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

8 out of 10

Area Around Room Was Always Quiet at Night:
79%
Nurses Always Communicated Well:
83%
Doctors Always Communicated Well:
75%
Room Was Always Clean:
80%
Help Was Always Received:
87%
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: 31%
Antibody Screen, Red Blood Cells (RBC) $74 N/A $51
Antinuclear Antibodies (ANA) Level $132 N/A $91
Arthrocentesis $678 N/A $468
Automated Pap Test Screening and Manual Rescreening $250 N/A $172
Automated with Microscope Examination $42 N/A $29
Automated without Microscope $63 N/A $43
Back MRI $3,500 N/A $2,415
Bacterial Culture Swab $151 N/A $104
Bacterial Culture Swab for Aerobic Isolates $146 N/A $101
Bacterial Culture, Quantitative Colony Count $119 N/A $82
Bilirubin Level $39 N/A $27
Blood Count (Hemoglobin) $34 N/A $23
Blood Glucose (Sugar) Level $47 N/A $33
Blood Glucose Control (Hemoglobin A1C) $117 N/A $80
Blood Typing (ABO) $26 N/A $18
Blood Typing (Rh (D)) $24 N/A $17
Bone Density Scan $699 N/A $483
Borrelia Burgdorferi (Lyme disease) Antibody Level $172 N/A $119
Brain MRI $7,582 N/A $5,231
C-reactive Protein (CRP) Level $112 N/A $78
Chlamydia Test $237 N/A $164
Cholesterol Test, Lipid Panel $166 N/A $114
Clotting Time $14 N/A $9
Coagulation Assessment $79 N/A $54
Colonoscopy With Polyp Removal $5,049 N/A $3,484
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $5,229 N/A $3,608
Complete Blood Cell Count (Hemoglobin) $108 N/A $75
Complete Blood Cell Count and Automated White Blood Cells $117 N/A $80
Coronavirus (COVID-19) Antibody Level $57 N/A $39
Creatinine Level $47 N/A $33
CT Scan of Abdomen and Pelvis, With Contrast $3,724 N/A $2,569
Detection for Strep (Streptococcus, group A) $38 N/A $26
Detection Test for Hepatitis B Surface Antigen $119 N/A $82
Detection Test for Human Papillomavirus (HPV) $384 N/A $265
Diagnostic Mammogram of One Breast $1,231 N/A $849
Electrocardiogram (ECG or EKG) With Tracing $620 N/A $427
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $195 N/A $135
Ferritin (Blood Protein) Level $161 N/A $111
Folic Acid Level $138 N/A $95
Follow-Up Pregnancy Ultrasound $1,034 N/A $714
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $256 N/A $177
Hepatitis B Core Antibody Level $109 N/A $75
Hepatitis B Surface Antibody Level $118 N/A $81
Hepatitis C Antibody Level $145 N/A $100
High Complexity Physical Therapy Evaluation $399 Near Average
State Average: 1
$275
Hydration Infusion $163 N/A $112
Influenza Vaccine, Injected into Muscle $41 N/A $28
Iron Binding Capacity $101 N/A $70
Iron Level $63 N/A $43
Knee MRI $3,576 N/A $2,468
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $74
Lab Test to Detect HIV-1 and HIV-2 $139 N/A $96
Lab Test to Measure Creatinine Level $101 N/A $70
LDL Cholesterol Level $82 N/A $57
Lead Level $48 N/A $33
Lipase (Fat Enzyme) Level $144 N/A $99
Liver Enzyme (ALT or SGPT) Level $47 N/A $33
Liver Enzyme (AST or SGOT) Level $47 N/A $33
Low Complexity (outpatient) Emergency Department Visit $406 N/A $280
Low Complexity Occupational Therapy Evaluation $222 Above Average
State Average: 1
$153
Low Complexity Physical Therapy Evaluation $222 Near Average
State Average: 1
$153
Manual Pap Test Screening $151 N/A $104
Manual Physical Therapy $102 Below Average
State Average: 4
$70
Microalbumin (Protein) Level $103 N/A $71
Minor (outpatient) Emergency Department Visit $237 N/A $164
Moderate Complexity (outpatient) Emergency Department Visit $610 N/A $421
