 Min (97813) $35.75 $65 1.2×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $24.75 $45 0.8×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 4 matching MRF lines
$12.11–$27.50 $22.02–$50 varies
Advncd Care Plan 30 Min (99497) $80.85 $147 0.7×
Airway Inhalation Treatment (94640)
range across 7 matching MRF lines
$61.60–$75.90 $112–$138 varies
Airway resistance by oscillometry (94728) $74.25 $135 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 10 matching MRF lines
$33–$52.80 $60–$96 varies
Application on-body injector (96377) $79.75 $145 1.6×
Assessment of aphasia per hr (96105) $228.80 $416 2.4×
Audiometry Air & Bone (92553) $48.95 $89 0.4×
Behavral qualit analys voice (92524) $176.55 $321 1.6×
Brief Emotional/Behav Assmt (96127) $15.40 $28 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$61.05–$352 $111–$640 varies
Canalith repositioning proc (95992) $55 $100 1.3×
Cardiac Stress Tst,Tracing Only (93017) $416.90 $758 1.8×
Cardiopulmonary resuscitation (92950)
range across 5 matching MRF lines
$365.75–$486.75 $665–$885 varies
Cardioversion (92960)
range across 5 matching MRF lines
$224.40–$431.20 $408–$784 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $19.25 $35 0.5×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $63.25 $115 2.4×
Cbt 1st hour (94644) $217.25 $395 1.5×
Chemo Anti-Neopl Sq/Im (96401) $116.05 $211 1.5×
Chemo Hormon Antineopl Sq/Im (96402)
range across 4 matching MRF lines
$87.45–$122.65 $159–$223 varies
Chemo IV infusion addl hr (96415) $88 $160 1.1×
Chemo IV push addl drug (96411) $151.25 $275 2.0×
Chemother Prolong Infuse W/Pump (96416) $376.75 $685 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $177.10 $322 2.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $363 $660 1.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $277.75 $505 0.8×
Chest Wall Manipulation (94668) $84.15 $153 0.6×
Color Vision Xm Extended Anomaloscope/Equiv (92283)
range across 4 matching MRF lines
$8.25–$30.25 $15–$55 varies
Color/duplex Doppler, complete (93975) $471.35 $857 1.9×
Color/duplex Doppler, limited (93976) $223.30 $406 2.0×
Community/Work Reintegration Trainj Ea 15 Min (97537) $63.80 $116 2.0×
Comprehensive Hearing Test (92557)
range across 6 matching MRF lines
$73.15–$162.25 $133–$295 varies
Conditioning Play Audiometry (92582)
range across 4 matching MRF lines
$33–$42.90 $60–$78 varies
Cont Gluc Mntr Pt Prov Eqp (95249)
range across 4 matching MRF lines
$97.90–$105.60 $178–$192 varies
Continuous Pulse Ox (94762) $216.70 $394 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $334.95 $609 1.4×
Cpt initial (94667) $115.50 $210 0.8×
Critical care first hour (99291)
range across 7 matching MRF lines
$287.10–$1,458.60 $522–$2,652 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 9 matching MRF lines
$14.85–$41.80 $27–$76 varies
Developmental tst admin phys/qhp 1st hour (96112) $166.10 $302 1.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $694.65 $1,263 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $553.30 $1,006 5.0×
Echo Heart Xthoracic,Limited (93308)
range across 4 matching MRF lines
$481.25–$500.50 $875–$910 varies
EEG awake and asleep (95819) $641.85 $1,167 2.8×
EEG awake drowsy (95816) $641.85 $1,167 2.8×
Electrical Stimulation Ea 15 Min (97032)
range across 5 matching MRF lines
$34.10–$42.35 $62–$77 varies
Electrocardiogram Tracing (93005)
range across 11 matching MRF lines
$29.15–$134.20 $53–$244 varies
Emergency Dept Visit Level 2 (99282)
range across 6 matching MRF lines
$93.50–$216.70 $170–$394 varies
Emergency Dept Visit Level 3 (99283)
range across 6 matching MRF lines
$139.15–$449.35 $253–$817 varies
Emergency Dept Visit Level 4 (99284)
range across 6 matching MRF lines
$191.95–$778.80 $349–$1,416 varies
Emg 3 Extremities (95863) $233.75 $425 1.7×
Emg 4 Extremities (95864) $268.40 $488 2.0×
Er level 1 (99281)
range across 4 matching MRF lines
$56.65–$132.55 $103–$241 varies
Er level v (99285)
range across 6 matching MRF lines
$231.55–$876.15 $421–$1,593 varies
Evaluate pt use of inhaler (94664)
range across 5 matching MRF lines
$24.20–$75.90 $44–$138 varies
Evaluate Speech Production (92522) $95.70 $174 0.9×
Evaluate Swallowing Function (92610)
range across 5 matching MRF lines
$90.58–$299.75 $164.70–$545 varies
Evaluation of speech fluency (92521) $95.70 $174 0.7×
Evoked Auditory Test,Limited (92587) $55.55 $101 0.2×
External ECG rec>48hr<7d recording (93242) $149.60 $272 3.8×
External ECG rec>7d<15d recording (93246) $194.15 $353 4.9×
