Cottage Hospital

90 Swiftwater Rd Woodsville, NH 03785
Medical Procedures
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Emergency Visits

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Emergency Department Visit - Low Complexity (outpatient)$93525% $701MEDIUM
Emergency Room Visit - Medium (outpatient)$66225% $496MEDIUM

Laboratory Services

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for basic metabolic panel$12625% $95N/A
Blood test for clotting time$6025% $45N/A
Blood test for complete blood cell count and automated WBC$6125% $46N/A
Blood test for complete blood cell count (hemoglobin)$6425% $48N/A
Blood test for PSA (prostate specific antigen) level$12925% $97N/A
Blood test for thyroxine (thyroid chemical) level, free$10625% $80N/A
Blood test for TSH (thyroid stimulating hormone) level$10825% $81N/A
Blood test for vitamin B-12 (cyanocobalamin) level$13025% $98N/A
Health Screening - General Health Panel$38725% $291N/A
Hepatic (Liver) Function Panel$11625% $87N/A
Lipid Panel - Cholesterol Test$12725% $95N/A
Metabolic Panel - Comprehensive$21825% $164N/A
Pregnancy test, urine$6725% $50N/A
Test for disease-causing (pathogenic) organisms, not limited to a specific condition$11725% $87N/A
Strep Test (Streptococcus, group A)$3625% $27N/A
Test for vitamin D-3 level$23625% $177N/A
Urinalysis test automated without microscope$3225% $24N/A

Office Visits

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Basic Office Visit$10725% $80HIGH
Office Visit, Established Pt$12225% $91HIGH
Office Visit of Moderate Complexity$18925% $142MEDIUM
Office Visit of Moderate to High Complexity$23625% $177MEDIUM
Office Visit, New Pt, Minor$16625% $124MEDIUM
Office Visit, New Pt, Low$18725% $140HIGH
Comp Preventive Medicine 18-39 yrs old$30525% $229MEDIUM
Comp Preventive Medicine 40-64 yrs old$32625% $244MEDIUM

Outpatient Tests and Procedures

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$153925% $1154MEDIUM
Colonoscopy (outpatient)$413425% $3100MEDIUM

Physical Therapy

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Evaluation - PT$36925% $276N/A
Manual Therapy - PT$12625% $95N/A
Therapeutic Exercises - PT$12325% $92N/A
Ultrasound Therapy - PT$7425% $55N/A

Radiology

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Bone Density Scan (outpatient)$77125% $578HIGH
CT - Abdomen & Pelvis, with contrast$269525% $2021MEDIUM
Mammogram (outpatient)$65425% $491MEDIUM
MRI - Back (outpatient)$332725% $2496MEDIUM
MRI - Brain (outpatient)$654625% $4910MEDIUM
MRI - Knee (outpatient)$300425% $2253MEDIUM
MRI - Shoulder, Elbow, or Wrist$300425% $2253VERY HIGH
Myocardial Imaging (outpatient)$680825% $5106MEDIUM
Ultrasound - Breast (outpatient)$58025% $435MEDIUM
Ultrasound - Head and Neck$70825% $531MEDIUM
Ultrasound - Transvaginal (non-maternity)$60425% $453HIGH
X-Ray - Chest (outpatient)$38725% $291MEDIUM
X-Ray - Foot (outpatient)$37825% $284MEDIUM
X-Ray - Knee (outpatient)$71525% $536MEDIUM
X-Ray - Shoulder (outpatient)$41525% $311MEDIUM

Time and Effectiveness

Measure
Initial antibiotic selection for CAP in immunocompetent patient
Average
Near
the average
100%
state average (97%)