Littleton Regional Healthcare
Littleton Regional Healthcare in Littleton, NH publishes cash prices for 205 common procedures listed here, from its own machine-readable price file (the file does not say when it was last updated). Compared with other hospitals in the state, its outpatient cash prices are below the New Hampshire median for 126 of 193 procedures and above it for 61. By typical cash price it ranks #9 of 16 New Hampshire hospitals and #5 of 6 hospitals in the Lebanon, NH area, cheapest first. Click a procedure to compare it with other hospitals nearby.
600 St Johnsbury Rd,Littleton,NH,03561 Collected Sep 29, 2026 Source price file (603) 444-9000
Critical access hospital (rural, 25 beds or fewer) Emergency department CMS star rating 1 of 5 CCN 301302 · CMS hospital register NPI 1144223702
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 4 actions for a hospital named Littleton Regional Healthcare in Littleton, NH:
- Dec 1, 2021 Warning notice
- Nov 4, 2022 Corrective action plan requested
- Apr 18, 2023 Case closed
- Jul 2, 2026 Met requirements
Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION | $989.48 | $1,706.00 | — | 37% below | 42% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN | $197.20 | $340.00 | $340.00 | 62% below | 42% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C- | $617.70 | $1,065.00 | $860.63 | 28% below | 42% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED | $197.20 | $340.00 | $250.70 | 43% below | 42% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $573.62 | $989.00 | $847.96 | 4% below | 42% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS | $499.38 | $861.00 | $676.69 | 20% below | 42% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED ULTRASOUND OF PREGNANT UTERUS | $341.62 | $589.00 | $482.80 | 12% below | 42% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY | $193.72 | $334.00 | $334.00 | 75% below | 42% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL | $66.12 | $114.00 | $43.12 | 3% below | 42% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL | $66.12 | $114.00 | $42.15 | 1% below | 42% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $324.80 | $560.00 | $387.53 | 20% below | 42% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA | $73.08 | $126.00 | $42.47 | 52% above | 42% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH | $276.08 | $476.00 | $42.47 | 474% above | 42% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT | $106.14 | $183.00 | $105.37 | 11% below | 42% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 SCREENING TEST FOR AUTOIMMUNE DISORDER | $96.28 | $166.00 | $98.37 | 12% below | 42% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL | $212.86 | $367.00 | $319.43 | at median | 42% |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $71.34 | $123.00 | $68.83 | 1% above | 42% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATHOLOGY EXAMINATION OF TISSUE USING A MICROSCOPE; INTERMEDIATE COMPLEXITY | $203.58 | $351.00 | $285.10 | 4% below | 42% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA | $129.92 | $224.00 | $83.97 | 15% below | 42% |
| Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE | $259.84 | $448.00 | $83.97 | 70% above | 42% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE | $16.82 | $29.00 | $29.00 | 8% below | 42% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE | $21.46 | $37.00 | $37.00 | 17% above | 42% |
| Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL | $49.88 | $86.00 | $31.98 | 25% above | 42% |
| Blood lead test CPT 83655 LEAD LEVEL | $63.80 | $110.00 | $98.53 | 39% below | 42% |
| Blood lead test CPT 83655 ASSAY OF LEAD | $66.70 | $115.00 | $98.53 | 36% below | 42% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS | $120.06 | $207.00 | $61.18 | 19% above | 42% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO) | $45.24 | $78.00 | $24.33 | 18% below | 42% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION | $70.76 | $122.00 | $42.15 | 9% below | 42% |
| C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE | $304.50 | $525.00 | $303.24 | 19% above | 42% |
| CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9 | $122.96 | $212.00 | $169.32 | 30% below | 42% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOLOGIC ANALYSIS FOR DETECTION OF TUMOR ANTIGEN; QUANTITATIVE; CA 125 | $150.22 | $259.00 | $169.32 | 21% below | 42% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB | $151.38 | $261.00 | $261.00 | 1% below | 42% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN | $157.76 | $272.00 | $272.00 | 3% above | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE | $171.68 | $296.00 | $285.50 | 1% below | 42% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE | $343.36 | $592.00 | $285.50 | 97% above | 42% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $93.96 | $162.00 | $108.95 | 5% below | 42% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $66.70 | $115.00 | $63.22 | 32% above | 42% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $63.80 | $110.00 | $52.64 | 5% above | 42% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $85.26 | $147.00 | $85.92 | 11% below | 42% |
