Mary Hitchcock Memorial Hospital

1 Medical Center Drive Lebanon, NH 03756
https://www.dartmouth-hitchcock.org/
(603) 650-5000

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

Patient Experience

8 out of 10
Patients would recommend this hospital (80%)
Area Around Room Was Always Quiet at Night:
45%
Nurses Always Communicated Well:
80%
Doctors Always Communicated Well:
80%
Room Was Always Clean:
69%
Help Was Always Received:
66%
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: 33%
Antibody Screen, Red Blood Cells (RBC) $264 N/A $177
Antinuclear Antibodies (ANA) Level $53 N/A $35
Application of Hot or Cold Pack $34 Below Average
State Average: 3
 $23
Arthrocentesis $1,728 N/A $1,158
Arthroscopic Shoulder Surgery $99,425 N/A $66,615
Back MRI $5,824 N/A $3,902
Bacterial Culture Swab $175 N/A $117
Bacterial Culture Swab for Aerobic Isolates $95 N/A $63
Bacterial Culture, Quantitative Colony Count $179 N/A $120
Basic Metabolic Panel $87 N/A $58
Bilirubin Level $42 N/A $28
Biopsy of Prostate Gland $6,061 N/A $4,061
Biopsy of Skin Lesion $1,998 N/A $1,339
Blood Count (Hemoglobin) $51 N/A $34
Blood Glucose (Sugar) Level $35 N/A $23
Blood Glucose Control (Hemoglobin A1C) $58 N/A $39
Blood Typing (ABO) $213 N/A $143
Blood Typing (Rh (D)) $231 N/A $155
Bone Density Scan $919 N/A $616
Borrelia Burgdorferi (Lyme disease) Antibody Level $133 N/A $89
Brain MRI $8,835 N/A $5,919
Breast Biopsy $6,461 N/A $4,329
C-reactive Protein (CRP) Level $42 N/A $28
Chlamydia Test $207 N/A $139
Cholesterol Test, Lipid Panel $146 N/A $98
Clotting Time $79 N/A $53
Coagulation Assessment $67 N/A $45
Colonoscopy With Biopsy for Noncancerous Growth $12,985 N/A $8,700
Colonoscopy With Polyp Removal $12,599 N/A $8,441
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $8,426 N/A $5,645
Complete Blood Cell Count (Hemoglobin) $53 N/A $35
Complete Blood Cell Count and Automated White Blood Cells $85 N/A $57
Comprehensive Metabolic Panel $123 N/A $82
Coronavirus (COVID-19) Antibody Level $77 N/A $51
Creatinine Level $42 N/A $28
CT Scan of Abdomen and Pelvis, With Contrast $8,130 N/A $5,447
CT Scan of Chest, With Contrast $5,779 N/A $3,872
CT Scan of Head/Brain, Without Contrast $3,743 N/A $2,508
Cystoscopy $4,956 N/A $3,321
Detection for Strep (Streptococcus, group A) $103 N/A $69
Detection Test for Hepatitis B Surface Antigen $62 N/A $42
Detection Test for Human Papillomavirus (HPV) $280 N/A $188
Developmental Screening $98 N/A $65
Diagnostic Mammogram of Both Breasts $1,437 N/A $963
Diagnostic Mammogram of One Breast $1,109 N/A $743
Electrocardiogram (ECG or EKG) With Report and Interpretation $53 N/A $35
Electrocardiogram (ECG or EKG) With Tracing $295 N/A $198
Electrocardiogram (ECG or EKG), Report and Interpretation Only $161 N/A $108
Electrolytes Panel $168 N/A $113
Endometrial (Uterus) Biopsy $2,229 N/A $1,494
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $160 N/A $107
Eye Cataract Removal, Simple $19,286 N/A $12,922
Ferritin (Blood Protein) Level $82 N/A $55
Fetal Non-Stress Test $1,308 N/A $877
Folic Acid Level $88 N/A $59
Follow-Up Pregnancy Ultrasound $1,216 N/A $815
Gall Bladder Surgery $27,424 N/A $18,374
General Health Panel $309 N/A $207
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $120 N/A $80
Groin Hernia Repair $30,984 N/A $20,759
