Lowell General Hospital

1 Hospital Drive Lowell, MA 01824
http://www.lowellgeneral.org/
(978) 937-6000

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) $132 N/A $132
Antinuclear Antibodies (ANA) Level $105 N/A $105
Arthroscopic Shoulder Surgery $33,344 N/A $33,344
Bacterial Culture $58 N/A $58
Bacterial Culture Swab $188 N/A $188
Bacterial Culture Swab for Aerobic Isolates $100 N/A $100
Bacterial Culture, Quantitative Colony Count $140 N/A $140
Basic Metabolic Panel $148 N/A $148
Bilirubin Level $86 N/A $86
Biopsy of Prostate Gland $11,598 N/A $11,598
Biopsy of Skin Lesion $780 N/A $780
Blood Count (Hemoglobin) $58 N/A $58
Blood Glucose Control (Hemoglobin A1C) $100 N/A $100
Blood Typing (ABO) $100 N/A $100
Blood Typing (Rh (D)) $71 N/A $71
Bone Density Scan $665 N/A $665
Borrelia Burgdorferi (Lyme disease) Antibody Level $169 N/A $169
Brain MRI $3,078 N/A $3,078
Chlamydia Test $197 N/A $197
Cholesterol Test, Lipid Panel $169 N/A $169
Clotting Time $86 N/A $86
Coagulation Assessment $169 N/A $169
Colonoscopy With Biopsy for Noncancerous Growth $7,106 N/A $7,106
Complete Blood Cell Count (Hemoglobin) $89 N/A $89
Complete Blood Cell Count and Automated White Blood Cells $127 N/A $127
Comprehensive Metabolic Panel $169 N/A $169
Coronavirus (COVID-19) Antibody Level $84 N/A $84
Creatinine Level $81 N/A $81
CT Scan of Abdomen and Pelvis, With Contrast $5,206 N/A $5,206
CT Scan of Chest, With Contrast $2,490 N/A $2,490
CT Scan of Head/Brain, Without Contrast $1,721 N/A $1,721
Cystoscopy $1,309 N/A $1,309
Detection for Strep (Streptococcus, group A) $93 N/A $93
Detection Test for Hepatitis B Surface Antigen $179 N/A $179
Developmental Screening $53 N/A $53
Diagnostic Mammogram of Both Breasts $1,631 N/A $1,631
Diagnostic Mammogram of One Breast $1,364 N/A $1,364
Electrocardiogram (ECG or EKG) With Report and Interpretation $534 N/A $534
Electrolytes Panel $132 N/A $132
Emergency Transport, Advanced Life Support $1,086 N/A $1,086
Endometrial (Uterus) Biopsy $1,256 N/A $1,256
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $223 N/A $223
Ferritin (Blood Protein) Level $128 N/A $128
Fetal Non-Stress Test $1,508 N/A $1,508
Folic Acid Level $215 N/A $215
Follow-Up Pregnancy Ultrasound $780 N/A $780
General Health Panel $288 N/A $288
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $191 N/A $191
Hepatic (Liver) Function Panel $140 N/A $140
Hepatitis B Surface Antibody Level $71 N/A $71
Hepatitis C Antibody Level $179 N/A $179
Hydration Infusion $129 N/A $129
Influenza Vaccine, Injected into Muscle $146 N/A $146
Iron Binding Capacity $104 N/A $104
Iron Level $107 N/A $107
Knee MRI $1,969 N/A $1,969
Lab Test to Detect Coronavirus (COVID-19) $233 N/A $233
Lab Test to Detect HIV-1 and HIV-2 $107 N/A $107
Lab Test to Measure Creatinine Level $128 N/A $128
Laparoscopic Hernia Repair $15,180 N/A $15,180
LDL Cholesterol Level $120 N/A $120
Lead Level $104 N/A $104
Lipase (Fat Enzyme) Level $71 N/A $71
Liver Enzyme (ALT or SGPT) Level $86 N/A $86
Liver Enzyme (AST or SGOT) Level $86 N/A $86
Low Complexity (Outpatient) Emergency Department Visit $466 N/A $466
Magnesium Level $86 N/A $86
Manual Physical Therapy $152 Near Average
State Average: 4
 $152
Microalbumin (Protein) Level $53 N/A $53
Mileage Rate for Ambulance Transport $30 N/A $30
Moderate Complexity (Outpatient) Emergency Department Visit $648 N/A $648
