New Hampshire

What Medicare pays in New Hampshire

Billed charges against Medicare allowed amounts in New Hampshire, across the 239 procedures Medicare covers most often.

239Procedures
5,789,037Services covered
3.5xBilled vs allowed
#9Rank of 61

Providers here billed the most above the national figure for removal of recurring cataract in lens capsule using a laser. The average was $1,444.61 against a national $645.84. That is 2.2 times as much.

Whose price this is

These are Medicare figures. The billed column is what providers asked for. The allowed column is what Medicare agreed to pay. Neither is what an uninsured patient gets charged, and neither is what a private insurer negotiates.

The gap between the two columns is the point. A hospital billing three times what Medicare allows tells you the billed number was never a price. It was an opening position.

The 40 most common procedures in New Hampshire

ProcedureBilled hereAllowedGapvs national billed
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$264.92$108.402.4x0.96x
Ground mileage, per statute mile$38.45$10.543.6x1.46x
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$193.97$77.632.5x1.03x
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes$68.86$23.153.0x1.00x
Therapy procedure using manual technique, each 15 minutes$65.80$20.403.2x0.97x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$237.74$74.883.2x1.17x
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes$74.35$27.322.7x1.02x
Therapy procedure using functional activities$77.59$32.802.4x1.04x
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's$50.11$15.763.2x1.15x
Injection, bupivacaine liposome, 1 mg$3.92$1.412.8x0.80x
Destruction of precancer skin growth, 2-14 growths$33.79$5.616.0x1.54x
Pathology examination of tissue using a microscope, intermediate complexity$289.03$45.426.4x1.55x
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only$72.97$7.919.2x1.63x
Chiropractic manipulative treatment, 3-4 spinal regions$56.78$38.461.5x0.94x
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$340.72$149.582.3x0.84x
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$461.34$113.624.1x1.42x
Administration of influenza virus vaccine$35.19$30.021.2x0.86x
Admn sarscov2 vacc 1 dose$42.33$38.221.1x0.84x
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$396.91$145.642.7x0.97x
Psychotherapy, 1 hour$184.16$124.041.5x0.88x
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$208.15$94.222.2x0.99x
Established patient complete exam of visual system$234.11$122.851.9x1.03x
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit$302.57$117.572.6x1.09x
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$275.70$96.442.9x1.04x
X-ray of chest, 1 view$55.95$8.256.8x1.07x
Emergency department visit with high level of medical decision making$905.87$164.515.5x0.74x
X-ray of chest, 2 views$85.78$13.316.4x1.19x
Destruction of precancer skin growth, 1 growth$207.89$50.094.1x1.34x
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$741.66$164.664.5x1.31x
Psychotherapy, 45 minutes$166.21$83.252.0x0.94x
Insertion of needle into vein for collection of blood sample$16.62$7.922.1x0.76x
Removal of cataract with insertion of prosthetic lens$1,604.00$344.514.7x1.56x
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function$514.96$70.107.3x1.08x
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more$134.01$65.532.0x0.87x
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$118.42$47.132.5x1.01x
Screening mammography$239.83$50.414.8x0.97x
Screening 3d breast mammography$103.16$31.493.3x0.75x
Hospital discharge day management, more than 30 minutes$390.80$110.213.5x1.11x
Imaging of retina$129.84$38.843.3x1.05x
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$472.18$123.393.8x1.28x

The last column compares this state against the national average for the same code. Above 1.00 means providers here billed more.

Source: CMS Medicare Physician & Other Practitioners, by Geography and Service. Weighted by service volume across places of service.

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