Manchester VAMC

718 Smyth Road Manchester, NH 03104
http://www.manchester.va.gov/
(717) 277-6565

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%
Application of Hot or Cold Pack $14 Below Average
State Average: 3
 $14
Arthrocentesis $1,669 N/A $1,669
Bacterial Culture Swab for Aerobic Isolates $103 N/A $103
Bacterial Culture, Quantitative Colony Count $134 N/A $134
Bilirubin Level $83 N/A $83
Blood Glucose (Sugar) Level $64 N/A $64
Blood Glucose Control (Hemoglobin A1C) $112 N/A $112
Borrelia Burgdorferi (Lyme disease) Antibody Level $155 N/A $155
C-reactive Protein (CRP) Level $99 N/A $99
Cholesterol Test, Lipid Panel $151 N/A $151
Clotting Time $87 N/A $87
Coagulation Assessment $123 N/A $123
Colonoscopy With Polyp Removal $6,631 N/A $6,631
Complete Blood Cell Count (Hemoglobin) $127 N/A $127
Complete Blood Cell Count and Automated White Blood Cells $118 N/A $118
Comprehensive Eye Exam $134 N/A $134
Comprehensive Eye Exam, New Patient $246 N/A $246
Comprehensive Metabolic Panel $279 N/A $279
Creatinine Level $103 N/A $103
Detection Test for Hepatitis B Surface Antigen $258 N/A $258
Detection Test for Human Papillomavirus (HPV) $181 N/A $181
Diagnostic Imaging of Optic Nerve in Eye $80 N/A $80
Electrocardiogram (ECG or EKG), Report and Interpretation Only $55 N/A $55
Electrolytes Panel $187 N/A $187
Ferritin (Blood Protein) Level $236 N/A $236
Folic Acid Level $171 N/A $171
General Health Panel $471 N/A $471
Group Psychotherapy $45 Below Average
State Average: 4
 $45
Hepatitis B Surface Antibody Level $256 N/A $256
Hepatitis C Antibody Level $145 N/A $145
Lab Test to Detect Coronavirus (COVID-19) $301 N/A $301
Lab Test to Detect HIV-1 and HIV-2 $133 N/A $133
Lab Test to Measure Creatinine Level $67 N/A $67
LDL Cholesterol Level $95 N/A $95
Lead Level $104 N/A $104
Lipase (Fat Enzyme) Level $161 N/A $161
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 $621 N/A $621
Low Complexity Physical Therapy Evaluation $283 Near Average
State Average: 1
 $283
Magnesium Level $126 N/A $126
Manual Physical Therapy $61 Below Average
State Average: 4
 $61
Microalbumin (Protein) Level $77 N/A $77
Moderate Complexity (Outpatient) Emergency Department Visit $1,018 N/A $1,018
Moderate Complexity Physical Therapy Evaluation $316 Near Average
State Average: 1
 $316
Natriuretic Peptide Level $296 N/A $296
Office Visit for Established Patient, Minimal Presenting Problem $142 N/A $142
Office Visit for New Patient, High Complexity $459 N/A $459
Pap Test Screening, Manual $134 N/A $134
Phosphate Level $105 N/A $105
Physical Therapy Re-Evaluation $177 Near Average
State Average: 1
 $177
Pregnancy Test $127 N/A $127
Presence of Drug $433 N/A $433
Prostate Specific Antigen (PSA) Level, Total $148 N/A $148
Psychiatric Diagnostic Evaluation $261 Near Average
State Average: 1
 $261
Psychotherapy, 30 Minutes with Patient $136 Above Average
State Average: 1
 $136
Psychotherapy, 45 Minutes with Patient $158 Near Average
State Average: 3
 $158
Self-Care or Home Management Training $74 Below Average
State Average: 2
 $74
Shoulder, Elbow, or Wrist MRI $1,439 N/A $1,439
Telehealth Visit for Established Patient, 11-20 minutes $159 N/A $159
Telehealth Visit for Established Patient, 21-30 minutes $236 N/A $236
Therapeutic Activities $84 Below Average
State Average: 3
 $84
Therapeutic Exercises $67 Below Average
State Average: 4
 $67
Thyroid Stimulating Hormone (TSH) Level $162 N/A $162
Total Protein Level $72 N/A $72
Troponin (Protein) Analysis, Quantitative $236 N/A $236
Ultrasound of Abdomen, Limited $642 N/A $642
Ultrasound of Heart (Echocardiogram) $2,477 N/A $2,477
Urea Nitrogen Level $96 N/A $96
Urinalysis, Automated with Microscope Examination $95 N/A $95
Urinalysis, Automated without Microscope $67 N/A $67
Urine Test with Examination $65 N/A $65
Vitamin B-12 (Cyanocobalamin) Level $154 N/A $154
Vitamin D-3 Level $215 N/A $215
X-Ray of Chest, 2 Views $422 N/A $422
X-Ray of Foot, 3 Views $404 N/A $404