Littleton Regional Healthcare

600 Street Johnsbury Road Littleton, NH 03561
https://littletonhealthcare.org/
(800) 464-7731

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: 42%
Antibody Screen, Red Blood Cells (RBC) $68 N/A $40
Antinuclear Antibodies (ANA) Level $130 N/A $76
Application of Blood Vessel Compression or Decompression Device $69 Below Average
State Average: 3
$40
Arthrocentesis $690 N/A $400
Automated Pap Test Screening and Manual Rescreening $111 N/A $64
Automated with Microscope Examination $51 N/A $30
Automated without Microscope $40 N/A $23
Back MRI $3,373 N/A $1,956
Bacterial Culture $63 N/A $37
Bacterial Culture Swab $130 N/A $76
Bacterial Culture Swab for Aerobic Isolates $119 N/A $69
Bacterial Culture, Quantitative Colony Count $69 N/A $40
Basic Metabolic Panel $71 N/A $41
Bilirubin Level $48 N/A $28
Blood Count (Hemoglobin) $6 N/A $4
Blood Glucose (Sugar) Level $46 N/A $27
Blood Glucose Control (Hemoglobin A1C) $90 N/A $52
Blood Typing (ABO) $60 N/A $35
Blood Typing (Rh (D)) $75 N/A $43
Bone Density Scan $554 N/A $322
Borrelia Burgdorferi (Lyme disease) Antibody Level $123 N/A $71
Brain MRI $5,688 N/A $3,299
C-reactive Protein (CRP) Level $96 N/A $55
Chlamydia Test $247 N/A $143
Cholesterol Test, Lipid Panel $127 N/A $74
Clotting Time $57 N/A $33
Coagulation Assessment $67 N/A $39
Colonoscopy With Biopsy for Noncancerous Growth $4,784 N/A $2,775
Colonoscopy With Polyp Removal $5,835 N/A $3,384
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $3,739 N/A $2,169
Complete Blood Cell Count (Hemoglobin) $67 N/A $39
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $41
Comprehensive Metabolic Panel $96 N/A $55
Coronavirus (COVID-19) Antibody Level $84 N/A $49
Creatinine Level $48 N/A $28
CT Scan of Abdomen and Pelvis, With Contrast $3,970 N/A $2,303
Detection Test for Hepatitis B Surface Antigen $106 N/A $62
Detection Test for Human Papillomavirus (HPV) $147 N/A $85
Developmental Screening $17 N/A $10
Diagnostic Laryngoscopy $508 N/A $295
Diagnostic Mammogram of One Breast $801 N/A $465
Electrocardiogram (ECG or EKG) With Report and Interpretation $854 N/A $496
Electrolytes Panel $57 N/A $33
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $104 N/A $60
Ferritin (Blood Protein) Level $139 N/A $80
Fetal Non-Stress Test $461 N/A $267
Folic Acid Level $126 N/A $73
Follow-Up Pregnancy Ultrasound $697 N/A $404
General Health Panel $318 N/A $185
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $247 N/A $143
Hepatic (Liver) Function Panel $65 N/A $38
Hepatitis B Core Antibody Level $113 N/A $66
Hepatitis B Surface Antibody Level $114 N/A $66
Hepatitis C Antibody Level $143 N/A $83
High Complexity Physical Therapy Evaluation $482 Near Average
State Average: 1
$280
Hydration Infusion $104 N/A $60
Influenza Vaccine, Injected into Muscle $24 N/A $14
Iron Level $66 N/A $38
Knee MRI $3,660 N/A $2,123
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $91
Lab Test to Detect Coronavirus (COVID-19) Antigen $37 N/A $21
Lab Test to Detect HIV-1 and HIV-2 $200 N/A $116
Lab Test to Measure Creatinine Level $54 N/A $31
LDL Cholesterol Level $105 N/A $61
Lipase (Fat Enzyme) Level $64 N/A $37
Liver Enzyme (ALT or SGPT) Level $54 N/A $31
Liver Enzyme (AST or SGOT) Level $48 N/A $28
Low Complexity (outpatient) Emergency Department Visit $374 N/A $217
Low Complexity Physical Therapy Evaluation $327 Near Average
State Average: 1
$189
Magnesium Level $64 N/A $37
Manual Pap Test Screening $224 N/A $130
Manual Physical Therapy $151 Below Average
State Average: 4
$88
Microalbumin (Protein) Level $86 N/A $50
Minor (outpatient) Emergency Department Visit $270 N/A $157
