Memorial Hospital

3073 White Mountain Highway North Conway, NH 03860
Medical Procedures
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Emergency Visits

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Emergency Room Visit - Very Minor (outpatient)$11120%$89MEDIUM
Emergency Department Visit - Low Complexity (outpatient)$58820%$471MEDIUM
Emergency Room Visit - Medium (outpatient)$56420%$451MEDIUM

Laboratory Services

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for basic metabolic panel$7520%$60N/A
Blood test for blood glucose control (Hemoglobin A1C)$8620%$69N/A
Blood test for clotting time$3520%$28N/A
Blood test for complete blood cell count and automated WBC$6820%$55N/A
Blood test for complete blood cell count (hemoglobin)$5720%$45N/A
Blood test for PSA (prostate specific antigen) level$12820%$102N/A
Blood test for thyroxine (thyroid chemical) level, free$8220%$66N/A
Blood test for TSH (thyroid stimulating hormone) level$14820%$118N/A
Blood test for vitamin B-12 (cyanocobalamin) level$10920%$87N/A
Electrolytes Panel$6220%$50N/A
Health Screening - General Health Panel$31920%$255N/A
Hepatic (Liver) Function Panel$7220%$58N/A
Lipid Panel - Cholesterol Test$11920%$95N/A
Urinalysis test automated with microscope examination$2820%$23N/A
Metabolic Panel - Comprehensive$9320%$75N/A
Pregnancy (Obstetric) Panel$44720%$358N/A
Pregnancy test, urine$5620%$45N/A
Test for disease-causing (pathogenic) organisms, not limited to a specific condition$5020%$40N/A
Strep Test (Streptococcus, group A)$3920%$31N/A
Test for vitamin D-3 level$26120%$209N/A
Urinalysis test automated without microscope$1620%$13N/A
Urine test for bacterial culture$5720%$45N/A

Office Visits

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Basic Office Visit$8920%$71MEDIUM
Office Visit, Established Pt$12820%$102MEDIUM
Office Visit of Moderate Complexity$21520%$172MEDIUM
Office Visit of Moderate to High Complexity$23620%$189HIGH
Office Visit, New Pt, Minor$14220%$113MEDIUM
Office Visit, New Pt, Low$20820%$166HIGH
Comp Preventive Medicine younger than 1 yrs old$27920%$223MEDIUM
Comp Preventive Medicine 1-4 yrs old$25420%$203HIGH
Comp Preventive Medicine 5-11 yrs old$21620%$173HIGH
Comp Preventive Medicine 12-17 yrs old$26720%$213MEDIUM
Comp Preventive Medicine 18-39 yrs old$26020%$208MEDIUM
Comp Preventive Medicine 40-64 yrs old$27620%$221MEDIUM
New Patient, Comp Prevent Medicine 40-64 yrs old$33020%$264MEDIUM

Outpatient Tests and Procedures

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthroscopic Knee Surgery (outpatient)$1152120%$9217MEDIUM
Colonoscopy (outpatient)$350920%$2807MEDIUM
Destruction of Lesion (outpatient)$20420%$163MEDIUM
Fetal Non-Stress Test$34020%$272MEDIUM

Physical Therapy

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Evaluation - PT$22520%$180N/A
Manual Therapy - PT$8420%$67N/A
Therapeutic Activities - PT$8920%$71N/A
Therapeutic Exercises - PT$7420%$59N/A
Electrical Stimulation Therapy - PT$5320%$42N/A
Ultrasound Therapy - PT$5620%$45N/A

Radiology

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Bone Density Scan (outpatient)$82420%$659MEDIUM
CT - Abdomen & Pelvis, with contrast$225320%$1802MEDIUM
CT - Chest (outpatient)$252820%$2023MEDIUM
Mammogram (outpatient)$101320%$811MEDIUM
MRI - Back (outpatient)$357020%$2856MEDIUM
MRI - Brain (outpatient)$716520%$5732MEDIUM
MRI - Knee (outpatient)$291020%$2328MEDIUM
MRI - Pelvis (outpatient)$686820%$5495MEDIUM
MRI - Shoulder, Elbow, or Wrist$288020%$2304MEDIUM
Myocardial Imaging (outpatient)$344220%$2754MEDIUM
Ultrasound - Breast (outpatient)$72220%$578MEDIUM
Ultrasound - Head and Neck$71620%$573MEDIUM
Ultrasound - Pregnancy (outpatient)$109420%$875MEDIUM
Ultrasound - Transvaginal (non-maternity)$144220%$1153MEDIUM
Urine Capacity Measurement$31720%$254HIGH
X-Ray - Abdomen$25620%$205MEDIUM
X-Ray - Ankle (outpatient)$25720%$206MEDIUM
X-Ray - Chest (outpatient)$30720%$245MEDIUM
X-Ray - Foot (outpatient)$29920%$239HIGH
X-Ray - Knee (outpatient)$53020%$424MEDIUM
X-Ray - Shoulder (outpatient)$28220%$226HIGH
X-Ray - Spine (outpatient)$33120%$265HIGH
X-Ray - Wrist (outpatient)$25520%$204MEDIUM

Patient Experience

Measure
"Always" quiet at night
Average
Near
the average
53%
state average (57%)
"YES", patients would definitely recommend the hospital
Below
Below
the average
63%
state average (74%)
Doctors "always" communicated well
Average
Near
the average
78%
state average (81%)
Nurses "always" communicated well
Average
Near
the average
76%
state average (81%)
Pain was "always" well controlled
Average
Near
the average
70%
state average (72%)
Patients "always" received help as soon as they wanted
Below
Below
the average
65%
state average (72%)
Patients who gave a rating of "9" or "10" (high)
Below
Below
the average
67%
state average (73%)
Room was "always" clean
Average
Near
the average
71%
state average (76%)
Staff "always" explained
Average
Near
the average
63%
state average (67%)
Yes, staff "did" give patients this information
Average
Near
the average
42%
state average (42%)

Time and Effectiveness

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