Procedures & surgery prices at Weeks Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $733.60 $1,310 0.8×
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $184.80 $330 0.2×
Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) $119.84 $214 0.7×
Application finger splint static (29130) $48.72 $87 0.3×
Application long arm splint shoulder hand (29105) $134.40 $240 0.8×
Application of rigid total contact leg cast (29445) $180.32 $322 0.6×
Application short arm splint forearm-hand static (29125) $127.68 $228 0.9×
Apply short leg splint (29515) $108.08 $193 0.6×
Arterial puncture (36600) $86.24 $154 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $70.56 $126 0.2×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $186.48 $333 0.6×
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $458.08 $818 1.4×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $59.92 $107 0.2×
Aspirate pleura w/ imaging (32555) $761.60 $1,360 1.1×
Avulsion nail plate partial/complete simple 1 (11730) $104.16 $186 0.5×
Bladder instillation anticarcinogenic agent (51720) $271.60 $485 0.4×
Blood transfusion service (36430) $771.68 $1,378 1.6×
Bx breast 1st lesion us imag (19083) $1,291.92 $2,307 0.7×
Catheter Aspiration Nasotracheal Spx (31720) $127.12 $227 0.5×
Change of cystostomy tube simple (51705) $411.04 $734 1.5×
Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) $938 $1,675 0.5×
Closed tx patellar dislocation w/o anesthesia (27560) $260.40 $465 1.0×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $404.32 $722 1.5×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $611.52 $1,092 0.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $142.24 $254 0.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $313.60 $560 1.2×
Cltx metacarpal fx w/manipulation each bone (26605) $124.88 $223 0.5×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $608.72 $1,087 2.3×
Cltx post hip arthrp dislc w/o anes (27265) $570.64 $1,019 2.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $260.40 $465 1.0×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $901.04 $1,609 0.5×
Colonoscopy flex w/rem forcep (45384) $3,978.24 $7,104 3.1×
Control Nasal Hemorrhage Anterior Simple (30901) $132.72 $237 0.9×
Cysto w/insert ureteral stent (52332) $2,122.96 $3,791 0.6×
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353)
unusually low: confirm this is the full procedure
$2,233.28 $3,988 0.4×
Cystourethroscopy (52000) $622.16 $1,111 0.8×
Debride tissue/muscle (11043) $778.96 $1,391 1.0×
Debridement subcutaneous tissue 20 sq cm/< (11042) $800.80 $1,430 1.8×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $898.80 $1,605 0.5×
Declot vascular device (36593) $278.88 $498 0.8×
Destroy lumb/sac facet jnt (64635) $2,142.56 $3,826 1.0×
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $809.76 $1,446 0.9×
Drain/inj small joint/bursa w/us (20604) $148.96 $266 0.5×
Drainage of gum lesion (41800) $305.20 $545 2.1×
Draw blood off venous device (36591) $187.60 $335 1.3×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $133.28 $238 0.6×
Egd control bleeding any (43255) $1,279.04 $2,284 0.6×
Egd flexible foreign body removal (43247) $3,346 $5,975 3.5×
Evacuation of subungual hematoma (11740) $199.92 $357 1.4×
Fine needle aspiration bx w/us gdn 1st lesion (10005) $348.32 $622 0.5×
I&d abscess simple (10060) $157.92 $282 0.7×
I&d pilonidal cyst simple (10080) $392 $700 0.5×
Incision & removal foreign body subq tiss simple (10120) $272.72 $487 0.6×
Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) $337.68 $603 0.4×
Injection aa&/strd trigeminal nerve each branch (64400) $139.44 $249 0.4×
Injection single/mlt trigger point 1/2 muscles (20552) $73.36 $131 0.2×
Injection single/mlt trigger point 3/> muscles (20553) $73.36 $131 0.2×
Insert non-tunnel cv cath (36556) $1,253.84 $2,239 0.4×
Insert Temp Bladder Cath (51702) $127.96 $228.50 0.9×
Insert,Non-Indwelling Bladder Catheter (51701) $99.12 $177 0.7×
Intubation endotracheal emergency procedure (31500) $216.16 $386 0.9×
Ligation of hemorrhoid(s) (46221) $432.32 $772 0.4×
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $1,136.52 $2,029.50 1.2×
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $891.80 $1,592.50 1.2×
Occipital Nerve Block (64405) $280.56 $501 0.9×
Perq replacement gtube not req revj gstrst trc (43762) $69.44 $124 0.3×
Picc line placement (36569) $2,424.80 $4,330 1.4×
Punch biopsy skin single lesion (11104) $119.84 $214 0.3×
Puncture aspiration of abscess hematoma bulla or cyst (10160) $272.72 $487 0.6×
Removal foreign body intranasal (30300) $73.36 $131 0.5×
Removal impacted cerumen irrigation/lvg unilat (69209) $63.84 $114 1.0×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $63.84 $114 1.0×
Removal of foreign body, external eye; corneal, without slit lamp (65220) $262.08 $468 0.5×
Removal of nail bed (11750) $314.72 $562 0.7×
Remv Ext Canal Foreign Body (69200) $147.84 $264 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $560 $1,000 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $547.68 $978 1.3×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $571.76 $1,021 1.3×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $547.68 $978 1.3×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $571.76 $1,021 1.3×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $594.72 $1,062 1.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $229.60 $410 1.6×
Sigmoidoscopy w/biopsy (45331) $2,153.20 $3,845 2.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $314.72 $562 1.5×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $323.68 $578 1.5×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $484.96 $866 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $322.56 $576 1.5×
Skin sub graft face/nk/hf/g (15275) $2,176.16 $3,886 2.8×
Skin sub graft trnk/arm/leg (15271) $2,284.80 $4,080 2.9×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $318.64 $569 1.5×
Spinal puncture lumbar diagnostic (62270) $291.76 $521 0.4×
Strapping unna boot (29580) $188.16 $336 1.1×
Trim skin lesion (11055) $387.52 $692 1.8×
Trurl dstrj prst8 tiss rf wv thermotherapy (53854) $421.68 $753 0.1×
Tube thoracostomy includes water seal (32551) $360.08 $643 0.2×
Us urine capacity measure (51798) $96.32 $172 1.5×
Venipuncture (36415) $14.56 $26 1.6×