Alice Peck Day Memorial Hospital

10 Alice Peck Day Drive Lebanon, NH 03766
http://www.alicepeckday.org/
(603) 448-3121

All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.

Methodology

Patient Experience

9 out of 10

Area Around Room Was Always Quiet at Night:
58%
Nurses Always Communicated Well:
87%
Doctors Always Communicated Well:
86%
Room Was Always Clean:
83%
Help Was Always Received:
76%
Procedure Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured.
Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).

Uninsured Discount: 37%
Antibody Screen, Red Blood Cells (RBC) $74 N/A $46
Antinuclear Antibodies (ANA) Level $53 N/A $33
Arthrocentesis $629 N/A $396
Back MRI $4,100 N/A $2,583
Bacterial Culture Swab $151 N/A $95
Bacterial Culture Swab for Aerobic Isolates $146 N/A $92
Bacterial Culture, Quantitative Colony Count $119 N/A $75
Bilirubin Level $39 N/A $24
Blood Count (Hemoglobin) $36 N/A $22
Blood Glucose (Sugar) Level $47 N/A $30
Blood Glucose Control (Hemoglobin A1C) $117 N/A $73
Blood Typing (ABO) $26 N/A $17
Blood Typing (Rh (D)) $24 N/A $15
Bone Density Scan $805 N/A $507
Borrelia Burgdorferi (Lyme disease) Antibody Level $133 N/A $84
Brain MRI $8,626 N/A $5,434
C-reactive Protein (CRP) Level $112 N/A $71
Chlamydia Test $237 N/A $149
Cholesterol Test, Lipid Panel $166 N/A $105
Clotting Time $72 N/A $46
Coagulation Assessment $79 N/A $50
Colonoscopy With Biopsy for Noncancerous Growth $10,658 N/A $6,714
Colonoscopy With Polyp Removal $11,590 N/A $7,302
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $7,032 N/A $4,430
Complete Blood Cell Count (Hemoglobin) $108 N/A $68
Complete Blood Cell Count and Automated White Blood Cells $117 N/A $73
Comprehensive Metabolic Panel $235 N/A $148
Creatinine Level $47 N/A $30
CT Scan of Abdomen and Pelvis, With Contrast $4,140 N/A $2,608
Detection for Strep (Streptococcus, group A) $40 N/A $25
Detection Test for Hepatitis B Surface Antigen $119 N/A $75
Detection Test for Human Papillomavirus (HPV) $384 N/A $242
Diagnostic Mammogram of Both Breasts $1,441 N/A $908
Diagnostic Mammogram of One Breast $1,151 N/A $725
Electrolytes Panel $89 N/A $56
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $195 N/A $123
Ferritin (Blood Protein) Level $161 N/A $101
Folic Acid Level $138 N/A $87
General Health Panel $201 N/A $126
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $256 N/A $161
Hepatic (Liver) Function Panel $186 N/A $117
Hepatitis A Vaccine for Adults, Injected into Muscle $255 N/A $160
Hepatitis A Vaccine for Children, Injected into Muscle $410 N/A $258
Hepatitis B Core Antibody Level $109 N/A $69
Hepatitis B Surface Antibody Level $118 N/A $74
Hepatitis C Antibody Level $145 N/A $91
High Complexity Physical Therapy Evaluation $448 Near Average
State Average: 1
$282
Human Papilloma Virus Vaccine, Injected into Muscle $64 N/A $40
Hydration Infusion $184 N/A $116
Influenza Vaccine, Injected into Muscle $99 N/A $62
Injection of Substance for Pain Management, Lower Back or Tailbone $5,175 N/A $3,260
Iron Binding Capacity $101 N/A $64
Iron Level $63 N/A $40
Knee MRI $4,194 N/A $2,642
Lab Test to Detect Coronavirus (COVID-19) $286 N/A $180
Lab Test to Detect HIV-1 and HIV-2 $139 N/A $87
Lab Test to Measure Creatinine Level $101 N/A $64
LDL Cholesterol Level $82 N/A $52
Lead Level $88 N/A $56
Lipase (Fat Enzyme) Level $144 N/A $91
Liver Enzyme (ALT or SGPT) Level $47 N/A $30
Liver Enzyme (AST or SGOT) Level $47 N/A $30
Low Back MRI, Before and After Contrast $7,596 N/A $4,785
Low Complexity (Outpatient) Emergency Department Visit $457 N/A $288
Low Complexity Physical Therapy Evaluation $250 Near Average
State Average: 1
$157
Manual Physical Therapy $114 Below Average
State Average: 4
$72
Microalbumin (Protein) Level $103 N/A $65
Minor (Outpatient) Emergency Department Visit $267 N/A $168
Moderate Complexity (Outpatient) Emergency Department Visit $686 N/A $432
Moderate Complexity Physical Therapy Evaluation $364 Near Average
State Average: 1
$230
