Weeks Medical Center

173 Middle Street Lancaster, NH 03584
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)$29530%$206HIGH
Emergency Department Visit - Low Complexity (outpatient)$63430%$444MEDIUM
Emergency Room Visit - Medium (outpatient)$117830%$825MEDIUM

Laboratory Services

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for basic metabolic panel$6730%$47N/A
Blood test for blood glucose control (Hemoglobin A1C)$7830%$54N/A
Blood test for clotting time$2930%$21N/A
Blood test for complete blood cell count and automated WBC$6230%$43N/A
Blood test for complete blood cell count (hemoglobin)$5130%$36N/A
Blood test for PSA (prostate specific antigen) level$11630%$81N/A
Blood test for thyroxine (thyroid chemical) level, free$7430%$51N/A
Blood test for TSH (thyroid stimulating hormone) level$13330%$93N/A
Blood test for vitamin B-12 (cyanocobalamin) level$9630%$67N/A
Chlamydia test$21130%$148N/A
Gonorrhoeae test (Neisseria gonorrhoeae bacteria)$21130%$148N/A
Health Screening - General Health Panel$27930%$196N/A
Hepatic (Liver) Function Panel$6530%$46N/A
Lipid Panel - Cholesterol Test$10730%$75N/A
Urinalysis test automated with microscope examination$2530%$18N/A
Metabolic Panel - Comprehensive$8430%$59N/A
Pregnancy test, urine$5030%$35N/A
Test for disease-causing (pathogenic) organisms, not limited to a specific condition$4630%$32N/A
Strep Test (Streptococcus, group A)$9130%$64N/A
Test for vitamin D-3 level$23930%$168N/A
Urine test for bacterial culture$5130%$36N/A

Office Visits

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Basic Office Visit$11630%$81MEDIUM
Office Visit, Established Pt$14730%$103MEDIUM
Office Visit of Moderate Complexity$21630%$151MEDIUM
Office Visit of Moderate to High Complexity$49230%$345MEDIUM
Office Visit, New Pt, Minor$19630%$137VERY HIGH
Office Visit, New Pt, Low$28530%$199MEDIUM
Comp Preventive Medicine younger than 1 yrs old$30030%$210MEDIUM
Comp Preventive Medicine 1-4 yrs old$30130%$211HIGH
Comp Preventive Medicine 5-11 yrs old$27730%$194HIGH
Comp Preventive Medicine 12-17 yrs old$32630%$228MEDIUM
Comp Preventive Medicine 18-39 yrs old$50430%$353MEDIUM
Comp Preventive Medicine 40-64 yrs old$48930%$343MEDIUM

Outpatient Tests and Procedures

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$28530%$199MEDIUM
Colonoscopy (outpatient)$305630%$2139MEDIUM

Physical Therapy

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Evaluation - PT$28530%$199N/A
Manual Therapy - PT$11330%$79N/A
Therapeutic Exercises - PT$12330%$86N/A
Electrical Stimulation Therapy - PT$5930%$41N/A
Ultrasound Therapy - PT$6330%$44N/A

Radiology

Estimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Bone Density Scan (outpatient)$35130%$245MEDIUM
CT - Abdomen & Pelvis, with contrast$220930%$1546MEDIUM
CT - Chest (outpatient)$183430%$1284HIGH
Mammogram (outpatient)$103730%$726MEDIUM
MRI - Back (outpatient)$158630%$1110MEDIUM
MRI - Brain (outpatient)$277130%$1940MEDIUM
MRI - Knee (outpatient)$172030%$1204MEDIUM
MRI - Shoulder, Elbow, or Wrist$171830%$1202MEDIUM
Myocardial Imaging (outpatient)$817130%$5720MEDIUM
Ultrasound - Head and Neck$83830%$587MEDIUM
Ultrasound - Pelvic (outpatient)$83830%$587HIGH
Ultrasound - Transvaginal (non-maternity)$85530%$598MEDIUM
X-Ray - Ankle (outpatient)$23330%$163VERY HIGH
X-Ray - Chest (outpatient)$19230%$135MEDIUM
X-Ray - Foot (outpatient)$10230%$72MEDIUM
X-Ray - Shoulder (outpatient)$20330%$142MEDIUM
X-Ray - Wrist (outpatient)$26930%$188MEDIUM

Time and Effectiveness

Measure
Aspirin at Arrival
Average
Near
the average
100%
state average (96%)
Initial antibiotic selection for CAP in immunocompetent patient
Average
Near
the average
100%
state average (97%)
Median Time to ECG
Average
Near
the average
10 mins
state average (7 mins)