Natriuretic Peptide Level $184 N/A $184
New Patient Preventive Care Visit for Adult, 40-64 $576 N/A $576
New Patient Preventive Care Visit for Adult, Ages 18-39 $496 N/A $496
Office Visit for Established Patient, Basic $169 N/A $169
Office Visit for Established Patient, High Complexity $547 N/A $547
Office Visit for Established Patient, Low Complexity $279 N/A $279
Office Visit for Established Patient, Minimal Presenting Problem $86 N/A $86
Office Visit for Established Patient, Moderate Complexity $317 N/A $317
Office Visit for New Patient, Moderate Complexity $480 N/A $480
Pap Test Screening, Automated with Manual Review $104 N/A $104
Pap Test Screening, Manual $100 N/A $100
Parathyroid Hormone (PTH) Level $244 N/A $244
Phosphate Level $86 N/A $86
Pneumococcal Vaccine for Children, Injected into Muscle $100 N/A $100
Pregnancy (Obstetric) Panel $267 N/A $267
Pregnancy Test $107 N/A $107
Pregnancy Ultrasound (Outpatient) $1,035 N/A $1,035
Presence of Drug $57 N/A $57
Preventive Care Visit for Adolescent, Under Ages 12-17 $368 N/A $368
Preventive Care Visit for Adult, 40-64 $477 N/A $477
Preventive Care Visit for Adult, Ages 18-39 $448 N/A $448
Preventive Care Visit for Child, Under Ages 1-4 $341 N/A $341
Preventive Care Visit for Child, Under Ages 5-11 $341 N/A $341
Prostate Cancer Screening $100 N/A $100
Prostate Specific Antigen (PSA) Level, Free $143 N/A $143
Prostate Specific Antigen (PSA) Level, Total $107 N/A $107
Renal (Kidney) Function Panel $140 N/A $140
Screening Mammogram of Both Breasts $1,118 N/A $1,118
Single-Level Injection for Pain Management, Lower Back or Tailbone $3,593 N/A $3,593
Sleep Monitoring $3,406 N/A $3,406
Smear for Microorganism $71 N/A $71
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $148 N/A $148
Therapeutic Activities $152 Below Average
State Average: 3
 $152
Therapeutic Exercises $152 Below Average
State Average: 4
 $152
Thyroglobulin (Thyroid Protein) Antibody Level $140 N/A $140
Thyroid Stimulating Hormone (TSH) Level $188 N/A $188
Total Protein Level $164 N/A $164
Triiodothyronine (T3) Thyroid Hormone Measurement $254 N/A $254
Troponin (Protein) Analysis, Quantitative $265 N/A $265
Ultrasound of Abdomen, Complete $1,447 N/A $1,447
Ultrasound of Abdomen, Limited $1,145 N/A $1,145
Ultrasound of Breast $988 N/A $988
Ultrasound of Head and Neck $855 N/A $855
Ultrasound of Heart (Echocardiogram) $2,493 N/A $2,493
Upper Gastrointestinal (GI) Endoscopy With Biopsy $4,577 N/A $4,577
Urea Nitrogen Level $81 N/A $81
Urinalysis, Automated with Microscope Examination $86 N/A $86
Urinalysis, Automated without Microscope $86 N/A $86
Urinalysis, Manual Test $53 N/A $53
Vitamin B-12 (Cyanocobalamin) Level $228 N/A $228
Vitamin D-3 Level $92 N/A $92
Walking Training, 15 minutes $141 Near Average
State Average: 1
 $141
X-Ray of Abdomen, 1 View $1,211 N/A $1,211
X-Ray of Ankle, 3 Views $720 N/A $720
X-Ray of Chest, 2 Views $803 N/A $803
X-Ray of Fingers, 2 Views $557 N/A $557
X-Ray of Foot, 3 Views $776 N/A $776
X-Ray of Hand, 3 Views $711 N/A $711
X-Ray of Hip, 2 or 3 Views $782 N/A $782
X-Ray of Knee, 3 Views $654 N/A $654
X-Ray of Knee, 4 Views $1,178 N/A $1,178
X-Ray of Low Back, 2 or 3 Views $894 N/A $894
X-Ray of Low Back, 4 Views $927 N/A $927
X-Ray of Neck, 4 to 5 Views $1,032 N/A $1,032
X-Ray of Wrist, 3 Views $919 N/A $919