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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ProcedureCash priceGross charge× Medicare
1St psyc collab care mgmt (99492) $125.95 $229 1.2×
Acoustic reflex testing (92568) $25.02 $45.50 0.6×
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $24.75 $45 0.8×
Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the… (97813) $35.75 $65 1.2×
Advance care planning first 30 mins (99497) $80.85 $147 0.7×
Airway inhalation treatment (94640) $75.90 $138 0.3×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $46.48 $84.50 3.2×
Application on-body injector (96377) $79.75 $145 1.6×
Assessment of aphasia per hr (96105) $228.80 $416 2.4×
Bedside Swallowing Eval (92610) $299.75 $545 3.5×
Behavioral and qualitative analysis of voice and resonance (92524) $176.55 $321 1.6×
Brief Emotional/Behavioral Assessment (96127) $15.40 $28 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $352 $640 0.9×
Canalith Repositioning Procedure (95992) $55 $100 1.3×
Cardiac Stress Tst,Tracing Only (93017) $416.90 $758 1.8×
Cardiopulmonary resuscitation (92950) $365.75 $665 1.6×
Cardioversion (92960) $224.40 $408 0.3×
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 Hormon Antineopl Sq/Im (96402) $105.05 $191 1.4×
Chemo IV push addl drug (96411) $151.25 $275 2.0×
Chemo prolong 8+ hrs infuse w/pump (96416) $376.75 $685 1.1×
Chemother, IV infusion, 1 hr (96413) $363 $660 1.0×
Chemother, IV infusion, ea add hr (96415) $88 $160 1.1×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $116.05 $211 1.5×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $177.10 $322 2.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $277.75 $505 0.8×
Color Vision Examination (92283) $19.25 $35 0.3×
Color/duplex Doppler, complete (93975) $471.35 $857 1.9×
Color/duplex Doppler, limited (93976) $223.30 $406 2.0×
Comprehensive Hearing Test (92557) $77 $140 0.6×
Conditioning Play Audiometry (92582) $37.95 $69 0.3×
Cont Gluc Monitoring Patient Provided Equipment (95249) $101.75 $185 1.6×
Cpap/bipap (94660) $334.95 $609 1.4×
Cpt initial (94667) $115.50 $210 0.8×
Critical care (99291) $287.10 $522 0.3×
Debridement Open Wound 20 Sq Cm< (97597) $41.80 $76 0.2×
Developmental tst admin phys/qhp 1st hour (96112) $166.10 $302 1.2×
Distort Product Evoked Otoacoustic Emisns Limitd (92587) $55.55 $101 0.2×
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×
Duplex scan extracranial art compl bi study (93880) $659.45 $1,199 2.6×
Echo Heart Xthoracic,Limited (93308) $490.88 $892.50 1.9×
EEG awake and asleep (95819) $641.85 $1,167 2.8×
EEG awake drowsy (95816) $641.85 $1,167 2.8×
Electrocardiogram Tracing (93005) $62.70 $114 1.0×
EMG four extremities (95864) $268.40 $488 2.0×
EMG one extremity (95860) $139.70 $254 1.0×
EMG three extremities (95863) $233.75 $425 1.7×
EMG two extremities (95861) $191.40 $348 1.3×
Er level 1 (99281) $94.60 $172 1.1×
Er level ii (99282) $190.30 $346 1.2×
Er level iii (99283) $404.80 $736 1.4×
Er level IV (99284) $617.65 $1,123 1.4×
Er level v (99285) $851.40 $1,548 1.3×
Eval speech sound production (92522) $95.70 $174 0.9×
Eval to use/fit voice prosth (92597) $154 $280 2.2×
Evaluate Pt Use Of Inhaler (94664) $75.90 $138 0.3×
Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with… (92607) $277.20 $504 2.3×
Evaluation of speech fluency (92521) $95.70 $174 0.7×
External ECG rec>48hr<7d recording (93242) $149.60 $272 3.8×
External ECG rec>7d<15d recording (93246) $194.15 $353 4.9×
Group Therapeutic Procedures (97150) $42.35 $77 2.3×
Holter Monitor (93225) $62.70 $114 0.4×
Imm admn sarscov2 vaccine single dose (90480) $19.80 $36.01 0.5×
Immune Admin Oral/Nasal (90473) $11.28 $20.51 0.1×
Immunization Admin (90471) $22 $40 0.3×
Inhalation bronchial challenge testing (95070) $365.75 $665 0.9×
Iontophoresis 15 min (97033) $71.50 $130 3.8×
Irrig drug delivery device (96523) $94.60 $172 1.5×
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, therap/proph/diagnost,initial,1st hour (96365) $256.30 $466 1.1×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $95.15 $173 1.9×
IV push ea addl new drug (96375) $92.40 $168 1.8×
IV push initial (96374) $142.45 $259 0.6×
Manual therapy 15 min (97140) $92.40 $168 3.3×
Massage 15 min (97124) $56.10 $102 1.9×
Mechanical chest wall oscillation (94669) $180.95 $329 0.8×
Mechanical traction (97012) $80.30 $146 5.6×
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) $48.95 $89 0.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $316.25 $575 3.5×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $57.75 $105 0.1×
