New Hampshire · 1,500 published self-pay prices, from $1,085 to $190,861.
These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.
Showing the 300 lowest-priced of 1,500 published items.
| Item | Cash price | Setting |
|---|---|---|
| 00000DRIVING EVAL | $1,324 | Both |
| 1 HR ADAPT DRIVING EVAL | $3,890 | Both |
| 10/2 EXPRESS FRACT KIT | $26,692 | Both |
| 15/3 EXPANDER ADD FRACT KIT | $26,692 | Both |
| 2 HR DRIVING EVAL-PRESCREEN | $9,729 | Both |
| 2.4MM BLUNT K-WIRE | $1,354 | Both |
| 24 HOUR CONTINUOUS MONITORING | $2,624 | Both |
| 24 HOUR HOLTER | $8,510 | Both |
| 29240 SHOULDER STRAPPING | $2,412 | Both |
| 29240 STRAPPING SHOULDER | $1,577 | Both |
| 29260 STRAPPING WRIST | $1,577 | Both |
| 29280 STRAPPING HAND/FINGER | $1,577 | Both |
| 29530 KNEE STRAPPING | $2,392 | Both |
| 29540 ANKLE STRAPPING | $2,361 | Both |
| 2ND OPINION HIGH SEVERITY | $5,955 | Both |
| 2ND OPINION LOW SEVERITY | $5,015 | Both |
| 2ND OPINION MODERATE SEVERITY | $5,370 | Both |
| 2ND OPINION MODERATE/HIGH | $5,598 | Both |
| 2ND OPINION SELF LIMITED MINOR | $4,789 | Both |
| 3MM TROCAR K-WIRE | $1,354 | Both |
| 52310 CYSTOSCOPY & TREATMENT | $11,310 | Both |
| 59 - 6 MIN WALK BY PT | $1,383 | Both |
| 59 - 6 MIN WALK BY RT | $1,383 | Both |
| 59 - EXER GRP 30 MIN BY PT | $2,152 | Both |
| 59 - EXER GRP 30 MIN BY RT | $2,152 | Both |
| 59 - EXER GRP 45 MIN BY PT | $3,220 | Both |
| 59 - EXER GRP 45 MIN BY RT | $3,220 | Both |
| 59 - EXER GRP 60 MIN BY RT | $4,296 | Both |
| 59 - EXER GRP BY PT | $4,296 | Both |
| 6 MIN WALK BY A RT | $1,383 | Both |
| 6 MINUTE WALK BY A PT/OT | $1,383 | Both |
| 7.0mm EXPRESS KIT | $3,496 | Both |
| 74230 OP CINERAD FOR BMS | $4,320 | Both |
| 78270 SCHILLING TEST-QUAN | $5,788 | Both |
| 8.0mm T-TIP | $1,915 | Both |
| 80002 THYROID 1 | $1,941 | Both |
| 80004 POTASS ELECTROLYTES | $2,709 | Both |
| 80019 CHEM PROFILE 22 | $2,786 | Both |
| 80048 BASIC META PANEL | $1,167 | Both |
| 80051 ELECTROLYTES STD PANEL | $2,709 | Both |
| 80053 COMP METABOLIC PANEL | $2,119 | Both |
| 80061 LIPID PANEL | $2,132 | Both |
| 80069 RENAL FUNCTION STD PANEL | $1,160 | Both |
| 80074 ACUTE HEPATITIS PANEL | $5,681 | Both |
| 80074 ACUTE HEPATITIS PANL STD | $5,916 | Both |
| 80076 HEPATIC(LIVER) PNL | $1,638 | Both |
| 80100 URINE DRUG SCRN,12 TESTS | $1,111 | Both |
| 80101-BENZODIAZEPINES,BLOOD | $3,840 | Both |
| 80102-BENZODIAZEPINE - URINE | $2,407 | Both |
| 80150 AMIKACIN | $2,709 | Both |
| 80152 AMITRIPTYLIN/NORTRIPTYLN | $1,308 | Both |
| 80158 CYCLOSPORINE | $1,738 | Both |
| 80162 DIGOXIN | $2,169 | Both |
| 80170 GENTAMYCIN-PK LEVEL | $2,786 | Both |
| 80170 GENTAMYCIN-TROUGH | $2,786 | Both |
| 80178 LITHIUM | $1,167 | Both |