Group Psychotherapy $182 Below Average
State Average: 4
 $122
Hepatic (Liver) Function Panel $81 N/A $54
Hepatitis A Vaccine for Adults, Injected into Muscle $220 N/A $147
Hepatitis A Vaccine for Children, Injected into Muscle $489 N/A $328
Hepatitis B Surface Antibody Level $64 N/A $43
Hepatitis C Antibody Level $84 N/A $56
High Complexity Physical Therapy Evaluation $590 Near Average
State Average: 1
 $395
Hydration Infusion $310 N/A $208
Influenza Vaccine, Injected into Muscle $112 N/A $75
Injection of Substance for Pain Management, Lower Back or Tailbone $5,798 N/A $3,885
Iron Binding Capacity $53 N/A $35
Iron Level $42 N/A $28
Knee MRI $2,770 N/A $1,856
Lab Test to Detect Coronavirus (COVID-19) $311 N/A $208
Lab Test to Detect HIV-1 and HIV-2 $155 N/A $104
Lab Test to Measure Creatinine Level $193 N/A $129
Laparoscopic Hernia Repair $50,729 N/A $33,988
LDL Cholesterol Level $42 N/A $28
Lead Level $64 N/A $43
Lipase (Fat Enzyme) Level $42 N/A $28
Liver Enzyme (ALT or SGPT) Level $42 N/A $28
Liver Enzyme (AST or SGOT) Level $42 N/A $28
Low Back MRI, Before and After Contrast $8,960 N/A $6,003
Low Complexity (Outpatient) Emergency Department Visit $874 N/A $585
Low Complexity Physical Therapy Evaluation $195 Near Average
State Average: 1
 $131
Magnesium Level $42 N/A $28
Manual Physical Therapy $166 Below Average
State Average: 4
 $111
Microalbumin (Protein) Level $204 N/A $136
Mileage Rate for Ambulance Transport $44 N/A $30
Minor (Outpatient) Emergency Department Visit $587 N/A $393
Moderate Complexity (Outpatient) Emergency Department Visit $1,486 N/A $995
Moderate Complexity Physical Therapy Evaluation $342 Near Average
State Average: 1
 $229
Myocardial Imaging $8,472 N/A $5,677
Natriuretic Peptide Level $152 N/A $102
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $641 N/A $429
New Patient Preventive Care Visit for Adult, 40-64 $725 N/A $485
New Patient Preventive Care Visit for Adult, Ages 18-39 $641 N/A $429
New Patient Preventive Care Visit for Child, Ages 1-4 $544 N/A $364
New Patient Preventive Care Visit for Child, Ages 5-11 $544 N/A $364
New Patient Preventive Care Visit for Child, Under Age 1 $478 N/A $320
Non-Emergency Transport, Advanced Life Support $1,142 N/A $765
Office Visit for Established Patient, Basic $225 N/A $151
Office Visit for Established Patient, High Complexity $663 N/A $444
Office Visit for Established Patient, Low Complexity $110 N/A $74
Office Visit for Established Patient, Minimal Presenting Problem $135 N/A $91
Office Visit for Established Patient, Moderate Complexity $440 N/A $295
Office Visit for New Patient, High Complexity $943 N/A $632
Office Visit for New Patient, Low Complexity $212 N/A $142
Office Visit for New Patient, Minor Complexity $139 N/A $93
Office Visit for New Patient, Moderate Complexity $252 N/A $169
Pap Test Screening, Automated with Manual Review $278 N/A $186
Pap Test Screening, Manual $299 N/A $200
Parathyroid Hormone (PTH) Level $69 N/A $46
Pelvis MRI $8,642 N/A $5,790
Phosphate Level $42 N/A $28
Physical Therapy Re-Evaluation $229 Near Average
State Average: 1
 $153
Pregnancy Test $84 N/A $56
Presence of Drug $218 N/A $146
Preventive Care Visit for Adolescent, Under Ages 12-17 $513 N/A $344
Preventive Care Visit for Adult, 40-64 $596 N/A $400
Preventive Care Visit for Adult, Ages 18-39 $513 N/A $344
