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) $60 N/A $60
Antinuclear Antibodies (ANA) Level $67 N/A $67
Back MRI $1,991 N/A $1,991
Bacterial Culture Swab $76 N/A $76
Bacterial Culture Swab for Aerobic Isolates $68 N/A $68
Bacterial Culture, Quantitative Colony Count $57 N/A $57
Basic Metabolic Panel $56 N/A $56
Bilirubin Level $26 N/A $26
Blood Count (Hemoglobin) $21 N/A $21
Blood Glucose (Sugar) Level $14 N/A $14
Blood Glucose Control (Hemoglobin A1C) $47 N/A $47
Blood Typing (ABO) $132 N/A $132
Blood Typing (Rh (D)) $172 N/A $172
Bone Density Scan $665 N/A $665
Borrelia Burgdorferi (Lyme disease) Antibody Level $101 N/A $101
Brain MRI $3,440 N/A $3,440
C-reactive Protein (CRP) Level $66 N/A $66
Chlamydia Test $189 N/A $189
Cholesterol Test, Lipid Panel $81 N/A $81
Clotting Time $22 N/A $22
Coagulation Assessment $49 N/A $49
Colonoscopy With Polyp Removal $6,718 N/A $6,718
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $5,499 N/A $5,499
Complete Blood Cell Count (Hemoglobin) $36 N/A $36
Complete Blood Cell Count and Automated White Blood Cells $37 N/A $37
Comprehensive Metabolic Panel $81 N/A $81
Creatinine Level $26 N/A $26
CT Scan of Abdomen and Pelvis, With Contrast $4,681 N/A $4,681
CT Scan of Chest, With Contrast $2,081 N/A $2,081
CT Scan of Head/Brain, Without Contrast $1,721 N/A $1,721
Detection for Strep (Streptococcus, group A) $53 N/A $53
Detection Test for Hepatitis B Surface Antigen $77 N/A $77
Detection Test for Human Papillomavirus (HPV) $165 N/A $165
Developmental Screening $68 N/A $68
Diagnostic Mammogram of Both Breasts $1,371 N/A $1,371
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 $48 N/A $48
Emergency Transport, Advanced Life Support $870 N/A $870
Endometrial (Uterus) Biopsy $1,390 N/A $1,390
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $43 N/A $43
Ferritin (Blood Protein) Level $100 N/A $100
Fetal Non-Stress Test $828 N/A $828
Folic Acid Level $100 N/A $100
Follow-Up Pregnancy Ultrasound $771 N/A $771
Gall Bladder Surgery $16,390 N/A $16,390
General Health Panel $245 N/A $245
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $167 N/A $167
Hepatic (Liver) Function Panel $84 N/A $84
Hepatitis B Surface Antibody Level $78 N/A $78
Hepatitis C Antibody Level $79 N/A $79
Hydration Infusion $129 N/A $129
Iron Binding Capacity $43 N/A $43
Iron Level $44 N/A $44
Knee MRI $1,969 N/A $1,969
Lab Test to Detect Coronavirus (COVID-19) $126 N/A $126
Lab Test to Detect HIV-1 and HIV-2 $111 N/A $111
Lab Test to Detect Influenza Virus $39 N/A $39
Lab Test to Measure Creatinine Level $40 N/A $40
LDL Cholesterol Level $76 N/A $76
Lead Level $57 N/A $57
Lipase (Fat Enzyme) Level $34 N/A $34
Liver Enzyme (ALT or SGPT) Level $40 N/A $40
Liver Enzyme (AST or SGOT) Level $40 N/A $40
Low Back MRI, Before and After Contrast $4,007 N/A $4,007
Low Complexity (Outpatient) Emergency Department Visit $466 N/A $466
Magnesium Level $28 N/A $28
Manual Physical Therapy $152 Below Average
State Average: 4
 $152
Microalbumin (Protein) Level $67 N/A $67
Mileage Rate for Ambulance Transport $14 N/A $14
Moderate Complexity (Outpatient) Emergency Department Visit $1,392 N/A $1,392
Myocardial Imaging $4,094 N/A $4,094
Natriuretic Peptide Level $164 N/A $164
