Littleton Regional Healthcare

600 Street Johnsbury Road Littleton, NH 03561
http://http://littletonhealthcare.org/medical_directory.php
(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%
Arthrocentesis $666 N/A $386
Automated Pap Test Screening and Manual Rescreening $126 N/A $73
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
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 $5,222 N/A $3,029
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 $4,616 N/A $2,677
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $3,763 N/A $2,183
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 $4,282 N/A $2,484
CT Scan of Chest, With Contrast $2,518 N/A $1,460
Detection for Strep (Streptococcus, group A) $42 N/A $24
Detection Test for Hepatitis B Surface Antigen $106 N/A $62
Detection Test for Human Papillomavirus (HPV) $147 N/A $85
Diagnostic Laryngoscopy $508 N/A $295
Electrocardiogram (ECG or EKG) With Report and Interpretation $754 N/A $437
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
Gall Bladder Surgery $21,001 N/A $12,180
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 $476 Near Average
State Average: 1
 $276
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 HIV-1 and HIV-2 $200 N/A $116
Lab Test to Detect Influenza Virus $32 N/A $18
Lab Test to Measure Creatinine Level $54 N/A $31
LDL Cholesterol Level $105 N/A $61
Lead Level $91 N/A $53
Lipase (Fat Enzyme) Level $64 N/A $37
Low Complexity (outpatient) Emergency Department Visit $374 N/A $217
Low Complexity Physical Therapy Evaluation $317 Near Average
State Average: 1
 $184
Magnesium Level $64 N/A $37
Manual Physical Therapy $151 Near 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
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 $210 N/A $122
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, 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
Pathology Examination of Tissue, Intermediate Complexity $274 N/A $159
Pregnancy Test $23 N/A $13
Pregnancy Ultrasound (Outpatient) $1,065 N/A $618
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 $1,554 N/A $901
Renal (Kidney) Function Panel $65 N/A $38
Screening Mammogram of Both Breasts $1,005 N/A $583
Self-Care or Home Management Training $108 Near Average
State Average: 1
 $63
Shoulder, Elbow, or Wrist MRI $3,415 N/A $1,980
Skin Growth Removal, Premalignant or Precancerous $634 N/A $368
Skin Growth Removal, Up to 14, Benign or Noncancerous $603 N/A $350
Smear for Microorganism $62 N/A $36
Tangential Biopsy of Skin $1,502 N/A $871
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 Below Average
State Average: 3
 $79
Therapeutic Exercises $164 Below 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
Transvaginal Ultrasound (Non-Maternity) $792 N/A $459
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 $875 N/A $507
Ultrasound of Head and Neck $880 N/A $510
Ultrasound of Pelvis $919 N/A $533
Ultrasound Therapy $77 Near Average
State Average: 3
 $45
Urinalysis, Manual Test $11 N/A $6
Urine Capacity Measurement $396 N/A $230
Vitamin B-12 (Cyanocobalamin) Level $130 N/A $76
Vitamin D-3 Level $306 N/A $177
X-Ray of Ankle $538 N/A $312
X-Ray of Chest, 2 Views $468 N/A $272
X-Ray of Foot $450 N/A $261
X-Ray of Hand $558 N/A $323
X-Ray of Hip $336 N/A $195
X-Ray of Knee $497 N/A $288
X-Ray of Middle Back, Thoracic Spine $552 N/A $320
X-Ray of Neck, Cervical Spine $893 N/A $518
X-Ray of Shoulder $511 N/A $297
X-Ray of Spine $729 N/A $423
X-Ray of Wrist $476 N/A $276