Supplies, drugs & other prices at Wentworth-Douglass Hospital
Dover, NH · every code in this section with a posted price and a Medicare benchmark.
22 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $5,891.40 | $9,819 | 7.0× |
| 2d tte w or w/o fol w/con,fu (C8924) | $1,842.60 | $3,071 | 4.9× |
| Admin influenza virus vac (G0008) | $28.80 | $48 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $1,847.40 | $3,079 | 1.9× |
| Colorectal scrn; hi risk ind (G0105) | $2,055 | $3,425 | 2.1× |
| Diab manage trn per indiv (G0108) | $133.20 | $222 | 2.4× |
| Direct refer hospital observ (G0379) | $42 | $70 | 0.1× |
| Elec stim other than wound (G0283) | $51 | $85 | 4.0× |
| Hbot, full body chamber, 30m (G0277) | $700.20 | $1,167 | 4.8× |
| Home sleep test/type 3 porta (G0399) | $567.60 | $946 | 2.5× |
| Mra w/o fol w/cont, abd (C8902) | $5,641.20 | $9,402 | 15.1× |
| Mra w/o fol w/cont, chest (C8911) | $5,574.60 | $9,291 | 15.0× |
| Mri w/o fol w/cont, breast, (C8908) | $7,282.20 | $12,137 | 19.5× |
| Obtaining screen pap smear (Q0091) | $99.60 | $166 | 3.2× |
| Oth resp proc, group (G0239) | $45.60 | $76 | 1.1× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $25,198.80 | $41,998 | 2.0× |
| Prostate biopsy, any mthd (G0416) | $657 | $1,095 | 1.7× |
| Psa screening (G0103) | $156.60 | $261 | 8.1× |
| Trim nail(s) (G0127) | $47.40 | $79 | 0.8× |
| Tte w or w/o fol w/con,stres (C8928) | $3,748.20 | $6,247 | 4.5× |
| Tte w or wo fol wcon,doppler (C8929) | $4,159.20 | $6,932 | 5.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,537.80 | $2,563 | 2.1× |