New Patient Preventive Care Visit for Adult, 40-64 $488 N/A $488
New Patient Preventive Care Visit for Adult, Ages 18-39 $457 N/A $457
New Patient Preventive Care Visit for Child, Under Age 1 $389 N/A $389
Office Visit for Established Patient, Basic $156 N/A $156
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 $148 N/A $148
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 $412 N/A $412
Office Visit for New Patient, Moderate Complexity $662 N/A $662
Pap Test Screening, Automated with Manual Review $158 N/A $158
Pap Test Screening, Manual $88 N/A $88
Parathyroid Hormone (PTH) Level $274 N/A $274
Pelvis MRI $2,639 N/A $2,639
Phosphate Level $23 N/A $23
Pregnancy Test $53 N/A $53
Pregnancy Ultrasound (Outpatient) $720 N/A $720
Presence of Drug $101 N/A $101
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 $347 N/A $347
Preventive Care Visit for Child, Under Ages 1-4 $370 N/A $370
Preventive Care Visit for Child, Under Ages 5-11 $369 N/A $369
Prostate Specific Antigen (PSA) Level, Free $123 N/A $123
Prostate Specific Antigen (PSA) Level, Total $81 N/A $81
Psychiatric Diagnostic Evaluation $263 Near Average
State Average: 1
 $263
Psychotherapy, 45 Minutes with Patient $152 Below Average
State Average: 3
 $152
Psychotherapy, 60 Minutes with Patient $158 Above Average
State Average: 6
 $158
Renal (Kidney) Function Panel $64 N/A $64
Screening Mammogram of Both Breasts $1,118 N/A $1,118
Shoulder, Elbow, or Wrist MRI $2,835 N/A $2,835
Single-Level Injection for Pain Management, Lower Back or Tailbone $4,190 N/A $4,190
Smear for Microorganism $24 N/A $24
Telehealth Visit for Established Patient, 11-20 minutes $162 N/A $162
Telehealth Visit for Established Patient, 21-30 minutes $132 N/A $132
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $53 N/A $53
Therapeutic Activities $152 Below Average
State Average: 3
 $152
Therapeutic Exercises $152 Above Average
State Average: 4
 $152
Thyroglobulin (Thyroid Protein) Antibody Level $77 N/A $77
Thyroid Stimulating Hormone (TSH) Level $88 N/A $88
Thyroxine (Thyroid Chemical) Level, Free $50 N/A $50
Total Protein Level $56 N/A $56
Triiodothyronine (T3) Thyroid Hormone Measurement $47 N/A $47
Troponin (Protein) Analysis, Quantitative $50 N/A $50
Ultrasound of Abdomen, Complete $1,447 N/A $1,447
Ultrasound of Abdomen, Limited $1,034 N/A $1,034
Ultrasound of Breast $1,421 N/A $1,421
Ultrasound of Head and Neck $855 N/A $855
Ultrasound of Heart (Echocardiogram) $2,102 N/A $2,102
Ultrasound of Pelvis $931 N/A $931
Upper Gastrointestinal (GI) Endoscopy With Biopsy $6,794 N/A $6,794
Urea Nitrogen Level $21 N/A $21
Urinalysis, Automated with Microscope Examination $36 N/A $36
Urinalysis, Automated without Microscope $20 N/A $20
Urinalysis, Manual Test $9 N/A $9
Vitamin B-12 (Cyanocobalamin) Level $63 N/A $63
Vitamin D-3 Level $126 N/A $126
X-Ray of Abdomen, 1 View $759 N/A $759
X-Ray of Ankle, 3 Views $417 N/A $417
X-Ray of Chest, 2 Views $494 N/A $494
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 $572 N/A $572
X-Ray of Knee, 3 Views $465 N/A $465
X-Ray of Knee, 4 Views $697 N/A $697
X-Ray of Low Back, 2 or 3 Views $862 N/A $862
X-Ray of Neck, 2 or 3 Views $719 N/A $719
X-Ray of Neck, 4 to 5 Views $782 N/A $782
X-Ray of Shoulder, 2 Views $414 N/A $414
X-Ray of Wrist, 3 Views $448 N/A $448