Preventive Care Visit for Child, Under Age 1 $438 N/A $293
Preventive Care Visit for Child, Under Ages 1-4 $489 N/A $328
Preventive Care Visit for Child, Under Ages 5-11 $489 N/A $328
Prostate Cancer Screening $127 N/A $85
Prostate Removal $156,895 N/A $105,119
Prostate Specific Antigen (PSA) Level, Free $140 N/A $94
Prostate Specific Antigen (PSA) Level, Total $108 N/A $72
Psychotherapy, 30 Minutes with Patient $225 Near Average
State Average: 1
 $151
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $24,000 N/A $16,080
Renal (Kidney) Function Panel $86 N/A $58
Rotovirus Vaccine, Oral Administration $79 N/A $53
Screening Mammogram of Both Breasts $1,255 N/A $841
Shoulder, Elbow, or Wrist MRI $6,403 N/A $4,290
Single-Level Injection for Pain Management, Lower Back or Tailbone $5,607 N/A $3,757
Skin Growth Removal, Premalignant or Precancerous $873 N/A $585
Skin Growth Removal, Up to 14, Benign or Noncancerous $884 N/A $592
Sleep Monitoring $6,143 N/A $4,115
Smear for Microorganism $181 N/A $121
Telehealth Visit for Established Patient, 21-30 minutes $298 N/A $200
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $170 N/A $114
Therapeutic Activities $95 Below Average
State Average: 3
 $63
Therapeutic Exercises $95 Below Average
State Average: 4
 $63
Thyroglobulin (Thyroid Protein) Antibody Level $30 N/A $20
Thyroid Stimulating Hormone (TSH) Level $101 N/A $68
Thyroxine (Thyroid Chemical) Level, Free $54 N/A $36
Total Protein Level $201 N/A $134
Transvaginal Ultrasound (Non-Maternity) $1,778 N/A $1,191
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $331 N/A $222
Triiodothyronine (T3) Thyroid Hormone Measurement $42 N/A $28
Troponin (Protein) Analysis, Quantitative $74 N/A $49
Ultrasound of Abdomen, Limited $1,712 N/A $1,147
Ultrasound of Breast $1,292 N/A $865
Ultrasound of Head and Neck $1,718 N/A $1,151
Ultrasound of Heart (Echocardiogram) $5,274 N/A $3,534
Ultrasound Therapy $84 Below Average
State Average: 2
 $56
Upper Gastrointestinal (GI) Endoscopy With Biopsy $12,825 N/A $8,593
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $13,788 N/A $9,238
Urea Nitrogen Level $42 N/A $28
Urinalysis, Automated with Microscope Examination $162 N/A $108
Urinalysis, Automated without Microscope $119 N/A $79
Urinalysis, Manual Test $57 N/A $38
Urine Capacity Measurement $158 N/A $106
Vitamin B-12 (Cyanocobalamin) Level $88 N/A $59
Vitamin D-3 Level $171 N/A $115
Walking Training, 15 minutes $174 Above Average
State Average: 1
 $117
X-Ray of Abdomen, 1 View $817 N/A $547
X-Ray of Ankle, 3 Views $814 N/A $545
X-Ray of Chest, 1 View $678 N/A $454
X-Ray of Chest, 2 Views $824 N/A $552
X-Ray of Fingers, 2 Views $648 N/A $434
X-Ray of Foot, 3 Views $722 N/A $484
X-Ray of Hand, 3 Views $794 N/A $532
X-Ray of Hip, 2 or 3 Views $999 N/A $669
X-Ray of Knee, 1 or 2 Views $855 N/A $573
X-Ray of Knee, 3 Views $1,051 N/A $704
X-Ray of Knee, 4 Views $1,012 N/A $678
X-Ray of Low Back, 2 or 3 Views $1,004 N/A $673
X-Ray of Low Back, 4 Views $517 N/A $346
X-Ray of Lower Leg, 2 Views $754 N/A $505
X-Ray of Middle Back, 2 Views $936 N/A $627
X-Ray of Neck, 2 or 3 Views $878 N/A $588
X-Ray of Neck, 4 to 5 Views $845 N/A $566
X-Ray of Pelvis, 1 or 2 Views $728 N/A $488
X-Ray of Shoulder, 2 Views $761 N/A $510
X-Ray of Wrist, 3 Views $813 N/A $545