Capital Region Ventures Corporation

250 Pleasant Street Concord, NH 03301
www.concordhospital.org
(603) 227-7000

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
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: 0%
Antibody Screen, Red Blood Cells (RBC) $142 N/A $142
Antinuclear Antibodies (ANA) Level $165 N/A $165
Blood Count (Hemoglobin) $51 N/A $51
Borrelia Burgdorferi (Lyme disease) Antibody Level $156 N/A $156
Detection for Strep (Streptococcus, group A) $42 N/A $42
Hydration Infusion $228 N/A $228
Injection of Substance for Pain Management, Lower Back or Tailbone $2,744 N/A $2,744
Liver Enzyme (ALT or SGPT) Level $122 N/A $122
Liver Enzyme (AST or SGOT) Level $98 N/A $98
Low Back MRI, Before and After Contrast $8,395 N/A $8,395
Natriuretic Peptide Level $364 N/A $364
New Patient Preventive Care Visit for Adult, 40-64 $507 N/A $507
New Patient Preventive Care Visit for Adult, Ages 18-39 $407 N/A $407
Office Visit for Established Patient, Basic $118 N/A $118
Office Visit for Established Patient, High Complexity $474 N/A $474
Office Visit for Established Patient, Low Complexity $296 N/A $296
Office Visit for Established Patient, Moderate Complexity $380 N/A $380
Office Visit for New Patient, Low Complexity $332 N/A $332
Office Visit for New Patient, Moderate Complexity $487 N/A $487
Parathyroid Hormone (PTH) Level $323 N/A $323
Phosphate Level $122 N/A $122
Presence of Drug $270 N/A $270
Preventive Care Visit for Adolescent, Under Ages 12-17 $371 N/A $371
Preventive Care Visit for Adult, 40-64 $407 N/A $407
Preventive Care Visit for Adult, Ages 18-39 $360 N/A $360
Preventive Care Visit for Child, Under Ages 1-4 $317 N/A $317
Preventive Care Visit for Child, Under Ages 5-11 $317 N/A $317
Total Protein Level $122 N/A $122
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $438 N/A $438
Troponin (Protein) Analysis, Quantitative $225 N/A $225
Ultrasound of Heart (Echocardiogram) $4,067 N/A $4,067
Urea Nitrogen Level $95 N/A $95
Wound Repair, 2.5 Centimeters or Less $890 N/A $890
X-Ray of Chest, 1 View $580 N/A $580