Natriuretic Peptide Level $285 N/A $179
Neuromuscular Reeducation $91 Below Average
State Average: 4
$58
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $339 N/A $214
New Patient Preventive Care Visit for Adult, 40-64 $398 N/A $251
New Patient Preventive Care Visit for Adult, Ages 18-39 $339 N/A $214
New Patient Preventive Care Visit for Child, Ages 1-4 $315 N/A $198
New Patient Preventive Care Visit for Child, Ages 5-11 $315 N/A $198
New Patient Preventive Care Visit for Child, Under Age 1 $290 N/A $183
Office Visit for Established Patient, Basic $206 N/A $130
Office Visit for Established Patient, High Complexity $440 N/A $277
Office Visit for Established Patient, Low Complexity $224 N/A $141
Office Visit for Established Patient, Minimal Presenting Problem $106 N/A $67
Office Visit for Established Patient, Moderate Complexity $329 N/A $207
Office Visit for New Patient, High Complexity $621 N/A $391
Office Visit for New Patient, Low Complexity $303 N/A $191
Office Visit for New Patient, Moderate Complexity $474 N/A $298
Pap Test Screening, Automated with Manual Review $250 N/A $157
Pap Test Screening, Manual $151 N/A $95
Parathyroid Hormone (PTH) Level $298 N/A $188
Pathology Examination of Tissue, Intermediate Complexity $330 N/A $208
Phosphate Level $47 N/A $30
Physical Therapy Re-Evaluation $236 Near Average
State Average: 1
$149
Pregnancy Test $22 N/A $14
Pregnancy Ultrasound (Outpatient) $1,496 N/A $943
Presence of Drug $92 N/A $58
Preventive Care Visit for Adolescent, Under Ages 12-17 $289 N/A $182
Preventive Care Visit for Adult, 40-64 $315 N/A $198
Preventive Care Visit for Adult, Ages 18-39 $289 N/A $182
Preventive Care Visit for Child, Under Age 1 $237 N/A $149
Preventive Care Visit for Child, Under Ages 1-4 $263 N/A $165
Preventive Care Visit for Child, Under Ages 5-11 $263 N/A $165
Prostate Specific Antigen (PSA) Level, Free $131 N/A $83
Prostate Specific Antigen (PSA) Level, Total $134 N/A $85
Renal (Kidney) Function Panel $138 N/A $87
Rotovirus Vaccine, Oral Administration $194 N/A $122
Screening Mammogram of Both Breasts $1,479 N/A $932
Self-Care or Home Management Training $64 Below Average
State Average: 2
$40
Shoulder, Elbow, or Wrist MRI $4,204 N/A $2,649
Smear for Microorganism $76 N/A $48
Telehealth Visit for Established Patient, 11-20 minutes $198 N/A $125
Telehealth Visit for Established Patient, 21-30 minutes $266 N/A $167
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $65 N/A $41
Therapeutic Activities $80 Below Average
State Average: 3
$50
Therapeutic Exercises $83 Below Average
State Average: 4
$52
Thyroglobulin (Thyroid Protein) Antibody Level $77 N/A $48
Thyroid Stimulating Hormone (TSH) Level $250 N/A $157
Thyroxine (Thyroid Chemical) Level, Free $155 N/A $98
Total Protein Level $128 N/A $81
Transvaginal Ultrasound (Non-Maternity) $1,691 N/A $1,065
Triiodothyronine (T3) Thyroid Hormone Measurement $166 N/A $105
Troponin (Protein) Analysis, Quantitative $218 N/A $138
Ultrasound of Abdomen, Limited $1,137 N/A $716
Ultrasound of Breast $949 N/A $598
Ultrasound of Head and Neck $1,502 N/A $946
Ultrasound Therapy $90 Below Average
State Average: 2
$57
Urea Nitrogen Level $27 N/A $17
Urinalysis, Automated with Microscope Examination $42 N/A $26
Urinalysis, Automated without Microscope $63 N/A $40
Urinalysis, Manual Test $9 N/A $6
Vitamin B-12 (Cyanocobalamin) Level $156 N/A $99
Vitamin D-3 Level $224 N/A $141
X-Ray of Ankle, 3 Views $610 N/A $384
X-Ray of Chest, 2 Views $455 N/A $286
X-Ray of Fingers, 2 Views $422 N/A $266
X-Ray of Foot, 3 Views $543 N/A $342
X-Ray of Hand, 3 Views $658 N/A $415
X-Ray of Hip, 2 or 3 Views $629 N/A $396
X-Ray of Knee, 1 or 2 Views $683 N/A $430
X-Ray of Knee, 3 Views $789 N/A $497
X-Ray of Knee, 4 Views $851 N/A $536
X-Ray of Low Back, 2 or 3 Views $742 N/A $468
X-Ray of Neck, 2 or 3 Views $666 N/A $419
X-Ray of Neck, 4 to 5 Views $952 N/A $600
X-Ray of Pelvis, 1 or 2 Views $396 N/A $249
X-Ray of Shoulder, 2 Views $635 N/A $400
X-Ray of Wrist, 3 Views $642 N/A $404