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 hemidiaphragm (95866) $117.70 $214 0.9×
Needle electromyography larynx (95865) $114.95 $209 0.8×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $100.65 $183 0.7×
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) $33 $60 0.2×
Nerve Conduction Studies 11-12 Studies (95912) $122.98 $223.60 0.3×
Nerve conduction studies 13/> 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) $105.10 $191.10 0.3×
Nerve conduction studies; 1-2 studies (95907) $68.75 $125 0.3×
Nitric oxide expired gas determination (95012) $48.40 $88 1.2×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $303.05 $551 2.1×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $216.70 $394 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $77 $140 1.7×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $27.50 $50 1.2×
Osteopathic manipulative tx 3-4 body regions (98926) $25.85 $47 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $63.80 $116 2.0×
Ot Contrast Bath Ea 15 Min (97034) $42.35 $77 3.0×
Ot eval high complex 60 min (97167) $184.80 $336 1.8×
Ot eval low complex 30 min (97165) $184.80 $336 1.8×
Ot eval mod complex 45 min (97166) $166.10 $302 1.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $69.85 $127 1.4×
Ot Prosthetic Training, Each 15 Min (97761) $67.10 $122 1.7×
Ot Range Motion Measure,Each Extrem (95851) $27.50 $50 1.1×
Ot re-evaluation (97168) $130.35 $237 1.9×
Ot therapeutic activity 15 min (97530) $71.50 $130 2.0×
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×
Paraffin bath pt (97018) $24.20 $44 4.0×
Phlebotomy therapeutic (99195) $141.90 $258 1.0×
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×
Plethysmography (94726) $279.40 $508 0.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $30.80 $56 0.6×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $37.40 $68 0.7×
Psych diag eval w/med srvcs (90792) $146.85 $267 0.8×
Psychiatric diagnostic evaluation (90791) $162.52 $295.50 0.9×
Psytx crisis initial 60 min (90839) $147.95 $269 0.8×
Pt Aquatic Therapy/Exercises (97113) $75.35 $137 2.0×
Pt Electrical Stimulation (97032) $42.35 $77 2.9×
Pt eval high complex 45 min (97163) $147.12 $267.50 1.5×
Pt eval low complex 20 min (97161) $195.80 $356 2.0×
Pt eval mod complex 30 min (97162) $195.80 $356 2.0×
Pt gait training 15 min (97116) $57.20 $104 2.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $71.50 $130 2.2×
Pt Physical Performance Test (97750) $72.60 $132 2.2×
Pt re-evaluation (97164) $138.05 $251 2.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $63.25 $115 2.0×
Pt Whirlpool Therapy (97022) $51.70 $94 3.3×
Pt-focused hlth risk assmt (96160) $19.25 $35 0.5×
Pulm Funct Test Oscillometry (94728) $74.25 $135 0.5×
Pulm function test by gas (94727) $74.25 $135 0.3×
Pulmonary Service/Procedure (94799) $42.08 $76.50 0.3×
Pulmonary stress test simple (94618) $84.98 $154.50 0.6×
Pure Tone Audiometry Air & Bone (92553) $48.95 $89 0.4×
Pure Tone Audiometry Air Only (92552) $14.85 $27 0.1×
Refill/Maint Portable Pump (96521) $256.30 $466 1.1×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $38.50 $70 1.0×
Respiratory flow volume loop (94375) $219.45 $399 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $131.45 $239 0.6×
Rom meas&reprt hand w/wo comparison normal sid (95852) $27.50 $50 1.3×
Rt Chest Wall Manipulation,Subsequent (94668) $84.15 $153 0.6×
Sbsq psyc collab care mgmt (99493) $136.95 $249 1.3×
Sensory Integration Ea 15 Min (97533) $63.25 $115 1.0×
Slp caregiver training 1st 30 min (97550) $127.05 $231 2.4×
Smoking cessation > 10 min (99407) $30.80 $56 0.8×
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) $48.95 $89 0.2×
Standardized Cognitive Performance Testing (96125) $228.80 $416 2.2×
Temp transcutaneous pacing (92953) $419.10 $762 0.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $60.50 $110 2.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $60.50 $110 2.9×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $205.70 $374 2.0×
Therapeutic prophylactic/dx injection subq/im (96372) $32.72 $59.50 0.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $19.25 $35 0.5×
Trans Care Mgmt 14 Day Disch (99495) $101.75 $185 0.7×
Trans Care Mgmt 7 Day Disch (99496) $149.05 $271 1.0×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $133.65 $243 1.6×
Tympanometry (92567) $19.80 $36 0.5×
Upr/lxtr art stdy 3+ lvls (93923) $469.98 $854.50 2.0×
Vasc Duplex Scan Extracranial,Limited (93882) $371.80 $676 3.3×
Vent mgmt inpat init day (94002) $1,471.25 $2,675 2.2×
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×