| D-dimer blood test (blood clot marker) CPT 85379 COAGULATION FUNCTION MEASUREMENT; D-DIMER; QUANTITATIVE | $218.66 | $377.00 | $82.83 | 37% above | 42% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL | $147.90 | $255.00 | $180.87 | 1% below | 42% |
| Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE) | $197.78 | $341.00 | $227.33 | 10% above | 42% |
| Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL | $205.32 | $354.00 | $227.33 | 15% above | 42% |
| FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL | $136.88 | $236.00 | $151.17 | 2% above | 42% |
| Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL | $203.58 | $351.00 | $159.72 | 13% below | 42% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL | $131.08 | $226.00 | $110.90 | 17% above | 42% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM | $107.30 | $185.00 | $119.60 | 8% above | 42% |
| Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE | $178.06 | $307.00 | $137.83 | 8% below | 42% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE | $95.70 | $165.00 | $73.39 | 9% below | 42% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE | $114.26 | $197.00 | $73.39 | 8% above | 42% |
| Free testosterone test CPT 84402 TESTOSTERONE (HORMONE) LEVEL; FREE | $135.14 | $233.00 | $207.23 | 22% below | 42% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL | $281.30 | $485.00 | $401.45 | 12% above | 42% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 BLOOD GLUCOSE (SUGAR) LEVEL AFTER RECEIVING DOSE OF GLUCOSE | $60.90 | $105.00 | $38.65 | at median | 42% |
| Glucose tolerance test, 3 samples CPT 82951 BLOOD GLUCOSE (SUGAR) TOLERANCE TEST; 3 SPECIMENS | $107.88 | $186.00 | $104.71 | 28% below | 42% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE | $171.68 | $296.00 | $285.50 | 8% below | 42% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB | $178.06 | $307.00 | $285.50 | 4% below | 42% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY | $157.76 | $272.00 | $137.10 | 13% below | 42% |
| H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL | $200.10 | $345.00 | $117.00 | 53% above | 42% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION | $408.90 | $705.00 | $692.40 | 16% below | 42% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HIV-1 ANTIGEN AND HIV-1 AND HIV-2 ANTIBODIES | $104.40 | $180.00 | $180.00 | 9% below | 42% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA | $144.42 | $249.00 | $195.92 | 26% above | 42% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT | $95.70 | $165.00 | $165.00 | 51% below | 42% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL | $82.36 | $142.00 | $79.00 | 2% above | 42% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $82.94 | $143.00 | $87.38 | 19% below | 42% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN | $73.66 | $127.00 | $84.05 | 23% below | 42% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA | $76.56 | $132.00 | $84.05 | 20% below | 42% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT | $180.38 | $311.00 | $116.11 | 5% above | 42% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION | $284.78 | $491.00 | $348.56 | 44% below | 42% |
| Herpes blood test, HSV-1 antibody CPT 86695 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 1 | $104.98 | $181.00 | $107.32 | 16% below | 42% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST | $115.42 | $199.00 | $107.32 | 8% below | 42% |
| Herpes blood test, HSV-2 antibody CPT 86696 ANALYSIS FOR ANTIBODY TO HERPES SIMPLEX VIRUS; TYPE 2 | $110.20 | $190.00 | $157.44 | 25% below | 42% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST | $117.16 | $202.00 | $157.44 | 20% below | 42% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION; HIGH SENSITIVITY | $100.34 | $173.00 | $105.37 | 2% below | 42% |
| Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE | $132.24 | $228.00 | $145.80 | 13% below | 42% |
| Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL | $83.52 | $144.00 | $93.00 | 32% below | 42% |
| Iron blood test (serum iron) CPT 83540 IRON LEVEL | $45.24 | $78.00 | $52.64 | 43% below | 42% |