| 80182 NORTRIPTYLINE | $3,479 | Both |
| 80184 PHENOBARBITAL | $2,325 | Both |
| 80185 DILANTIN TOTAL | $2,087 | Both |
| 80186 DILANTIN FREE | $1,592 | Both |
| 80198 THEOPHYLLINE | $2,014 | Both |
| 80200 TOBRAMYCIN (NO TIME) | $1,393 | Both |
| 80202 VANCOMYCIN | $1,370 | Both |
| 80299 GABAPENTIN (NEURONTIN) | $1,130 | Both |
| 80299 GANCICLOVIR LVL,HPLC | $3,162 | Both |
| 80299 KEPPRA (LEVETIRACETAM) | $2,058 | Both |
| 80299 NORPACE LEVEL | $2,478 | Both |
| 80299 TEGRETOL | $1,808 | Both |
| 80299 VALPROIC ACID (DEPAKOTE) | $2,087 | Both |
| 80299 VORICONAZOLE | $2,709 | Both |
| 81003 SPECIFIC GRAVITY,URINE | $1,280 | Both |
| 82043 MICRO ALBUMIN, URINE | $1,279 | Both |
| 82088 ALDOSTERONE | $2,910 | Both |
| 82135 URINE,24HR AMINOLEVULNIC | $1,372 | Both |
| 82140 AMMONIA | $2,243 | Both |
| 82150 AMYLASE | $1,401 | Both |
| 82164 ANGIO CONVERT ENZYME | $1,346 | Both |
| 82175 ARSENIC,BLOOD | $1,490 | Both |
| 82175 ARSENIC,URINE | $1,490 | Both |
| 82175 ARSENIC(HAIR OR NAIL) | $1,490 | Both |
| 82232 BETA-2 MICROGLOBULIN | $1,323 | Both |
| 82306 VITAMIN D3 | $1,736 | Both |
| 82307 VIT D (CALCIFEROL) | $1,533 | Both |
| 82330 CALCIUM, IONIZED | $1,279 | Both |
| 82330 IONIZED CALCIUM | $1,139 | Both |
| 82378 CARCINOEMBRYONIC Ag | $1,796 | Both |
| 82379 CARNITINE, FREE & TOTAL | $2,373 | Both |
| 82384 CATECHOLAMINE,TTL-PLASMA | $2,155 | Both |
| 82384 CATECHOLAMINE,UF,24HR | $1,752 | Both |
| 82384 CATECHOLAMINE,UF,RANDOM | $1,752 | Both |
| 82491 LAMOTRIGINE(LAMICTAL) | $3,157 | Both |
| 82491 PORPHYRINS,TOTAL,PLASMA | $1,257 | Both |
| 82491 TRILEPTAL(OXICARBAZEPINE | $1,244 | Both |
| 82525 COPPER URINE 24 HR | $2,548 | Both |
| 82525 COPPER URINE RANDOM | $2,548 | Both |
| 82530 CORTISOL AM | $2,625 | Both |
| 82530 CORTISOL FREE | $5,015 | Both |
| 82530 CORTISOL,URINARY FREE | $1,398 | Both |
| 82533 CORTISOL RANDOM | $1,325 | Both |
| 82552 CPK ISOENZYMES | $2,786 | Both |
| 82553 CPK MB FRACTION ONLY | $1,577 | Both |
| 82570 CREATININE URINE 24 HR | $3,095 | Both |
| 82607 VITAMIN B-12 | $1,859 | Both |
| 82608 VIT B-12 UNSAT BIND CPTY | $2,709 | Both |
| 82615 HOMOCYSTEINE | $5,514 | Both |
| 82626 DHEA | $2,166 | Both |
| 82627 DHEA-SULFATE | $2,047 | Both |
| 82652 VITAMIN D,1,25-DIHYDROXY | $2,211 | Both |
| 82668 ERYTHROPOIETIN | $1,752 | Both |
| 82670 ESTRADIOL | $2,102 | Both |
| 82728 FERRITIN | $2,325 | Both |
| 82746 FOLATE | $1,859 | Both |
| 82785 IMMUNOGLOBULIN E-IgE | $1,244 | Both |
| 82803 BLOOD GAS ANALYSIS | $1,228 | Both |
| 82945 GLUCOSE,BODY FLUID CSF | $1,085 | Both |
| 83001 FOLLICLE HORMONE(FSH) | $1,172 | Both |
| 83002 LUTEINIZING HORMONE (LH) | $1,172 | Both |
| 83003 GROWTH HORMONE | $1,412 | Both |
| 83090 HOMOCYSTEINE,CARDIOVASCU | $3,868 | Both |