Moderate Complexity Occupational Therapy Evaluation $303 Near Average
State Average: 1
$209
Moderate Complexity Physical Therapy Evaluation $324 Near Average
State Average: 1
$224
Neuromuscular Reeducation $82 Below Average
State Average: 4
$57
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $301 N/A $208
New Patient Preventive Care Visit for Adult, 40-64 $354 N/A $244
New Patient Preventive Care Visit for Adult, Ages 18-39 $301 N/A $208
New Patient Preventive Care Visit for Child, Ages 1-4 $280 N/A $193
New Patient Preventive Care Visit for Child, Ages 5-11 $277 N/A $191
New Patient Preventive Care Visit for Child, Under Age 1 $258 N/A $178
Office Visit for Established Patient, Basic $140 N/A $96
Office Visit for Established Patient, High Complexity $392 N/A $270
Office Visit for Established Patient, Low Complexity $198 N/A $137
Office Visit for Established Patient, Minimal Presenting Problem $75 N/A $51
Office Visit for Established Patient, Moderate Complexity $292 N/A $201
Office Visit for New Patient, High Complexity $550 N/A $380
Office Visit for New Patient, Low Complexity $270 N/A $186
Office Visit for New Patient, Minor Complexity $231 N/A $159
Office Visit for New Patient, Moderate Complexity $438 N/A $302
Parathyroid Hormone (PTH) Level $298 N/A $206
Pathology Examination of Tissue, Intermediate Complexity $330 N/A $227
Phosphate Level $47 N/A $33
Pneumococcal Conjugate Vaccine, Injected into Muscle $269 N/A $186
Pregnancy Test $21 N/A $14
Pregnancy Ultrasound (Outpatient) $1,341 N/A $925
Presence of Drug $130 N/A $90
Preventive Care Visit for Adolescent, Under Ages 12-17 $255 N/A $176
Preventive Care Visit for Adult, 40-64 $280 N/A $193
Preventive Care Visit for Adult, Ages 18-39 $256 N/A $177
Preventive Care Visit for Child, Under Age 1 $210 N/A $145
Preventive Care Visit for Child, Under Ages 1-4 $233 N/A $161
Preventive Care Visit for Child, Under Ages 5-11 $231 N/A $159
Prostate Specific Antigen (PSA) Level $134 N/A $93
Renal (Kidney) Function Panel $138 N/A $95
Screening Mammogram of Both Breasts $1,277 N/A $881
Self-Care or Home Management Training $57 Below Average
State Average: 2
$39
Shoulder, Elbow, or Wrist MRI $3,587 N/A $2,475
Smear for Microorganism $76 N/A $52
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $65 N/A $45
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $152 N/A $105
Therapeutic Activities $71 Below Average
State Average: 3
$49
Therapeutic Exercises $74 Below Average
State Average: 4
$51
Thyroglobulin (Thyroid Protein) Antibody Level $112 N/A $78
Thyroxine (Thyroid Chemical) Level, Free $155 N/A $107
Total Protein Level $128 N/A $88
Transvaginal Ultrasound (Non-Maternity) $1,420 N/A $980
Triiodothyronine (T3) Thyroid Hormone Measurement $166 N/A $114
Troponin (Protein) Analysis, Quantitative $218 N/A $151
Ultrasound of Abdomen, Limited $959 N/A $661
Ultrasound of Breast $824 N/A $569
Ultrasound of Head and Neck $1,273 N/A $878
Ultrasound of Pelvis $1,261 N/A $870
Ultrasound Therapy $78 Below Average
State Average: 3
$54
Urea Nitrogen Level $27 N/A $19
Urinalysis, Manual Test $9 N/A $7
Vitamin B-12 (Cyanocobalamin) Level $156 N/A $108
Vitamin D-3 Level $224 N/A $154
X-Ray of Abdomen $666 N/A $459
X-Ray of Ankle $812 N/A $560
X-Ray of Chest, 2 Views $715 N/A $493
X-Ray of Foot $735 N/A $507
X-Ray of Hand $811 N/A $560
X-Ray of Hip $815 N/A $562
X-Ray of Knee $877 N/A $605
X-Ray of Shoulder $818 N/A $564
X-Ray of Spine $757 N/A $522
X-Ray of Wrist $753 N/A $519