| Iron blood test (serum iron) CPT 83540 ASSAY OF IRON | $48.14 | $83.00 | $52.64 | 40% below | 42% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $71.34 | $123.00 | $70.62 | 21% below | 42% |
| LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL | $136.30 | $235.00 | $150.68 | 9% below | 42% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL | $86.42 | $149.00 | $56.06 | 7% above | 42% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $73.66 | $127.00 | $66.47 | 13% below | 42% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY | $113.10 | $195.00 | $138.56 | 1% below | 42% |
| Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA) | $226.20 | $390.00 | $138.56 | 99% above | 42% |
| Magnesium blood test CPT 83735 MAGNESIUM LEVEL | $85.26 | $147.00 | $54.51 | 26% above | 42% |
| Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS) | $93.38 | $161.00 | $104.80 | 18% below | 42% |
| Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO) | $85.84 | $148.00 | $42.15 | 31% above | 42% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $131.08 | $226.00 | $149.63 | 16% below | 42% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $131.08 | $226.00 | $149.63 | 10% above | 42% |
| Pap test (liquid-based, automated screening with review) CPT 88175 PAP TEST; AUTOMATED THIN LAYER PREPARATION; AUTOMATED SYSTEM AND MANUAL RESCREENING | $46.40 | $80.00 | $80.00 | 50% below | 42% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER | $161.82 | $279.00 | $164.84 | 51% above | 42% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL | $244.18 | $421.00 | $335.87 | 3% above | 42% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $78.30 | $135.00 | $48.90 | 8% above | 42% |
| Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL | $152.54 | $263.00 | $169.72 | 14% below | 42% |
| Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL | $142.10 | $245.00 | $157.68 | 26% below | 42% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $49.88 | $86.00 | $34.90 | 1% below | 42% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG TEST PRSMV DIR OPT OBS | $23.20 | $40.00 | $40.00 | 16% below | 42% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TESTING FOR PRESENCE OF DRUG; READ BY DIRECT OBSERVATION | $40.02 | $69.00 | $69.00 | 46% above | 42% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A ASSAY W/OPTIC | $87.00 | $150.00 | $134.49 | 12% above | 42% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL | $46.98 | $81.00 | $46.13 | 25% below | 42% |
| Rubella antibody test (immunity check) CPT 86762 ANALYSIS FOR ANTIBODY TO RUBELLA (GERMAN MEASLES VIRUS) | $63.80 | $110.00 | $110.00 | 23% below | 42% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY | $82.94 | $143.00 | $117.08 | 1% above | 42% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 RED BLOOD CELL SEDIMENTATION RATE; TO DETECT INFLAMMATION; AUTOMATED | $63.80 | $110.00 | $21.97 | 74% above | 42% |
| Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES | $125.28 | $216.00 | $72.41 | 13% above | 42% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 STOOL ANALYSIS FOR BLOOD; BY FECAL HEMOGLOBIN DETERMINATION BY IMMUNOASSAY | $127.02 | $219.00 | $129.53 | 15% below | 42% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST | $40.02 | $69.00 | $34.74 | 5% below | 42% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL | $81.78 | $141.00 | $34.74 | 95% above | 42% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TUBERCULOSIS TEST; GAMMA INTERFERON | $312.62 | $539.00 | $504.29 | 28% above | 42% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL | $171.68 | $296.00 | $210.00 | 15% below | 42% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT | $119.48 | $206.00 | $118.38 | 14% below | 42% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $114.26 | $197.00 | $136.69 | 4% below | 42% |
| Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD | $57.42 | $99.00 | $36.78 | 5% below | 42% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $104.40 | $180.00 | $25.79 | 30% above | 42% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $11.02 | $19.00 | $19.00 | 40% below | 42% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $38.28 | $66.00 | $18.31 | 26% above | 42% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $104.40 | $180.00 | $18.31 | 244% above | 42% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $7.54 | $13.00 | $13.00 | 60% below | 42% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT | $83.52 | $144.00 | $65.66 | 2% below | 42% |
| Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE | $88.16 | $152.00 | $65.66 | 3% above | 42% |
| Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST | $10.44 | $18.00 | $18.00 | 75% below | 42% |
| Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL | $131.08 | $226.00 | $122.70 | 13% above | 42% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL | $221.56 | $382.00 | $240.83 | 12% above | 42% |
| Zinc blood test CPT 84630 ASSAY OF ZINC | $78.88 | $136.00 | $92.67 | 27% below | 42% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL | $164.72 | $284.00 | $122.45 | 6% below | 42% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $2,174.91 | $3,749.85 | — | — | 42% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE | $403.10 | $695.00 | — | 60% above | 42% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE | $249.98 | $431.00 | — | 2% above | 42% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EXTERNAL SHOCK TO HEART TO REGULATE HEART BEAT | $412.96 | $712.00 | — | 58% below | 42% |
| Cataract surgery with lens implant CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $1,347.34 | $2,323.00 | — | — | 42% |
| Cataract surgery with lens implant CPT 66984 XCAPSL CTRC RMVL W/O ECP | $3,982.86 | $6,867.00 | — | — | 42% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO | $330.02 | $569.00 | — | 21% above | 42% |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $1,036.75 | $1,787.50 | — | 27% below | 42% |
| Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL | $2,073.50 | $3,575.00 | — | 46% above | 42% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,637.92 | $2,824.00 | — | 4% above | 42% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $1,228.44 | $2,118.00 | — | 3% below | 42% |
| Complex cataract surgery with lens implant CPT 66982 XCAPSL CTRC RMVL CPLX WO ECP | $3,982.86 | $6,867.00 | — | — | 42% |
| Cystoscopy with ureteral stent placement CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE | $2,364.66 | $4,077.00 | — | 12% above | 42% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 DIAGNOSTIC EXAM OF BLADDER AND URETHRA USING AN ENDOSCOPE | $296.96 | $512.00 | — | 54% below | 42% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $61.48 | $106.00 | — | 16% below | 42% |
| Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA | $1,512.06 | $2,607.00 | — | — | 42% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI | $84.68 | $146.00 | — | 3% below | 42% |
| Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX | $20.88 | $36.00 | — | 69% below | 42% |
| Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI | $91.06 | $157.00 | — | 35% above | 42% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING | $73.66 | $127.00 | — | 46% below | 42% |
| Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 REMOVAL OF NASAL SINUS TISSUE USING AN ENDOSCOPE | $14,094.00 | $24,300.00 | — | — | 42% |
| First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE | $4,958.42 | $8,549.00 | — | 136% above | 42% |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $11,613.34 | $20,023.00 | — | 148% above | 42% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION OF HEMORRHOID(S) | $557.38 | $961.00 | — | 13% below | 42% |
| Hysteroscopy with endometrial ablation CPT 58563 EXAM OF UTERUS WITH DESTRUCTION OF LINING OF UTERUS USING AN ENDOSCOPE | $1,970.84 | $3,398.00 | — | at median | 42% |
| Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 BIOPSY OF LINING OF UTERUS AND/OR REMOVAL OF POLYP USING AN ENDOSCOPE | $2,069.15 | $3,567.50 | — | at median | 42% |
| IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION | $1,698.82 | $2,929.00 | — | 205% above | 42% |
| Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS | $3,884.26 | $6,697.00 | — | 1721% above | 42% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $125.86 | $217.00 | — | 57% below | 42% |
| Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT | $125.86 | $217.00 | — | 44% above | 42% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $2,315.94 | $3,993.00 | — | 693% above | 42% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US | $164.14 | $283.00 | — | 37% below | 42% |
| Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE | $6,643.90 | $11,455.00 | — | 73% above | 42% |
| Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 REMOVAL OF UTERUS THROUGH ABDOMEN USING AN ENDOSCOPE; 250.0 G OR LESS | $9,749.80 | $16,810.00 | — | 257% above | 42% |
| Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 REMOVAL OF OVARIES AND/OR TUBES USING AN ENDOSCOPE | $2,976.85 | $5,132.50 | — | — | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $229.10 | $395.00 | — | 3% below | 42% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $242.44 | $418.00 | — | 3% above | 42% |
| Lumbar laminectomy (spinal decompression), one level CPT 63047 PARTIAL REMOVAL OF SPINE BONE WITH RELEASE OF LOWER SPINAL CORD AND/OR NERVES; 1 SEGMENT | $4,958.71 | $8,549.50 | — | — | 42% |