| 83090 HOMOCYSTEINE,NUTR & CONG | $3,868 | Both |
| 83516 IMMUNOASSAY ANALYTE | $1,809 | Both |
| 83519 ACETYLCHOLINE RECEPTO AB | $2,880 | Both |
| 83519 ACH RECEPT BLK ANTIBODY | $2,828 | Both |
| 83519 N-TYP CALCIUM CHANNEL AB | $2,880 | Both |
| 83519 PTH-RELATED PROTEIN | $2,688 | Both |
| 83520 RIBOSOMAL PROTEIN IgG | $2,828 | Both |
| 83537 THYROXINE 4 | $1,167 | Both |
| 83625 LDH ISOENZYMES | $2,550 | Both |
| 83655 LEAD-BLOOD | $2,709 | Both |
| 83721 CHOLESTEROL LDL (DIRECT) | $1,222 | Both |
| 83835 METANEPHRINES,FRACT,24HR | $1,193 | Both |
| 83873 MYELIN BASIC PROTEIN | $1,427 | Both |
| 83874 MYOGLOBIN,URINE | $1,095 | Both |
| 83880 B-TYPE NATRIURETIC PEPT | $4,271 | Both |
| 83892 ENZYME DIGESTION 1 | $1,510 | Both |
| 83892 ENZYME DIGESTION 2 | $1,510 | Both |
| 83892 ENZYME DIGESTION 3 | $1,510 | Both |
| 83894 GEL SEPARATION 1 | $2,094 | Both |
| 83894 GEL SEPARATION 2 | $2,094 | Both |
| 83894 GEL SEPARATION 3 | $2,094 | Both |
| 83916 OLIGOCLONAL BANDING | $3,708 | Both |
| 83921 METHYLMALONIC ACID,SERUM | $1,736 | Both |
| 83921 METHYLMALONIC ACID,URINE | $1,736 | Both |
| 83930 OSMOLALITY | $1,556 | Both |
| 83930 SERUM OSMOLALITY | $1,344 | Both |
| 83935 OSMOLALITY-URINE | $1,556 | Both |
| 83970 PTH, NOT INTACT PTH | $3,226 | Both |
| 83986 BODY FLUID pH | $1,662 | Both |
| 83986 PH,FECES | $1,530 | Both |
| 83986 PH,FLUID | $1,530 | Both |
| 83986 PH,URINE | $1,530 | Both |
| 84075 LEUKO ALK PHOS'TASE | $1,749 | Both |
| 84105 PHOSPHATE,24 HR URINE | $1,903 | Both |
| 84120 URINE 24 HOUR PORPHYRIN | $1,810 | Both |
| 84134 PREALBUMIN | $1,393 | Both |
| 84142 PROCAINAMIDE | $2,478 | Both |
| 84146 PROLACTIN | $1,527 | Both |
| 84153 PSA, TOTAL | $1,393 | Both |
| 84154 PSA, FREE | $1,393 | Both |
| 84155 LIPO PROTEIN SCREEN | $2,709 | Both |
| 84155 TOTAL PROTEIN | $1,218 | Both |
| 84165 PROTEIN ELECTRO | $2,786 | Both |
| 84165 PROTEIN ELECTRO SERUM | $1,172 | Both |
| 84165 PROTEIN ELETRO CSF | $1,555 | Both |
| 84206 PROINSULIN | $3,802 | Both |
| 84244 RENIN | $6,173 | Both |
| 84255 SELENIUM | $2,504 | Both |
| 84260 SEROTONIN 5HIAA | $1,941 | Both |
| 84403 TESTOSTERONE,SERUM | $1,934 | Both |
| 84439 FREE THYROXINE | $2,550 | Both |
| 84439 T4, FREE THYROXINE | $2,449 | Both |
| 84443 THYROID STIM HORMONE | $2,169 | Both |
| 84443 TSH, THYROTROPIN | $2,162 | Both |
| 84446 VIT E (TOCOPHEROL) | $1,325 | Both |
| 84466 TRANSFERRIN | $1,204 | Both |
| 84481 T3, FRE TRIIODOTHRYONINE | $2,449 | Both |
| 84482 T3, REVERSE | $1,900 | Both |
| 84484 TROPONIN, QUANT ASSAY | $1,393 | Both |
| 84512 TROPONIN, QUALITATIVE | $1,393 | Both |
| 84545 UREA CLEARANCE | $1,606 | Both |
| 84560 URIC ACID 24 HR URINE | $1,085 | Both |
