Visits & medical services prices at Weeks Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $29.12 $52 0.7×
Airway Inhalation Treatment (94640) $128.80 $230 0.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $76.16 $136 5.3×
Application on-body injector (96377) $119.28 $213 2.4×
Behavral qualit analys voice (92524) $253.68 $453 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$153.44–$171.92 $274–$307 varies
Cardiac Stress Tst,Tracing Only (93017) $743.12 $1,327 3.2×
Cardioversion (92960) $390.32 $697 0.6×
Chemo Anti-Neopl Sq/Im (96401) $351.68 $628 4.6×
Chemo Hormon Antineopl Sq/Im (96402) $351.68 $628 4.6×
Chemo IV infusion addl hr (96415)
range across 3 matching MRF lines
$136.64–$145.60 $244–$260 varies
Chemo IV push addl drug (96411) $127.68 $228 1.7×
Chemother Prolong Infuse W/Pump (96416) $646.80 $1,155 1.8×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $156.24 $279 2.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413)
range across 3 matching MRF lines
$561.68–$640.08 $1,003–$1,143 varies
Chemotx admn IV push tq 1/1st sbst/drug (96409) $248.08 $443 0.7×
Color/duplex Doppler, complete (93975) $879.76 $1,571 3.5×
Color/duplex Doppler, limited (93976) $718.48 $1,283 6.4×
Continuous Pulse Ox (94762) $202.72 $362 1.5×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $392 $700 1.7×
Critical care first hour (99291) $2,095.52 $3,742 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $126 $225 0.6×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,006.88 $1,798 4.0×
Dup-scan xtr veins unilateral/limited study (93971) $827.68 $1,478 7.4×
Duplex up extrem art unilat/ltd (93931)
range across 2 matching MRF lines
$613.76–$735.28 $1,096–$1,313 varies
Echo Heart Xthoracic,Limited (93308) $416.08 $743 1.6×
Electrical Stimulation Ea 15 Min (97032)
range across 2 matching MRF lines
$30.80–$71.12 $55–$127 varies
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$121.52–$184.24 $217–$329 varies
Emergency Dept Visit Level 2 (99282) $252 $450 1.5×
Emergency Dept Visit Level 3 (99283) $444.64 $794 1.5×
Emergency Dept Visit Level 4 (99284) $699.44 $1,249 1.6×
Er level 1 (99281) $139.44 $249 1.5×
Er level v (99285) $1,004.08 $1,793 1.6×
Evaluate pt use of inhaler (94664)
range across 2 matching MRF lines
$109.76–$123.20 $196–$220 varies
Evaluate Speech Production (92522) $249.76 $446 2.2×
Evaluate Swallowing Function (92610)
range across 2 matching MRF lines
$179.20–$262.08 $320–$468 varies
External ECG rec>48hr<7d recording (93242) $254.80 $455 6.4×
External ECG rec>7d<15d recording (93246) $254.80 $455 6.4×
Extracranial Bilat Study (93880) $786.80 $1,405 3.1×
Flexible endoscopic eval swallow c/v rec (92612) $157.92 $282 0.8×
Immunization administration (90471)
range across 5 matching MRF lines
$12.32–$30.80 $22–$55 varies
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $89.60 $160 0.2×
Irrig Drug Delivery Device (96523)
range across 2 matching MRF lines
$86.24–$90.72 $154–$162 varies
IV infusion hydration each additional hour (96361)
range across 5 matching MRF lines
$138.32–$214.48 $247–$383 varies
IV infusion hydration initial 31 min-1 hour (96360) $261.52 $467 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $140.56 $251 1.8×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 5 matching MRF lines
$108.64–$114.24 $194–$204 varies
IV push initial (96374)
range across 5 matching MRF lines
$190.96–$195.44 $341–$349 varies
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$31.92–$35.84 $57–$64 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $38.08 $68 1.0×
Methacholine challenge (94070) $429.52 $767 1.1×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $194.88 $348 0.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $104.16 $186 0.5×
Neuromuscular Reeducation (97112) $99.12 $177 3.0×
Oral Function Therapy (92526) $175.28 $313 2.1×
Ot Eval Low Complex (97165) $215.60 $385 2.1×
Ot Eval Moderate Complexity (97166) $243.04 $434 2.4×
Ot manual therapy 15 min (97140)
range across 5 matching MRF lines
$87.36–$103.04 $156–$184 varies
Ot paraffin bath (97018) $50.96 $91 8.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $167.44 $299 1.2×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $128.80 $230 0.9×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$171.36–$183.12 $306–$327 varies
Plethysmography (94726) $103.04 $184 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,446.64 $4,369 2.7×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115)
range across 2 matching MRF lines
$18.48–$19.60 $33–$35 varies
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117)
range across 4 matching MRF lines
$17.92–$28.56 $32–$51 varies
Pt Eval High Complex (97163)
range across 2 matching MRF lines
$257.60–$274.96 $460–$491 varies
Pt eval low complex 20 min (97161)
range across 2 matching MRF lines
$202.16–$215.60 $361–$385 varies
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$227.92–$243.04 $407–$434 varies
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$80.64–$86.24 $144–$154 varies
Pt mechanical traction (97012) $50.40 $90 3.5×
Pulmonary Stress Testing (94618) $122.08 $218 0.9×
Self Care Mngment Training (97535) $90.72 $162 2.8×
Sleep study unattended (95806) $355.60 $635 1.5×
Speech sound lang comprehen (92523) $266.56 $476 1.2×
Spirometry (94010)
range across 3 matching MRF lines
$17.36–$50.40 $31–$90 varies
Standardized Cognitive Performance Testing (96125) $251.44 $449 2.4×
Stress Tte Only (93350) $1,129.52 $2,017 1.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $61.60 $110 2.8×
Ther Ivntj Ea Addl 15 Min (97130) $56.56 $101 2.7×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $45.92 $82 1.5×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 5 matching MRF lines
$35.84–$83.44 $64–$149 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 3 matching MRF lines
$309.68–$344.96 $553–$616 varies
Therapeutic Activities (97530)
range across 7 matching MRF lines
$93.52–$99.68 $167–$178 varies
Tte w/doppler, complete (93306) $1,537.20 $2,745 2.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $199.92 $357 2.6×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 3 matching MRF lines
$123.76–$133.28 $221–$238 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$215.04–$400.96 $384–$716 varies
Vasopneumatic device (97016) $57.68 $103 4.8×
Vent Mgmt Inpat Init Day (94002) $732.48 $1,308 1.1×

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.