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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ProcedureCash priceGross charge× Medicare
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×
Bedside Swallowing Eval (92610) $220.64 $394 2.6×
Behavioral and qualitative analysis of voice and resonance (92524) $253.68 $453 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $162.68 $290.50 0.4×
Cardiac Stress Tst,Tracing Only (93017) $743.12 $1,327 3.2×
Cardioversion (92960) $390.32 $697 0.6×
Chemo Hormon Antineopl Sq/Im (96402) $351.68 $628 4.6×
Chemo IV push addl drug (96411) $127.68 $228 1.7×
Chemo prolong 8+ hrs infuse w/pump (96416) $646.80 $1,155 1.8×
Chemother, IV infusion, 1 hr (96413) $603.68 $1,078 1.7×
Chemother, IV infusion, ea add hr (96415) $136.64 $244 1.8×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $351.68 $628 4.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $156.24 $279 2.0×
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×
Cpap/bipap (94660) $392 $700 1.7×
Critical care (99291) $2,095.52 $3,742 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $126 $225 0.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $674.52 $1,204.50 6.0×
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 scan extracranial art compl bi study (93880) $786.80 $1,405 3.1×
Echo Heart Xthoracic,Limited (93308) $416.08 $743 1.6×
Electrocardiogram Tracing (93005) $152.88 $273 2.4×
Er level 1 (99281) $139.44 $249 1.5×
Er level ii (99282) $252 $450 1.5×
Er level iii (99283) $444.64 $794 1.5×
Er level IV (99284) $699.44 $1,249 1.6×
Er level v (99285) $1,004.08 $1,793 1.6×
Eval speech sound production (92522) $249.76 $446 2.2×
Evaluate Pt Use Of Inhaler (94664) $116.48 $208 0.5×
External ECG rec>48hr<7d recording (93242) $254.80 $455 6.4×
External ECG rec>7d<15d recording (93246) $254.80 $455 6.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $157.92 $282 0.8×
Imm admn sarscov2 vaccine single dose (90480) $29.12 $52 0.7×
Immunization Admin (90471) $29.68 $53 0.4×
Inhalation bronchial challenge testing (95070) $89.60 $160 0.2×
Irrig drug delivery device (96523) $88.48 $158 1.4×
IV infusion hydration each additional hour (96361) $168 $300 3.4×
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, therap/proph/diagnost,initial,1st hour (96365) $309.68 $553 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $114.24 $204 2.3×
IV push ea addl new drug (96375) $127.12 $227 2.5×
IV push initial (96374) $190.96 $341 0.8×
Manual therapy 15 min (97140) $96.32 $172 3.5×
Massage 15 min (97124) $45.92 $82 1.5×
Mechanical traction (97012) $50.40 $90 3.5×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $33.88 $60.50 1.1×
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×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $308 $550 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $202.72 $362 1.5×
Ot eval low complex 30 min (97165) $215.60 $385 2.1×
Ot eval mod complex 45 min (97166) $243.04 $434 2.4×
Ot therapeutic activity 15 min (97530) $93.52 $167 2.7×
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×
Paraffin bath pt (97018) $50.96 $91 8.5×
Phlebotomy therapeutic (99195) $177.24 $316.50 1.2×
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) $19.04 $34 0.4×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs Njxs (95117) $26.32 $47 0.5×
Pt Electrical Stimulation (97032) $50.96 $91 3.5×
Pt eval high complex 45 min (97163) $266.28 $475.50 2.7×
Pt eval low complex 20 min (97161) $208.88 $373 2.1×
Pt eval mod complex 30 min (97162) $235.48 $420.50 2.4×
Pt gait training 15 min (97116) $86.24 $154 3.0×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $99.12 $177 3.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $90.72 $162 2.8×
Pulmonary stress test simple (94618) $122.08 $218 0.9×
Sleep study unattended (95806) $355.60 $635 1.5×
Speech sound lang comprehen (92523) $266.56 $476 1.2×
Spirometry (94010) $39.20 $70 0.2×
Standardized Cognitive Performance Testing (96125) $251.44 $449 2.4×
Stress echo (93350) $1,129.52 $2,017 1.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $61.60 $110 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $56.56 $101 2.7×
Therapeutic prophylactic/dx injection subq/im (96372) $64.96 $116 0.8×
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 Swallowing Dysfunction&/Oral Funcj Feeding (92526) $175.28 $313 2.1×
Vasopneumatic device (97016) $57.68 $103 4.8×
Vent mgmt inpat init day (94002) $732.48 $1,308 1.1×