| 84586 VASOACTIVE PEPTIDE (VIP) | $2,784 | Both |
| 84590 VITAMIN A | $1,412 | Both |
| 84681 C-PEPTIDE | $5,408 | Both |
| 85002 BLEEDING TIME | $1,167 | Both |
| 85048 WHITE BLOOD CELLS (WBC) | $1,162 | Both |
| 85220 FACTOR V ACTIVITY | $3,347 | Both |
| 85246 VW FACTOR Ag (ADAMTS13) | $1,597 | Both |
| 85303 PROTEIN C | $5,638 | Both |
| 85306 PROTEIN S | $6,136 | Both |
| 85306 PROTEIN S ANTIGEN,FREE | $1,969 | Both |
| 85378 D-DIMER CLOTTING QUAL | $1,160 | Both |
| 85705 LUPUS ANTICOAGULENT | $2,491 | Both |
| 85730 PART. THROMBO TIME | $1,167 | Both |
| 85999 OTHER HEMATOLOGY | $1,969 | Both |
| 86021 C-ANCA | $1,124 | Both |
| 86021 MYELOPEROXIDASE AB (MPO) | $1,228 | Both |
| 86021 P-ANCA | $1,124 | Both |
| 86021 PROTEINASE-3 ANTIBODY | $1,228 | Both |
| 86022 HEPARIN INDUCD THROM HIT | $4,500 | Both |
| 86022 HEPARIN INDUCED PLATE Ab | $4,500 | Both |
| 86038 ANTI NUCLEAR ANTIBODY | $1,556 | Both |
| 86068 TYPE AND CROSS MATCH | $3,246 | Both |
| 86078 TRANSFUS REACT INTRP/REP | $1,822 | Both |
| 86140 C-REACTIVE PROTEIN | $2,325 | Both |
| 86141 HIGH SENSITIVE CRP | $1,253 | Both |
| 86147 CARDIOLIPIN Ab IgG | $1,333 | Both |
| 86147 CARDIOLIPIN Ab Igm | $1,333 | Both |
| 86160 COMPLEMENT C3 | $1,211 | Both |
| 86160 COMPLEMENT C4 | $1,211 | Both |
| 86162 COMPLEMENT TOTAL, CH50 | $1,749 | Both |
| 86200 ANTI-CCP IgG | $1,111 | Both |
| 86225 ANTI-DNA ANTI-B QUAN | $2,063 | Both |
| 86225 DNA (ds) ANTIBODY | $1,318 | Both |
| 86235 PM-SCL ANTIBODY | $5,002 | Both |
| 86255 ANTI MITOCHONDRIAL AB | $2,428 | Both |
| 86255 ENDOMYSIAL AB,IgA | $1,657 | Both |
| 86255 SMOOTH MUSCLE AUTO AB | $2,173 | Both |
| 86299 IGM | $1,401 | Both |
| 86304 CANCER ANTGN 125(CA 125) | $1,486 | Both |
| 86316 PROS SPECIFIC ANTIGE | $4,940 | Both |
| 86317 HEPATITIS B SRFC AB QUAN | $1,440 | Both |
| 86325 URINE, IME SNHMC | $3,479 | Both |
| 86334 IFE, SERUM | $1,510 | Both |
| 86334 IFE,CSF | $1,510 | Both |
| 86334 IMMUNO ELECTRO SERUM | $2,676 | Both |
| 86335 IMMUNOGLOBINS G | $4,174 | Both |
| 86335 URINE 24 IFE | $1,908 | Both |
| 86337 INSULIN ANTIBODY | $1,313 | Both |
| 86376 ANTI PEROXIASE AB | $1,107 | Both |
| 86617 LYME DISEASE WESTRN BLOT | $1,900 | Both |
| 86618 LYME DISEASE IgG Ab | $1,900 | Both |
| 86618 LYME DISEASE IgM Ab | $1,900 | Both |
| 86644 CMV IgA Ab | $1,393 | Both |
| 86644 CMV IgG Ab | $1,393 | Both |
| 86645 CVA IgM Ab | $1,393 | Both |
| 86677 H PYLORI IgA | $2,155 | Both |
| 86677 H PYLORI IgG | $1,664 | Both |
| 86677 H PYLORI IgM | $1,957 | Both |
| 86703 HIV-1/HIV-2 AB QUAL | $2,344 | Both |
| 86704 HEPATITIS B CORE | $5,023 | Both |
| 86704 HEPATITIS B CORE ANTIBDY | $1,941 | Both |
| 86705 HEPATITUS B CORE AB-IGM | $1,969 | Both |
