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:
51%
Nurses Always Communicated Well:
80%
Doctors Always Communicated Well:
81%
Room Was Always Clean:
78%
Help Was Always Received:
69%
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
Arthrocentesis $642 N/A $404
Back MRI $3,774 N/A $2,378
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
Basic Metabolic Panel $177 N/A $112
Bilirubin Level $39 N/A $24
Blood Count (Hemoglobin) $34 N/A $21
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 $734 N/A $462
Borrelia Burgdorferi (Lyme disease) Antibody Level $172 N/A $108
Brain MRI $7,850 N/A $4,945
C-reactive Protein (CRP) Level $112 N/A $71
Chlamydia Test $256 N/A $161
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 $10,587 N/A $6,670
Colonoscopy With Polyp Removal $10,539 N/A $6,640
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $6,886 N/A $4,338
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
Coronavirus (COVID-19) Antibody Level $105 N/A $66
Creatinine Level $47 N/A $30
CT Scan of Abdomen and Pelvis, With Contrast $3,656 N/A $2,303
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 One Breast $1,037 N/A $654
Electrocardiogram (ECG or EKG) With Tracing $103 N/A $65
Electrolytes Panel $156 N/A $99
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
Follow-Up Pregnancy Ultrasound $1,034 N/A $652
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $256 N/A $161
Hepatitis A Vaccine for Adults, Injected into Muscle $253 N/A $159
Hepatitis A Vaccine for Children, Injected into Muscle $324 N/A $204
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 $419 Near Average
State Average: 1
$264
Human Papilloma Virus Vaccine, Injected into Muscle $64 N/A $40
Hydration Infusion $171 N/A $108
Influenza Vaccine, Injected into Muscle $94 N/A $59
Injection of Substance for Pain Management, Lower Back or Tailbone $4,474 N/A $2,819
Iron Binding Capacity $101 N/A $64
Iron Level $63 N/A $40
Knee MRI $3,747 N/A $2,361
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $99
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 $12 N/A $7
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 Complexity (Outpatient) Emergency Department Visit $426 N/A $269
Low Complexity Occupational Therapy Evaluation $240 Near Average
State Average: 1
$151
Low Complexity Physical Therapy Evaluation $233 Near Average
State Average: 1
$147
Manual Physical Therapy $107 Below Average
State Average: 4
$67
Microalbumin (Protein) Level $103 N/A $65
Minor (Outpatient) Emergency Department Visit $256 N/A $161
Moderate Complexity (Outpatient) Emergency Department Visit $641 N/A $404
Moderate Complexity Physical Therapy Evaluation $340 Near Average
State Average: 1
$214
Natriuretic Peptide Level $285 N/A $179
Neuromuscular Reeducation $88 Below Average
State Average: 4
$56
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $317 N/A $200
New Patient Preventive Care Visit for Adult, 40-64 $372 N/A $234
New Patient Preventive Care Visit for Adult, Ages 18-39 $317 N/A $200
New Patient Preventive Care Visit for Child, Ages 1-4 $294 N/A $185
New Patient Preventive Care Visit for Child, Ages 5-11 $291 N/A $183
New Patient Preventive Care Visit for Child, Under Age 1 $271 N/A $171
Office Visit for Established Patient, Basic $165 N/A $104
Office Visit for Established Patient, High Complexity $411 N/A $259
Office Visit for Established Patient, Low Complexity $209 N/A $132
Office Visit for Established Patient, Minimal Presenting Problem $99 N/A $62
Office Visit for Established Patient, Moderate Complexity $307 N/A $193
Office Visit for New Patient, High Complexity $579 N/A $364
Office Visit for New Patient, Low Complexity $284 N/A $179
Office Visit for New Patient, Minor Complexity $236 N/A $149
Office Visit for New Patient, Moderate Complexity $460 N/A $290
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
Pneumococcal Vaccine for Children, Injected into Muscle $181 N/A $114
Pregnancy Test $22 N/A $14
Pregnancy Ultrasound (Outpatient) $1,435 N/A $904
Presence of Drug $92 N/A $58
Preventive Care Visit for Adolescent, Under Ages 12-17 $268 N/A $169
Preventive Care Visit for Adult, 40-64 $294 N/A $185
Preventive Care Visit for Adult, Ages 18-39 $269 N/A $169
Preventive Care Visit for Child, Under Age 1 $221 N/A $139
Preventive Care Visit for Child, Under Ages 1-4 $245 N/A $154
Preventive Care Visit for Child, Under Ages 5-11 $250 N/A $157
Prostate Specific Antigen (PSA) Level, Free $131 N/A $83
Prostate Specific Antigen (PSA) Level, Total $134 N/A $85
Rotovirus Vaccine, Oral Administration $192 N/A $121
Screening Mammogram of Both Breasts $1,339 N/A $843
Self-Care or Home Management Training $60 Below Average
State Average: 2
$38
Shoulder, Elbow, or Wrist MRI $3,758 N/A $2,368
Single-Level Injection for Pain Management, Lower Back or Tailbone $4,716 N/A $2,971
Sleep Monitoring $3,043 N/A $1,917
Smear for Microorganism $76 N/A $48
Telehealth Visit for Established Patient, 11-20 minutes $188 N/A $119
Telehealth Visit for Established Patient, 21-30 minutes $248 N/A $156
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $65 N/A $41
Therapeutic Activities $75 Below Average
State Average: 3
$47
Therapeutic Exercises $78 Below Average
State Average: 4
$49
Thyroglobulin (Thyroid Protein) Antibody Level $112 N/A $71
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) $1,486 N/A $936
Triiodothyronine (T3) Thyroid Hormone Measurement $166 N/A $105
Troponin (Protein) Analysis, Quantitative $218 N/A $138
Ultrasound of Abdomen, Limited $1,004 N/A $632
Ultrasound of Breast $863 N/A $544
Ultrasound of Head and Neck $1,418 N/A $893
Ultrasound Therapy $84 Below Average
State Average: 3
$53
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 Abdomen, 1 View $382 N/A $241
X-Ray of Ankle, 3 Views $548 N/A $345
X-Ray of Chest, 2 Views $429 N/A $271
X-Ray of Fingers, 2 Views $400 N/A $252
X-Ray of Foot, 3 Views $488 N/A $308
X-Ray of Hand, 3 Views $625 N/A $394
X-Ray of Hip, 2 or 3 Views $591 N/A $372
X-Ray of Knee, 1 or 2 Views $649 N/A $409
X-Ray of Knee, 3 Views $711 N/A $448
X-Ray of Knee, 4 Views $769 N/A $484
X-Ray of Low Back, 2 or 3 Views $705 N/A $444
X-Ray of Neck, 2 or 3 Views $597 N/A $376
X-Ray of Neck, 4 to 5 Views $881 N/A $555
X-Ray of Pelvis, 1 or 2 Views $373 N/A $235
X-Ray of Shoulder, 2 Views $604 N/A $380
X-Ray of Wrist, 3 Views $610 N/A $384