| Miscarriage treatment with D&C, first trimester CPT 59820 CARE OF MISCARRIAGE | $573.04 | $988.00 | — | 40% below | 42% |
| Miscarriage treatment with D&C, first trimester CPT 59820 TREATMENT OF MISCARRIAGE DURING FIRST TRIMESTER | $1,512.06 | $2,607.00 | — | 58% above | 42% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM< | $301.02 | $519.00 | — | at median | 42% |
| Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE | $178.06 | $307.00 | — | 2% above | 42% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $332.92 | $574.00 | — | 13% below | 42% |
| Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING | $527.80 | $910.00 | — | 49% below | 42% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED | $122.38 | $211.00 | — | 73% below | 42% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $934.96 | $1,612.00 | — | — | 42% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTRUCTION OF LOWER OR SACRAL SPINAL FACET JOINT NERVES USING IMAGING GUIDANCE; SINGLE FACET JOINT | $3,915.00 | $6,750.00 | — | 78% above | 42% |
| Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE | $373.52 | $644.00 | — | 30% above | 42% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR HIGH RISK | $864.49 | $1,490.50 | $1,490.50 | 40% below | 42% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK | $1,142.60 | $1,970.00 | — | 19% below | 42% |
| Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT | $118.32 | $204.00 | — | 11% below | 42% |
| Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT | $125.86 | $217.00 | — | 6% below | 42% |
| Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT | $80.62 | $139.00 | — | 5% below | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< | $218.66 | $377.00 | — | 16% above | 42% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS | $259.26 | $447.00 | — | 37% above | 42% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR | $200.68 | $346.00 | — | 64% below | 42% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM | $352.06 | $607.00 | — | 75% above | 42% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS | $259.26 | $447.00 | — | 37% above | 42% |
| Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER) | $4,468.90 | $7,705.00 | — | — | 42% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $3,591.94 | $6,193.00 | — | — | 42% |
| Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS (12 YEARS OR OLDER) | $3,689.38 | $6,361.00 | — | — | 42% |
| Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS) | $4,371.46 | $7,537.00 | — | — | 42% |
| Total hip replacement CPT 27130 REPLACEMENT OF THIGH BONE AND HIP JOINT WITH PROSTHESIS | $6,133.21 | $10,574.50 | — | 92% above | 42% |
| Total knee replacement CPT 27447 REPLACEMENT OF KNEE JOINT; BOTH SIDES OF KNEE | $12,353.42 | $21,299.00 | — | 346% above | 42% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $40.60 | $70.00 | — | 85% below | 42% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 BALLOON DILATION OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE; LESS THAN 3.0 CM | $1,111.86 | $1,917.00 | — | 19% below | 42% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM | $2,357.12 | $4,064.00 | — | 71% above | 42% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $1,039.07 | $1,791.50 | — | 14% below | 42% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,593.84 | $2,748.00 | — | 32% above | 42% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DIAGNOSTIC BRUSH WASH | $1,593.84 | $2,748.00 | — | 19% above | 42% |
| Vasectomy, one or both sides, including follow-up semen testing CPT 55250 REMOVAL OF SPERM DUCT | $1,512.06 | $2,607.00 | — | 153% above | 42% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS | $668.16 | $1,152.00 | — | 25% below | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT | $95.70 | $165.00 | — | 49% below | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION | $91.64 | $158.00 | $2,663.02–$5,688.69 | — | 42% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT | $95.70 | $165.00 | $2,663.02–$5,688.69 | — | 42% |
| Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS | $440.22 | $759.00 | — | 17% below | 42% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE; FIRST 30-74 MINUTES | $958.16 | $1,652.00 | — | 51% below | 42% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY | $541.72 | $934.00 | — | 34% below | 42% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY | $623.50 | $1,075.00 | — | 24% below | 42% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING | $99.76 | $172.00 | — | 35% below | 42% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY | $177.48 | $306.00 | — | 9% below | 42% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY | $245.92 | $424.00 | — | 11% below | 42% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $357.86 | $617.00 | — | 32% below | 42% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $522.58 | $901.00 | — | 44% below | 42% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $784.16 | $1,352.00 | — | 39% below | 42% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG) | $516.20 | $890.00 | — | 42% below | 42% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES | $368.88 | $636.00 | — | 1% below | 42% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS | $304.50 | $525.00 | — | 4% below | 42% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM | $55.68 | $96.00 | — | 22% below | 42% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE | $59.16 | $102.00 | — | 17% below | 42% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $107.88 | $186.00 | — | 30% below | 42% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $138.04 | $238.00 | — | 11% below | 42% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $106.14 | $183.00 | — | 42% below | 42% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $182.70 | $315.00 | — | at median | 42% |
| New patient office visit, about 60 minutes CPT 99205 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $219.24 | $378.00 | — | 8% below | 42% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 15-29 MINUTES | $63.22 | $109.00 | — | 31% below | 42% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN | $36.54 | $63.00 | $26.66 | 47% below | 42% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES | $226.20 | $390.00 | — | 5% above | 42% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN | $243.02 | $419.00 | — | 13% above | 42% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $88.16 | $152.00 | — | 7% below | 42% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN | $107.30 | $185.00 | — | 13% above | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN | $99.76 | $172.00 | — | 28% below | 42% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $142.10 | $245.00 | — | 2% above | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN | $85.84 | $148.00 | — | at median | 42% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES | $89.32 | $154.00 | — | 4% above | 42% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFFICE CONSULTATION; TYPICALLY 1 HOUR | $140.94 | $243.00 | — | 57% above | 42% |
| Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST | $41.76 | $72.00 | — | 79% below | 42% |
| Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME | $232.58 | $401.00 | — | 16% above | 42% |
| Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING | $448.92 | $774.00 | — | 16% above | 42% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 DRAWING OF BLOOD FOR A MEDICAL PROBLEM | $165.30 | $285.00 | — | 57% below | 42% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Hampshire | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SARSCOV2 VAC 50 MCG/0.5ML IM | $270.42 | $466.24 | — | 69% above | 42% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 SARSCV2 VAC 30MCG TRS-SUC IM | $87.00 | $150.00 | — | 26% below | 42% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 IIV3 VACC NO PRSV 0.5 ML IM | $21.46 | $37.00 | — | 70% below | 42% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPB VACCINE 3 DOSE ADULT IM | $174.58 | $301.00 | — | 82% above | 42% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 IIV NO PRSV INCREASED AG IM | $37.70 | $65.00 | — | 66% below | 42% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC | $35.38 | $61.00 | — | 63% below | 42% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PCV20 VACCINE IM | $529.54 | $913.00 | — | at median | 42% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM | $599.72 | $1,034.00 | — | 3% above | 42% |
| Rabies vaccine, one dose inpatient CPT 90675 RabAvert | $789.34 | $1,360.93 | $2,663.02–$5,688.69 | — | 42% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac PFS | $87.46 | $150.79 | — | 27% above | 42% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM | $34.80 | $60.00 | — | 29% below | 42% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel | $112.64 | $194.20 | — | 130% above | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION OF VACCINE | $12.77 | $22.02 | — | 64% below | 42% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN | $41.18 | $71.00 | — | 16% above | 42% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD | $17.40 | $30.00 | — | 46% below | 42% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/dd0894ed86f26a1af99627e59ddebbb1/charges/mrf