Extracranial Bilat Study (93880) $659.45 $1,199 2.6×
Extracranial Uni/Ltd Study (93882) $371.80 $676 3.3×
Group Therapeutic Procedures (97150)
range across 5 matching MRF lines
$35.20–$42.35 $64–$77 varies
Holter monitor recording (93225) $62.70 $114 0.4×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 4 matching MRF lines
$10.45–$12.11 $19–$22.02 varies
Immunization administration (90471)
range across 11 matching MRF lines
$12.11–$34.10 $22.02–$62 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $365.75 $665 0.9×
Iontophoresis 15 min (97033)
range across 5 matching MRF lines
$58.30–$71.50 $106–$130 varies
Irrig Drug Delivery Device (96523)
range across 7 matching MRF lines
$75.90–$94.60 $138–$172 varies
Ischemic limb exercise test (95875) $140.80 $256 1.0×
IV infusion hydration each additional hour (96361) $88.55 $161 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $204.05 $371 0.9×
IV infusion ther proph addl sequential to 1 hr (96367) $140.80 $256 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366) $95.15 $173 1.9×
IV push initial (96374)
range across 8 matching MRF lines
$114.95–$142.45 $209–$259 varies
Mechanical chest wall oscillation per session (94669) $180.95 $329 0.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $51.15 $93 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57.75 $105 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $28.05 $51 1.6×
Methacholine challenge (94070)
range across 5 matching MRF lines
$48.95–$427.90 $89–$778 varies
Motion Fluoroscopy/Swallow (92611) $316.25 $575 3.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $57.75 $105 0.1×
Muscle Test 2 Limbs (95861) $191.40 $348 1.3×
Muscle Test Hemidiaphragm (95866) $117.70 $214 0.9×
Muscle Test Nonparaspinal (95870) $100.65 $183 0.7×
Muscle Test One Limb (95860) $139.70 $254 1.0×
Nasopharyngoscopy (92511) $104.50 $190 0.5×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $158.95 $289 0.7×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $126.50 $230 0.5×
Needle electromyography larynx (95865) $114.95 $209 0.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $95.70 $174 0.4×
Needle EMG w/1 fiber electrode quan meas jitter (95872) $222.75 $405 1.0×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $145.75 $265 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 7 matching MRF lines
$17.60–$50.60 $32–$92 varies
Nerve Conduction Studies 1-2 Studies (95907) $68.75 $125 0.3×
Nerve Conduction Studies 11-12 Studies (95912)
range across 6 matching MRF lines
$66.22–$189.20 $120.40–$344 varies
Nerve conduction studies 13 or more studies (95913) $219.45 $399 0.6×
Nerve Conduction Studies 3-4 Studies (95908) $84.70 $154 0.4×
Nerve conduction studies 5-6 studies (95909) $101.75 $185 0.4×
Nerve conduction studies 7-8 studies (95910) $133.65 $243 0.3×
Nerve Conduction Studies 9-10 Studies (95911)
range across 6 matching MRF lines
$56.59–$161.70 $102.90–$294 varies
Neuromuscular Reeducation (97112)
range across 5 matching MRF lines
$58.30–$71.50 $106–$130 varies
Nitric oxide expired gas determination (95012) $48.40 $88 1.2×
Oral Function Therapy (92526) $133.65 $243 1.6×
Oral Speech Device Eval (92597) $154 $280 2.2×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 5 matching MRF lines
$56.65–$69.85 $103–$127 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 5 matching MRF lines
$63.25–$77 $115–$140 varies
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $27.50 $50 1.2×
Osteopathic manipulative tx 3-4 body regions (98926)
range across 6 matching MRF lines
$13.75–$39.60 $25–$72 varies
Ot Contrast Bath Ea 15 Min (97034) $42.35 $77 3.0×
Ot eval high complexity (97167)
range across 4 matching MRF lines
$166.10–$203.50 $302–$370 varies
Ot Eval Low Complex (97165)
range across 4 matching MRF lines
$166.10–$203.50 $302–$370 varies
Ot Eval Moderate Complexity (97166)
range across 6 matching MRF lines
$91.20–$203.50 $165.83–$370 varies
Ot manual therapy 15 min (97140)
range across 5 matching MRF lines
$75.35–$92.40 $137–$168 varies
Ot paraffin bath (97018)
range across 5 matching MRF lines
$20.35–$24.20 $37–$44 varies
Ot Prosthetic Training, Each 15 Min (97761) $67.10 $122 1.7×
Ot Re-Eval Est Plan Care (97168)
range across 4 matching MRF lines
$117.15–$143.55 $213–$261 varies
Ot rom hand (95852) $27.50 $50 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $244.75 $445 1.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $122.10 $222 0.9×
Phlebotomy therapeutic (99195)