| 86706 HEPATITIS B SRFC AB QUAL | $1,969 | Both |
| 86706 HEPATITIS B VACCINE SCRN | $1,969 | Both |
| 86707 HEPATITUS Be AB | $1,969 | Both |
| 86708 HEPATIS A ANTBDY-IgG&IgM | $2,325 | Both |
| 86709 HEPATITIS A AB-IGM ONLY | $1,969 | Both |
| 86713 LEGIONELLA ANTIBODY | $1,279 | Both |
| 86713 LEGIONELLA PNM TITER | $6,945 | Both |
| 86735 MUMPS VIRUS ANTIBODY,lgG | $1,560 | Both |
| 86735 MUMPS VIRUS ANTIBODY,lgM | $1,560 | Both |
| 86738 MYCOPLASMA IgG Ab | $1,393 | Both |
| 86738 MYCOPLASMA IgM Ab | $1,854 | Both |
| 86768 SALMONELLA ANTIBODY | $3,910 | Both |
| 86777 TOXOPLASMA IgA Ab | $1,508 | Both |
| 86777 TOXOPLASMA IgG Ab | $1,508 | Both |
| 86778 TOXOPLASMA IgM Ab | $1,508 | Both |
| 86790 HEPATITIS E AB QL IgG | $1,408 | Both |
| 86790 HEPATITIS E AB QL IgM | $1,408 | Both |
| 86800 ANTI THYROGLOBULIN AB | $1,222 | Both |
| 86803 HEPATITIS C AB | $1,969 | Both |
| 86804 HCV AB (RIBO 3.0) | $3,794 | Both |
| 86860 ELUTION-HFH | $1,440 | Both |
| 86870 ANTIBODY,RBC Ab EA PANEL | $3,462 | Both |
| 86905 ANTIGEN TYPE UNIT-HFH | $1,211 | Both |
| 86920 COMPAT. TEST | $3,162 | Both |
| 86927 FRESH FROZEN PLASMA | $1,502 | Both |
| 87040 BLOOD, CULTURE ONLY | $1,392 | Both |
| 87045 STOOL C.S. | $2,709 | Both |
| 87045 STOOL CULTURE | $2,709 | Both |
| 87060 THROAT CULTURE | $1,248 | Both |
| 87071 AEROBIC CLTR QU,ANY SURC | $1,388 | Both |
| 87071 EYE CULTURE QUAN | $1,401 | Both |
| 87071 SPINAL FLUID CULTURE | $2,325 | Both |
| 87071 WOUND CULTURE | $1,401 | Both |
| 87071 WOUND CULTURE C&S | $1,401 | Both |
| 87075 SPUTUM CULTURE QUAN | $1,785 | Both |
| 87075 WOUND CULTURE QUAN | $2,325 | Both |
| 87081 MRSA LEFT NARES CULTURE | $1,384 | Both |
| 87081 MRSA RECTAL CULTURE | $1,384 | Both |
| 87081 MRSA RIGHT NARES CULTURE | $1,384 | Both |
| 87081 MRSA SITE SPECIFIC | $1,384 | Both |
| 87081 VRE RECTAL CULTURE | $1,384 | Both |
| 87081 VRE SITE SPECIFIC | $1,384 | Both |
| 87081 VRE URINE CULTURE | $1,384 | Both |
| 87086 URINE CULTURE | $1,401 | Both |
| 87181 SENSITIVITY #1 | $1,401 | Both |
| 87181 SENSITIVITY #2 | $1,401 | Both |
| 87186 GRAM POS, GEN SUSCEPT | $1,996 | Both |
| 87186 MICROBE SUSCEPTIBILITY | $1,996 | Both |
| 87186 STOOL CS ADDL PATHOGENS | $1,828 | Both |
| 87324 C.DIFF TOXIN A/B | $2,015 | Both |
| 87338 H PYLORI AG,STOOL,EIA | $1,453 | Both |
| 87340 HEPATITIS B SRFC ANTGEN | $1,969 | Both |
| 87340 HEPATITUS B SURFACE AG | $1,969 | Both |
| 87350 HEPATITIS Be AG | $1,969 | Both |
| 87449 URINE LEGIONELLA | $5,447 | Both |
| 87493 C.DIFF TOXIN B,QUAL,PCR | $1,418 | Both |
| 87522 HCV RNA, QUANT BY PCR | $5,238 | Both |
For procedures with standard CPT codes — where prices can be compared across hospitals — see prices in New Hampshire or browse all procedures.