Moderate Complexity (outpatient) Emergency Department Visit $543 N/A $315
Moderate Complexity Physical Therapy Evaluation $396 Near Average
State Average: 1
$230
Myocardial Imaging $5,621 N/A $3,260
Neuromuscular Reeducation $104 Below Average
State Average: 4
$60
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $294 N/A $171
New Patient Preventive Care Visit for Adult, 40-64 $343 N/A $199
New Patient Preventive Care Visit for Adult, Ages 18-39 $294 N/A $171
New Patient Preventive Care Visit for Child, Ages 1-4 $273 N/A $158
New Patient Preventive Care Visit for Child, Ages 5-11 $272 N/A $158
New Patient Preventive Care Visit for Child, Under Age 1 $248 N/A $144
Office Visit for Established Patient, Basic $141 N/A $82
Office Visit for Established Patient, High Complexity $356 N/A $206
Office Visit for Established Patient, Low Complexity $175 N/A $102
Office Visit for Established Patient, Minimal Presenting Problem $65 N/A $38
Office Visit for Established Patient, Moderate Complexity $225 N/A $130
Office Visit for New Patient, Low Complexity $217 N/A $126
Office Visit for New Patient, Minor Complexity $165 N/A $96
Office Visit for New Patient, Moderate Complexity $311 N/A $180
Parathyroid Hormone (PTH) Level $337 N/A $195
Pathology Examination of Tissue, Intermediate Complexity $274 N/A $159
Phosphate Level $48 N/A $28
Pregnancy Test $23 N/A $13
Pregnancy Ultrasound (Outpatient) $923 N/A $535
Presence of Drug $306 N/A $178
Preventive Care Visit for Adolescent, Under Ages 12-17 $254 N/A $147
Preventive Care Visit for Adult, 40-64 $279 N/A $162
Preventive Care Visit for Adult, Ages 18-39 $255 N/A $148
Preventive Care Visit for Child, Under Age 1 $214 N/A $124
Preventive Care Visit for Child, Under Ages 1-4 $234 N/A $136
Preventive Care Visit for Child, Under Ages 5-11 $235 N/A $136
Prostate Specific Antigen (PSA) Level $131 N/A $76
Punch Biopsy of Skin $1,486 N/A $862
Screening Mammogram of Both Breasts $1,005 N/A $583
Self-Care or Home Management Training $108 Below Average
State Average: 2
$63
Shoulder, Elbow, or Wrist MRI $3,413 N/A $1,979
Skin Growth Removal, Premalignant or Precancerous $716 N/A $415
Skin Growth Removal, Up to 14, Benign or Noncancerous $468 N/A $272
Smear for Microorganism $62 N/A $36
Tangential Biopsy of Skin $1,439 N/A $834
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $88 N/A $51
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $87 N/A $51
Therapeutic Activities $137 Near Average
State Average: 3
$79
Therapeutic Exercises $164 Near Average
State Average: 4
$95
Thyroglobulin (Thyroid Protein) Antibody Level $149 N/A $86
Thyroid Stimulating Hormone (TSH) Level $151 N/A $88
Thyroxine (Thyroid Chemical) Level, Free $131 N/A $76
Total Protein Level $50 N/A $29
Transvaginal Ultrasound (Non-Maternity) $930 N/A $540
Triiodothyronine (T3) Thyroid Hormone Measurement $247 N/A $143
Troponin (Protein) Analysis, Quantitative $180 N/A $104
Ultrasound of Abdomen, Complete $1,093 N/A $634
Ultrasound of Abdomen, Limited $564 N/A $327
Ultrasound of Breast $650 N/A $377
Ultrasound of Head and Neck $825 N/A $479
Ultrasound of Pelvis $919 N/A $533
Ultrasound Therapy $77 Above Average
State Average: 3
$45
Urinalysis, Manual Test $11 N/A $6
Urine Capacity Measurement $302 N/A $175
Vitamin B-12 (Cyanocobalamin) Level $130 N/A $76
Vitamin D-3 Level $306 N/A $177
X-Ray of Abdomen $469 N/A $272
X-Ray of Ankle $495 N/A $287
X-Ray of Chest, 2 Views $454 N/A $263
X-Ray of Foot $482 N/A $280
X-Ray of Hand $382 N/A $222
X-Ray of Hip $379 N/A $220
X-Ray of Knee $284 N/A $164
X-Ray of Neck, Cervical Spine $521 N/A $302
X-Ray of Shoulder $545 N/A $316
X-Ray of Spine $565 N/A $328
X-Ray of Wrist $450 N/A $261