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Plaistow Emergency Room prices. From its own published file.

Plaistow Emergency Room in Plaistow, NH publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

14,443prices published
Sep 2026file last updated
$452cash price for iv push, single drug (list $513)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$5,253$5,253$162–$4,990
Emergency visit, high (level 4)
99284
$7,540$7,540$233–$9,805
Emergency visit, highest (level 5)
99285
$10,476$10,476$324–$12,571
Comprehensive metabolic panel
80053
$358$358$8.45–$340
Basic metabolic panel
80048
$340$340$6.77–$323
Complete blood count (CBC)
85025
——$6.22–$230
Blood draw (venipuncture)
36415
$76.75$76.75$2.37–$254
Urinalysis
81001
$219$219$2.54–$208
Troponin (heart test)
84484
$543$543$9.98–$516
EKG tracing
93005
$828$828$25.59–$787
Chest X-ray, 2 views
71046
$882$882$27.24–$1,939
CT head without contrast
70450
$6,702$6,702$206–$6,368
CT abdomen and pelvis with contrast
74177
$7,011$7,011$217–$6,660
MRI lower back without contrast
72148
$8,431$8,431$261–$8,010
Ultrasound, abdomen
76700
$2,471$2,471$76.35–$2,386
IV push, single drug
96374
$452$513$13.95–$977
IV fluids, first hour
96360
$565$565$17.44–$546
Ketorolac injection, 15 mg
J1885
$16.25$34.75$0.33–$92.15
Ondansetron injection
J2405
$30.00$30.00$0.09–$30.00
Colonoscopy, diagnostic
45378
——$1,284–$7,243
Upper GI endoscopy with biopsy
43239
——$1,284–$7,243
Knee arthroscopy
29881
——$3,302–$52,353
Vaginal delivery, routine care
59400
——$3,302–$6,104
Cesarean delivery, routine care
59510
——$3,302–$8,425

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Plaistow Emergency Room price transparency page.

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