Concord Hospital - Franklin

15 Aiken Avenue Franklin, NH 03235
http://www.lrgh.org/about-lrghealthcare/welcome-to-the-franklin-regional-hospital/
(603) 934-2060

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: 67%
Antibody Screen, Red Blood Cells (RBC) $117 N/A $39
Antinuclear Antibodies (ANA) Level $118 N/A $39
Back MRI $2,931 N/A $967
Bacterial Culture $14 N/A $5
Bacterial Culture Swab $68 N/A $22
Bacterial Culture Swab for Aerobic Isolates $103 N/A $34
Bacterial Culture, Quantitative Colony Count $118 N/A $39
Basic Metabolic Panel $77 N/A $25
Bilirubin Level $112 N/A $37
Blood Glucose (Sugar) Level $19 N/A $6
Blood Glucose Control (Hemoglobin A1C) $130 N/A $43
Blood Typing (ABO) $71 N/A $24
Blood Typing (Rh (D)) $86 N/A $28
Borrelia Burgdorferi (Lyme disease) Antibody Level $54 N/A $18
Brain MRI $4,515 N/A $1,490
C-reactive Protein (CRP) Level $54 N/A $18
Chlamydia Test $223 N/A $73
Cholesterol Test, Lipid Panel $148 N/A $49
Clotting Time $7 N/A $2
Coagulation Assessment $124 N/A $41
Complete Blood Cell Count (Hemoglobin) $109 N/A $36
Complete Blood Cell Count and Automated White Blood Cells $113 N/A $37
Comprehensive Metabolic Panel $134 N/A $44
Creatinine Level $90 N/A $30
CT Scan of Abdomen and Pelvis, With Contrast $2,553 N/A $843
Detection for Strep (Streptococcus, group A) $42 N/A $14
Detection Test for Hepatitis B Surface Antigen $101 N/A $33
Detection Test for Human Papillomavirus (HPV) $181 N/A $60
Electrolytes Panel $141 N/A $46
Emergency Transport, Advanced Life Support $1,567 N/A $517
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $163 N/A $54
Ferritin (Blood Protein) Level $207 N/A $68
Folic Acid Level $207 N/A $68
Follow-Up Pregnancy Ultrasound $727 N/A $240
General Health Panel $171 N/A $56
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $223 N/A $73
Hepatic (Liver) Function Panel $99 N/A $33
Hepatitis B Core Antibody Level $24 N/A $8
Hepatitis B Surface Antibody Level $444 N/A $147
Hepatitis C Antibody Level $296 N/A $98
Hydration Infusion $120 N/A $40
Iron Binding Capacity $90 N/A $30
Iron Level $72 N/A $24
Lab Test to Detect Coronavirus (COVID-19) $105 N/A $35
Lab Test to Detect HIV-1 and HIV-2 $44 N/A $15
Lab Test to Detect Influenza Virus $22 N/A $7
Lab Test to Measure Creatinine Level $97 N/A $32
Lead Level $104 N/A $34
Lipase (Fat Enzyme) Level $137 N/A $45
Liver Enzyme (ALT or SGPT) Level $112 N/A $37
Liver Enzyme (AST or SGOT) Level $90 N/A $30
Low Complexity (Outpatient) Emergency Department Visit $708 N/A $234
Low Complexity Physical Therapy Evaluation $397 Near Average
State Average: 1
 $131
Magnesium Level $73 N/A $24
Manual Physical Therapy $95 Near Average
State Average: 4
 $31
Microalbumin (Protein) Level $81 N/A $27
Mileage Rate for Ambulance Transport $42 N/A $14
Minor (Outpatient) Emergency Department Visit $453 N/A $149
Moderate Complexity (Outpatient) Emergency Department Visit $1,210 N/A $399
Moderate Complexity Physical Therapy Evaluation $397 Near Average
State Average: 1
 $131
Natriuretic Peptide Level $336 N/A $111
Neuromuscular Reeducation $95 Below Average
State Average: 4
 $31
Parathyroid Hormone (PTH) Level $201 N/A $66
Phosphate Level $112 N/A $37
Pregnancy (Obstetric) Panel $201 N/A $66
Pregnancy Test $14 N/A $5
Presence of Drug $284 N/A $94
Prostate Cancer Screening $192 N/A $63
Prostate Specific Antigen (PSA) Level, Total $207 N/A $68
Screening Mammogram of Both Breasts $1,014 N/A $335
Shoulder, Elbow, or Wrist MRI $3,001 N/A $990
Smear for Microorganism $56 N/A $18
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $118 N/A $39
Therapeutic Exercises $95 Near Average
State Average: 4
 $31
Thyroid Stimulating Hormone (TSH) Level $190 N/A $63
Thyroxine (Thyroid Chemical) Level, Free $189 N/A $62
Total Protein Level $101 N/A $33
Triiodothyronine (T3) Thyroid Hormone Measurement $164 N/A $54
Troponin (Protein) Analysis, Quantitative $207 N/A $68
Ultrasound of Abdomen, Limited $694 N/A $229
Ultrasound of Head and Neck $748 N/A $247
Ultrasound Therapy $95 Above Average
State Average: 3
 $31
Urea Nitrogen Level $90 N/A $30
Urinalysis, Automated with Microscope Examination $128 N/A $42
Urinalysis, Automated without Microscope $38 N/A $12
Vitamin B-12 (Cyanocobalamin) Level $207 N/A $68
Vitamin D-3 Level $145 N/A $48
Walking Training, 15 minutes $125 Above Average
State Average: 1
 $41
X-Ray of Abdomen, 1 View $211 N/A $69
X-Ray of Ankle, 3 Views $207 N/A $68
X-Ray of Chest, 2 Views $224 N/A $74
X-Ray of Foot, 3 Views $239 N/A $79
X-Ray of Hand, 3 Views $207 N/A $68
X-Ray of Hip, 2 or 3 Views $246 N/A $81
X-Ray of Knee, 3 Views $307 N/A $101
X-Ray of Knee, 4 Views $354 N/A $117
X-Ray of Low Back, 2 or 3 Views $479 N/A $158
X-Ray of Shoulder, 2 Views $338 N/A $111