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

Area Around Room Was Always Quiet at Night:
42%
Nurses Always Communicated Well:
80%
Doctors Always Communicated Well:
80%
Room Was Always Clean:
66%
Help Was Always Received:
67%
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
Arthrocentesis $1,858 N/A $1,245
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 $5,332 N/A $3,572
Biopsy of Skin Lesion $1,771 N/A $1,187
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) $187 N/A $125
Blood Typing (Rh (D)) $231 N/A $155
Bone Density Scan $906 N/A $607
Borrelia Burgdorferi (Lyme disease) Antibody Level $162 N/A $108
Brain MRI $8,250 N/A $5,527
Breast Biopsy $6,114 N/A $4,096
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 $66 N/A $44
Colonoscopy With Biopsy for Noncancerous Growth $10,299 N/A $6,900
Colonoscopy With Polyp Removal $10,999 N/A $7,369
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $7,291 N/A $4,885
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 $121 N/A $81
Coronavirus (COVID-19) Antibody Level $79 N/A $53
Creatinine Level $42 N/A $28
CT Scan of Abdomen and Pelvis, With Contrast $7,798 N/A $5,225
CT Scan of Chest, With Contrast $5,686 N/A $3,809
CT Scan of Head/Brain, Without Contrast $3,667 N/A $2,457
Cystoscopy $4,404 N/A $2,950
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) $188 N/A $126
Diagnostic Mammogram of Both Breasts $1,407 N/A $943
Diagnostic Mammogram of One Breast $880 N/A $590
Electrical Stimulation Therapy $79 Below Average
State Average: 3
$53
Electrolytes Panel $168 N/A $113
Endometrial (Uterus) Biopsy $1,919 N/A $1,286
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $160 N/A $107
Eye Cataract Removal, Simple $15,279 N/A $10,237
Ferritin (Blood Protein) Level $82 N/A $55
Fetal Non-Stress Test $1,319 N/A $884
Folic Acid Level $88 N/A $59
Follow-Up Pregnancy Ultrasound $1,182 N/A $792
Gall Bladder Surgery $23,260 N/A $15,584
General Health Panel $307 N/A $205
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $120 N/A $80
Groin Hernia Repair $32,548 N/A $21,807
Group Psychotherapy $146 Above Average
State Average: 5
$98
Hepatic (Liver) Function Panel $81 N/A $54
Hepatitis A Vaccine for Adults, Injected into Muscle $207 N/A $139
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 $269 N/A $180
Influenza Vaccine, Injected into Muscle $101 N/A $68
Injection of Substance for Pain Management, Lower Back or Tailbone $5,191 N/A $3,478
Iron Binding Capacity $53 N/A $35
Iron Level $42 N/A $28
Knee MRI $5,070 N/A $3,397
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $106
Lab Test to Detect HIV-1 and HIV-2 $153 N/A $103
Lab Test to Measure Creatinine Level $189 N/A $127
Laparoscopic Hernia Repair $44,868 N/A $30,061
LDL Cholesterol Level $42 N/A $28
Lead Level $48 N/A $32
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 $8,514 N/A $5,705
Low Complexity (Outpatient) Emergency Department Visit $827 N/A $554
Low Complexity Physical Therapy Evaluation $195 Near Average
State Average: 1
$131
Magnesium Level $42 N/A $28
Microalbumin (Protein) Level $204 N/A $136
Mileage Rate for Ambulance Transport $44 N/A $30
Minor (Outpatient) Emergency Department Visit $582 N/A $390
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 $6,908 N/A $4,628
Natriuretic Peptide Level $152 N/A $102
New Patient Preventive Care Visit for Adult, Ages 18-39 $588 N/A $394
