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) $255 N/A $255
Antinuclear Antibodies (ANA) Level $44 N/A $44
Arthrocentesis $1,529 N/A $1,529
Back MRI $2,337 N/A $2,337
Bacterial Culture Swab $32 N/A $32
Bacterial Culture Swab for Aerobic Isolates $32 N/A $32
Bacterial Culture, Quantitative Colony Count $29 N/A $29
Basic Metabolic Panel $33 N/A $33
Bilirubin Level $19 N/A $19
Biopsy of Skin Lesion $1,190 N/A $1,190
Blood Count (Hemoglobin) $15 N/A $15
Blood Glucose Control (Hemoglobin A1C) $28 N/A $28
Blood Typing (ABO) $429 N/A $429
Blood Typing (Rh (D)) $172 N/A $172
Bone Density Scan $583 N/A $583
Borrelia Burgdorferi (Lyme disease) Antibody Level $66 N/A $66
Brain MRI $4,049 N/A $4,049
Breast Biopsy $4,172 N/A $4,172
C-reactive Protein (CRP) Level $19 N/A $19
Chlamydia Test $123 N/A $123
Cholesterol Test, Lipid Panel $53 N/A $53
Clotting Time $16 N/A $16
Coagulation Assessment $22 N/A $22
Colonoscopy With Polyp Removal $6,489 N/A $6,489
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $5,079 N/A $5,079
Complete Blood Cell Count (Hemoglobin) $24 N/A $24
Complete Blood Cell Count and Automated White Blood Cells $28 N/A $28
Comprehensive Metabolic Panel $41 N/A $41
Creatinine Level $20 N/A $20
CT Scan of Abdomen and Pelvis, With Contrast $4,114 N/A $4,114
CT Scan of Chest, With Contrast $2,081 N/A $2,081
CT Scan of Head/Brain, Without Contrast $1,516 N/A $1,516
Detection for Strep (Streptococcus, group A) $53 N/A $53
Detection Test for Hepatitis B Surface Antigen $38 N/A $38
Developmental Screening $68 N/A $68
Diagnostic Mammogram of Both Breasts $1,216 N/A $1,216
Diagnostic Mammogram of One Breast $562 N/A $562
Electrocardiogram (ECG or EKG) With Report and Interpretation $103 N/A $103
Electrocardiogram (ECG or EKG), Report and Interpretation Only $29 N/A $29
Electrolytes Panel $27 N/A $27
Emergency Transport, Advanced Life Support $870 N/A $870
Endometrial (Uterus) Biopsy $1,696 N/A $1,696
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $30 N/A $30
Ferritin (Blood Protein) Level $47 N/A $47
Fetal Non-Stress Test $821 N/A $821
Folic Acid Level $55 N/A $55
Follow-Up Pregnancy Ultrasound $675 N/A $675
General Health Panel $217 N/A $217
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $123 N/A $123
Hepatic (Liver) Function Panel $30 N/A $30
Hepatitis B Surface Antibody Level $38 N/A $38
Hepatitis C Antibody Level $56 N/A $56
Hydration Infusion $163 N/A $163
Injection of Substance for Pain Management, Lower Back or Tailbone $2,550 N/A $2,550
Iron Binding Capacity $30 N/A $30
Iron Level $24 N/A $24
Knee MRI $2,079 N/A $2,079
Lab Test to Detect HIV-1 and HIV-2 $93 N/A $93
Lab Test to Measure Creatinine Level $20 N/A $20
LDL Cholesterol Level $76 N/A $76
Lipase (Fat Enzyme) Level $25 N/A $25
Liver Enzyme (ALT or SGPT) Level $21 N/A $21
Liver Enzyme (AST or SGOT) Level $20 N/A $20
Low Complexity (Outpatient) Emergency Department Visit $473 N/A $473
Magnesium Level $25 N/A $25
Manual Physical Therapy $152 Below Average
State Average: 4
 $152
Mileage Rate for Ambulance Transport $14 N/A $14
Moderate Complexity (Outpatient) Emergency Department Visit $840 N/A $840
Natriuretic Peptide Level $165 N/A $165
Neuromuscular Reeducation $159 Below Average
State Average: 4
 $159
New Patient Preventive Care Visit for Adult, 40-64 $446 N/A $446
New Patient Preventive Care Visit for Adult, Ages 18-39 $383 N/A $383
Office Visit for Established Patient, Basic $180 N/A $180
