Lowell General Hospital

1 Hospital Drive Lowell, MA 01824
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Ambulance Service - Emergency Transport, Advanced Life Support$1,0220%$1,022
Ambulance Service - Mileage Rate for Ambulance Transport$280%$28
Arthrocentesis (outpatient)$1,7080%$1,708
Bacterial Culture - Aerobic Isolates$930%$93
Bacterial Culture - Swab$1750%$175
Biopsy - Breast$5,9420%$5,942
Biopsy - Endometrial (Uterus)$1,1350%$1,135
Blood Test - Basic Metabolic Panel$1390%$139
Blood Test - Blood Glucose Control (Hemoglobin A1C)$930%$93
Blood Test - Cholesterol Test, Lipid Panel$1590%$159
Blood Test - Clotting Time$800%$80
Blood Test - Coagulation Assessment$1590%$159
Blood Test - Complete Blood Cell Count (Hemoglobin)$830%$83
Blood Test - Comprehensive Metabolic Panel$1590%$159
Blood Test - Electrolytes Panel$1240%$124
Blood Test - Ferritin (Blood Protein) Level$1240%$124
Blood Test - General Health Panel$2710%$271
Blood Test - Hepatic (Liver) Function Panel$1310%$131
Blood Test - Hepatitis C Antibody Level$1680%$168
Blood Test - Iron Level$1010%$101
Blood Test - Lipase (fat enzyme) Level$670%$67
Blood Test - Pregnancy (Obstetric) Panel$2500%$250
Blood Test - Prostate Specific Antigen (PSA) Level$1060%$106
Blood Test - Renal (Kidney) Function Panel$1310%$131
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1750%$175
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$2050%$205
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$2380%$238
Blood Test - Vitamin D-3 Level$860%$86
Bone Density Scan (outpatient)$6280%$628
Colonoscopy - With Biopsy (outpatient)$4,4570%$4,457
CT Scan - Abdomen and Pelvis, with Contrast$4,9540%$4,954
CT Scan - Chest, with Contrast (outpatient)$2,4980%$2,498
CT Scan - Head/Brain, without Contrast$1,9180%$1,918
Electrocardiogram (ECG or EKG)$1,6590%$1,659
Emergency Department Visit - Low Complexity (outpatient)$4390%$439
Emergency Department Visit - Minor (outpatient)$2770%$277
Emergency Department Visit - Moderate Complexity (outpatient)$6100%$610
Fetal Non-Stress Test$1,4220%$1,422
Lab Test - Detection test for Hepatitis B Surface Antigen$1680%$168
Lab Test - Detection test for HIV-1 and HIV-2$1010%$101
Lab Test - Detection test for Influenza Virus$530%$53
Lab Test - Smear for Microorganism$670%$67
Mammogram (outpatient)$1,0650%$1,065
Myocardial Imaging (outpatient)$5,1840%$5,184
Office Visit - Basic$1440%$144
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$4010%$401
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$4530%$453
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$3940%$394
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$3070%$307
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$3410%$341
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3600%$360
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3730%$373
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$3940%$394
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$3410%$341
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$3020%$302
Office Visit - Established Patient, Low Complexity$2010%$201
Office Visit - Established Patient, Moderate Complexity$3460%$346
Office Visit - New Patient, Low Complexity$3400%$340
Office Visit - New Patient, Minor$2310%$231
Physical Therapy - Manual Therapy$1470%$147
Physical Therapy - Therapeutic Exercises$1470%$147
Strep Test (Streptococcus, group A)$530%$53
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$1390%$139
Ultrasound - Abdominal, Complete$1,3700%$1,370
Ultrasound - Abdominal, Limited$9810%$981
Ultrasound - Breast (outpatient)$2,2310%$2,231
Ultrasound - Head and Neck$8110%$811
Ultrasound - Pelvic (outpatient)$8840%$884
Ultrasound - Pregnancy (outpatient)$1,0100%$1,010
Ultrasound - Pregnancy Follow-Up$7650%$765
Upper Gastrointestinal Endoscopy - With Biopsy$4,1840%$4,184
Urine Test - Automated with Microscope Examination$800%$80
Urine Test - Automated without Microscope$800%$80
Urine Test - Chlamydia$1850%$185
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1850%$185
Urine Test - Microalbumin (Protein) Level$480%$48
Urine Test - Pregnancy$1010%$101
Urine Test - Urinalysis, Manual Test$440%$44
Vaccine - Pneumococcal Conjugate for Injection into Muscle$3220%$322
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$1230%$123
X-Ray - Abdomen$1,3870%$1,387
X-Ray - Ankle (outpatient)$6350%$635
X-Ray - Chest (outpatient)$7340%$734
X-Ray - Foot (outpatient)$6780%$678
X-Ray - Hand$8520%$852
X-Ray - Hip$8410%$841
X-Ray - Knee (outpatient)$6500%$650
X-Ray - Shoulder (outpatient)$6090%$609
X-Ray - Spine (outpatient)$1,0510%$1,051
X-Ray - Wrist (outpatient)$6770%$677