Lawrence General Hospital

1 General Street Lawrence, MA 01841
http://www.lawrencegeneral.org/
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Bone Density Scan (outpatient)$4910%$491 Medium
CT - Abdomen & Pelvis, with contrast$38000%$3800 Medium
CT - Chest (outpatient)$23250%$2325 Medium
CT - Head/Brain, without dye$18170%$1817 High
Mammogram (outpatient)$8990%$899 Medium
Myocardial Imaging (outpatient)$50540%$5054 Medium
Ultrasound - Abdominal, Complete$13800%$1380 Medium
Ultrasound - Abdominal, Limited$7420%$742 Medium
Ultrasound - Head and Neck$7050%$705 Medium
Ultrasound - Pelvic (outpatient)$8820%$882 Medium
Ultrasound - Pregnancy (outpatient)$11340%$1134 Medium
Ultrasound - Pregnancy follow-up$3750%$375 Medium
Ultrasound - Transvaginal (non-maternity)$7640%$764 Medium
X-Ray - Abdomen$7500%$750 Medium
X-Ray - Chest (outpatient)$6440%$644 Medium
X-Ray - Foot (outpatient)$5640%$564 Medium
X-Ray - Hand$4470%$447 Medium
X-Ray - Knee (outpatient)$4200%$420 Medium
X-Ray - Shoulder (outpatient)$4560%$456 Medium
X-Ray - Spine (outpatient)$6920%$692 Medium

Outpatient Tests and Procedures

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Breast Biopsy$44330%$4433 Medium
Colonoscopy with biopsy (outpatient)$58260%$5826 High
Colonoscopy with polyp removal (outpatient)$60440%$6044 Medium
Diagnostic colonoscopy (outpatient)$50110%$5011 Medium
Fetal Non-Stress Test$10980%$1098 Medium
Upper Gastrointestinal Endoscopy, with biopsy$58600%$5860 Medium

Laboratory Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for basic metabolic panel$560%$56 Medium
Blood test for blood glucose control (Hemoglobin A1C)$650%$65 Medium
Blood test for clotting time$400%$40 Medium
Blood test for complete blood cell count and automated WBC$570%$57 Medium
Blood test for complete blood cell count (hemoglobin)$310%$31 Medium
Blood test for PSA (prostate specific antigen) level$980%$98 Medium
Blood test for thyroxine (thyroid chemical) level, free$910%$91 Medium
Blood test for TSH (thyroid stimulating hormone) level$1050%$105 Medium
Blood test for vitamin B-12 (cyanocobalamin) level$930%$93 Medium
Chlamydia test$1460%$146 Medium
Electrolytes Panel$780%$78 Medium
Gonorrhoeae test (Neisseria gonorrhoeae bacteria)$1460%$146 Medium
Health Screening - General Health Panel$2630%$263 Medium
Hepatic (Liver) Function Panel$510%$51 Medium
Lipid Panel - Cholesterol Test$770%$77 Medium
Urinalysis test automated with microscope examination$300%$30 Medium
Metabolic Panel - Comprehensive$860%$86 Medium
Pregnancy test, urine$330%$33 Medium
Test for disease-causing (pathogenic) organisms, not limited to a specific condition$410%$41 Medium
Strep Test (Streptococcus, group A)$760%$76 Medium
Test for vitamin D-3 level$1290%$129 Medium
Urine test for bacterial culture$670%$67 Medium

Physical Therapy

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Low Complexity Evaluation - PT$1510%$151 Medium
Moderate Complexity Evaluation - PT$1680%$168 Medium
Manual Therapy - PT$1050%$105 Medium
Therapeutic Exercises - PT$970%$97 Medium

Office Visits

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Comp Preventive Medicine 18-39 yrs old$3780%$378 Medium
Comp Preventive Medicine 40-64 yrs old$3780%$378 Medium
New Patient, Comp Prevent Medicine 40-64 yrs old$2470%$247 Medium

Emergency Visits

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Emergency Room Visit - Very Minor (outpatient)$2270%$227 Medium
Emergency Department Visit - Low Complexity (outpatient)$3060%$306 Medium
Emergency Room Visit - Medium (outpatient)$4340%$434 Medium

Ambulance Services