Office Visit for Established Patient, High Complexity $504 N/A $504
Office Visit for Established Patient, Low Complexity $256 N/A $256
Office Visit for Established Patient, Minimal Presenting Problem $84 N/A $84
Office Visit for Established Patient, Moderate Complexity $376 N/A $376
Office Visit for New Patient, High Complexity $872 N/A $872
Office Visit for New Patient, Low Complexity $375 N/A $375
Office Visit for New Patient, Minor Complexity $265 N/A $265
Office Visit for New Patient, Moderate Complexity $662 N/A $662
Pelvis MRI $3,090 N/A $3,090
Phosphate Level $18 N/A $18
Pregnancy Test $28 N/A $28
Pregnancy Ultrasound (Outpatient) $546 N/A $546
Presence of Drug $248 N/A $248
Preventive Care Visit for Adolescent, Under Ages 12-17 $404 N/A $404
Preventive Care Visit for Adult, 40-64 $440 N/A $440
Preventive Care Visit for Adult, Ages 18-39 $413 N/A $413
Preventive Care Visit for Child, Under Age 1 $394 N/A $394
Preventive Care Visit for Child, Under Ages 1-4 $394 N/A $394
Preventive Care Visit for Child, Under Ages 5-11 $369 N/A $369
Prostate Specific Antigen (PSA) Level, Total $68 N/A $68
Psychiatric Diagnostic Evaluation $263 Near Average
State Average: 1
 $263
Psychotherapy, 30 Minutes with Patient $137 Near Average
State Average: 1
 $137
Psychotherapy, 45 Minutes with Patient $158 Above Average
State Average: 3
 $158
Psychotherapy, 60 Minutes with Patient $179 Below Average
State Average: 6
 $179
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $12,653 N/A $12,653
Renal (Kidney) Function Panel $34 N/A $34
Screening Mammogram of Both Breasts $1,023 N/A $1,023
Single-Level Injection for Pain Management, Lower Back or Tailbone $4,441 N/A $4,441
Sleep Monitoring $3,586 N/A $3,586
Smear for Microorganism $16 N/A $16
Telehealth Visit for Established Patient, 11-20 minutes $268 N/A $268
Telehealth Visit for Established Patient, 21-30 minutes $132 N/A $132
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $23 N/A $23
Therapeutic Activities $152 Below Average
State Average: 3
 $152
Therapeutic Exercises $152 Above Average
State Average: 4
 $152
Thyroid Stimulating Hormone (TSH) Level $65 N/A $65
Thyroxine (Thyroid Chemical) Level, Free $34 N/A $34
Troponin (Protein) Analysis, Quantitative $53 N/A $53
Ultrasound of Abdomen, Complete $1,277 N/A $1,277
Ultrasound of Abdomen, Limited $912 N/A $912
Ultrasound of Breast $1,252 N/A $1,252
Ultrasound of Head and Neck $817 N/A $817
Ultrasound of Heart (Echocardiogram) $1,184 N/A $1,184
Ultrasound of Pelvis $931 N/A $931
Upper Gastrointestinal (GI) Endoscopy With Biopsy $5,958 N/A $5,958
Urea Nitrogen Level $16 N/A $16
Urinalysis, Automated with Microscope Examination $12 N/A $12
Urinalysis, Automated without Microscope $8 N/A $8
Urinalysis, Manual Test $29 N/A $29
Vitamin B-12 (Cyanocobalamin) Level $63 N/A $63
Vitamin D-3 Level $301 N/A $301
X-Ray of Abdomen, 1 View $665 N/A $665
X-Ray of Ankle, 3 Views $417 N/A $417
X-Ray of Chest, 1 View $540 N/A $540
X-Ray of Chest, 2 Views $435 N/A $435
X-Ray of Fingers, 2 Views $327 N/A $327
X-Ray of Foot, 3 Views $408 N/A $408
X-Ray of Hand, 3 Views $433 N/A $433
X-Ray of Hip, 2 or 3 Views $503 N/A $503
X-Ray of Knee, 3 Views $465 N/A $465
X-Ray of Low Back, 2 or 3 Views $755 N/A $755
X-Ray of Low Back, 4 Views $814 N/A $814
X-Ray of Neck, 2 or 3 Views $631 N/A $631
X-Ray of Neck, 4 to 5 Views $717 N/A $717
X-Ray of Shoulder, 2 Views $406 N/A $406
X-Ray of Wrist, 3 Views $448 N/A $448