range across 4 matching MRF lines
$139.15–$144.65 $253–$263 varies
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $130.35 $237 2.1×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $130.35 $237 2.1×
Physical Performance Test (97750) $72.60 $132 2.2×
Plethysmography (94726)
range across 4 matching MRF lines
$74.25–$484.55 $135–$881 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 4 matching MRF lines
$27.50–$34.10 $50–$62 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $37.40 $68 0.7×
Psych diag eval w/med srvcs (90792)
range across 6 matching MRF lines
$78.65–$225.50 $143–$410 varies
Psychiatric diagnostic evaluation (90791)
range across 8 matching MRF lines
$68.75–$196.90 $125–$358 varies
Psytx Crisis Initial 60 Min (90839)
range across 8 matching MRF lines
$62.70–$179.30 $114–$326 varies
Pt Eval High Complex (97163)
range across 4 matching MRF lines
$98.45–$195.80 $179.01–$356 varies
Pt eval low complex 20 min (97161) $195.80 $356 2.0×
Pt Eval Mod Complex (97162) $195.80 $356 2.0×
Pt gait training 15 min (97116) $57.20 $104 2.0×
Pt mechanical traction (97012) $80.30 $146 5.6×
Pt Re-Eval Est Plan Care (97164) $138.05 $251 2.0×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $19.25 $35 0.5×
Pulm function test by gas (94727) $74.25 $135 0.3×
Pulmonary service/procedure (94799)
range across 2 matching MRF lines
$24.75–$59.40 $45–$108 varies
Pulmonary Stress Testing (94618)
range across 4 matching MRF lines
$34.65–$135.30 $63–$246 varies
Pure Tone Audiometry Air (92552) $14.85 $27 0.1×
Refill/Maint Portable Pump (96521) $256.30 $466 1.1×
Remote 30 Day Ecg Rev/Report (93270) $38.50 $70 1.0×
Respiratory flow volume loop (94375)
range across 3 matching MRF lines
$42.35–$219.45 $77–$399 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 8 matching MRF lines
$126.50–$157.30 $230–$286 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $27.50 $50 1.1×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $277.20 $504 2.3×
Sbsq Psyc Collab Care Mgmt (99493) $136.95 $249 1.3×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$51.70–$63.25 $94–$115 varies
Sensory Integration Ea 15 Min (97533) $63.25 $115 1.0×
Slp caregiver training 1st 30 min (97550) $127.05 $231 2.4×
Speech Audiometry Complete (92556) $47.30 $86 0.8×
Speech audiometry threshold (92555) $58.85 $107 0.9×
Speech sound lang comprehen (92523) $246.95 $449 1.1×
Spirometry (94010)
range across 3 matching MRF lines
$42.35–$48.95 $77–$89 varies
Standardized Cognitive Performance Testing (96125)
range across 4 matching MRF lines
$96.80–$228.80 $176–$416 varies
Temp transcutaneous pacing (92953)
range across 4 matching MRF lines
$365.75–$472.45 $665–$859 varies
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $60.50 $110 2.7×
Ther Ivntj Ea Addl 15 Min (97130) $60.50 $110 2.9×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $75.35 $137 2.0×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $56.10 $102 1.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $205.70 $374 2.0×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 10 matching MRF lines
$26.95–$36.30 $49–$66 varies
Ther/Proph/Diag Iv Inf Init (96365) $256.30 $466 1.1×
Therapeutic Activities (97530)
range across 5 matching MRF lines
$58.30–$71.50 $106–$130 varies
Tobacco Use Cessation Intensive >10 Minutes (99407) $30.80 $56 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $19.25 $35 0.5×
Trans Care Mgmt 14 Day Disch (99495)
range across 6 matching MRF lines
$55–$156.75 $100–$285 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 6 matching MRF lines
$80.30–$229.35 $146–$417 varies
Tte w/doppler, complete (93306) $1,487.75 $2,705 2.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $130.90 $238 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $92.40 $168 1.8×
Tympanometry (92567)
range across 4 matching MRF lines
$17.05–$42.90 $31–$78 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 4 matching MRF lines
$238.70–$367.40 $434–$668 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 4 matching MRF lines
$361.90–$578.05 $658–$1,051 varies
Vent Mgmt Inpat Init Day (94002)
range across 5 matching MRF lines
$154.55–$1,471.25 $281–$2,675 varies
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $803.55 $1,461 1.2×
Visual reinforcement audiometry (vra) (92579) $92.40 $168 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $67.10 $122 2.2×
Whirlpool Therapy (97022) $51.70 $94 3.3×

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.