Non-Emergency Transport, Advanced Life Support $1,142 N/A $765
Office Visit for Established Patient, Basic $206 N/A $138
Office Visit for Established Patient, High Complexity $608 N/A $407
Office Visit for Established Patient, Low Complexity $286 N/A $191
Office Visit for Established Patient, Minimal Presenting Problem $108 N/A $72
Office Visit for Established Patient, Moderate Complexity $440 N/A $295
Office Visit for New Patient, High Complexity $865 N/A $580
Office Visit for New Patient, Low Complexity $468 N/A $314
Office Visit for New Patient, Moderate Complexity $654 N/A $438
Pap Test Screening, Automated with Manual Review $264 N/A $177
Parathyroid Hormone (PTH) Level $68 N/A $46
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $208
Pelvis MRI $8,038 N/A $5,385
Phosphate Level $42 N/A $28
Pregnancy Test $62 N/A $42
Pregnancy Ultrasound (Outpatient) $1,473 N/A $987
Presence of Drug $214 N/A $144
Preventive Care Visit for Adult, 40-64 $547 N/A $367
Preventive Care Visit for Adult, Ages 18-39 $471 N/A $316
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 $206 Near Average
State Average: 1
$138
Psychotherapy, 60 Minutes with Patient $184 Below Average
State Average: 6
$123
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $18,707 N/A $12,534
Renal (Kidney) Function Panel $84 N/A $56
Screening Mammogram of Both Breasts $1,177 N/A $789
Shoulder, Elbow, or Wrist MRI $5,196 N/A $3,482
Single-Level Injection for Pain Management, Lower Back or Tailbone $5,749 N/A $3,852
Skin Growth Removal, Premalignant or Precancerous $755 N/A $506
Skin Growth Removal, Up to 14, Benign or Noncancerous $810 N/A $542
Sleep Monitoring $5,625 N/A $3,769
Smear for Microorganism $181 N/A $121
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) $1,558 N/A $1,044
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $347 N/A $232
Triiodothyronine (T3) Thyroid Hormone Measurement $42 N/A $28
Troponin (Protein) Analysis, Quantitative $74 N/A $49
Ultrasound of Abdomen, Limited $1,596 N/A $1,069
Ultrasound of Breast $1,257 N/A $842
Ultrasound of Head and Neck $1,603 N/A $1,074
Ultrasound of Heart (Echocardiogram) $5,147 N/A $3,449
Ultrasound of Pelvis $1,516 N/A $1,016
Ultrasound Therapy $81 Below Average
State Average: 3
$54
Upper Gastrointestinal (GI) Endoscopy With Biopsy $11,211 N/A $7,511
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $11,733 N/A $7,861
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
Vitamin B-12 (Cyanocobalamin) Level $88 N/A $59
Vitamin D-3 Level $171 N/A $115
Walking Training, 15 minutes $168 Near Average
State Average: 1
$113
X-Ray of Abdomen, 1 View $804 N/A $539
X-Ray of Ankle, 3 Views $651 N/A $436
X-Ray of Chest, 1 View $667 N/A $447
X-Ray of Chest, 2 Views $810 N/A $542
X-Ray of Fingers, 2 Views $637 N/A $427
X-Ray of Foot, 3 Views $663 N/A $444
X-Ray of Hand, 3 Views $755 N/A $506
X-Ray of Hip, 2 or 3 Views $833 N/A $558
X-Ray of Knee, 1 or 2 Views $842 N/A $564
X-Ray of Knee, 3 Views $1,034 N/A $693
X-Ray of Knee, 4 Views $912 N/A $611
X-Ray of Low Back, 2 or 3 Views $931 N/A $624
X-Ray of Lower Leg, 2 Views $584 N/A $391
X-Ray of Middle Back, 2 Views $744 N/A $499
X-Ray of Neck, 2 or 3 Views $779 N/A $522
X-Ray of Neck, 4 to 5 Views $940 N/A $630
X-Ray of Pelvis, 1 or 2 Views $566 N/A $379
X-Ray of Shoulder, 2 Views $711 N/A $476
X-Ray of Wrist, 3 Views $630 N/A $422