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:
73%
Nurses Always Communicated Well:
79%
Doctors Always Communicated Well:
68%
Room Was Always Clean:
80%
Help Was Always Received:
87%
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: 62%
Antibody Screen, Red Blood Cells (RBC) $109 N/A $41
Antinuclear Antibodies (ANA) Level $209 N/A $79
Arthrocentesis $2,097 N/A $797
Automated Pap Test Screening and Manual Rescreening $261 N/A $99
Automated with Microscope Examination $156 N/A $59
Automated without Microscope $104 N/A $40
Back MRI $5,042 N/A $1,916
Bacterial Culture Swab $170 N/A $65
Bacterial Culture Swab for Aerobic Isolates $83 N/A $32
Bacterial Culture, Quantitative Colony Count $143 N/A $54
Basic Metabolic Panel $82 N/A $31
Bilirubin Level $40 N/A $15
Blood Count (Hemoglobin) $44 N/A $17
Blood Glucose (Sugar) Level $22 N/A $8
Blood Glucose Control (Hemoglobin A1C) $58 N/A $22
Blood Typing (ABO) $48 N/A $18
Blood Typing (Rh (D)) $95 N/A $36
Bone Density Scan $925 N/A $352
Borrelia Burgdorferi (Lyme disease) Antibody Level $139 N/A $53
Brain MRI $7,542 N/A $2,866
Breast Biopsy $4,558 N/A $1,732
C-reactive Protein (CRP) Level $33 N/A $12
Chlamydia Test $207 N/A $79
Cholesterol Test, Lipid Panel $144 N/A $55
Clotting Time $79 N/A $30
Coagulation Assessment $55 N/A $21
Colonoscopy With Biopsy for Noncancerous Growth $8,269 N/A $3,142
Colonoscopy With Polyp Removal $9,430 N/A $3,583
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $6,403 N/A $2,433
Complete Blood Cell Count (Hemoglobin) $46 N/A $18
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $27
Comprehensive Eye Exam $206 N/A $78
Comprehensive Metabolic Panel $97 N/A $37
Coronavirus (COVID-19) Antibody Level $57 N/A $22
Creatinine Level $30 N/A $12
CT Scan of Abdomen and Pelvis, With Contrast $7,028 N/A $2,671
CT Scan of Chest, With Contrast $5,606 N/A $2,130
CT Scan of Head/Brain, Without Contrast $3,288 N/A $1,249
Cystoscopy $3,805 N/A $1,446
Detection Test for Hepatitis B Surface Antigen $62 N/A $24
Detection Test for Human Papillomavirus (HPV) $300 N/A $114
Diagnostic Mammogram of Both Breasts $1,241 N/A $472
Diagnostic Mammogram of One Breast $804 N/A $306
Electrical Stimulation Therapy $79 Above Average
State Average: 3
$30
Electrocardiogram (ECG or EKG), Report and Interpretation Only $722 N/A $275
Electrolytes Panel $42 N/A $16
Endometrial (Uterus) Biopsy $1,800 N/A $684
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $135 N/A $51
Ferritin (Blood Protein) Level $82 N/A $31
Fetal Non-Stress Test $1,033 N/A $393
Folic Acid Level $88 N/A $34
Follow-Up Pregnancy Ultrasound $1,087 N/A $413
General Health Panel $269 N/A $102
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $116 N/A $44
Hepatic (Liver) Function Panel $49 N/A $19
Hepatitis B Surface Antibody Level $64 N/A $24
Hepatitis C Antibody Level $84 N/A $32
High Complexity Physical Therapy Evaluation $590 Near Average
State Average: 1
$224
Hydration Infusion $255 N/A $97
Influenza Vaccine, Injected into Muscle $62 N/A $24
Iron Binding Capacity $53 N/A $20
Iron Level $39 N/A $15
Knee MRI $3,945 N/A $1,499
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $41
Lab Test to Detect HIV-1 and HIV-2 $167 N/A $63
Lab Test to Measure Creatinine Level $175 N/A $67
Laparoscopic Hernia Repair $29,732 N/A $11,298
LDL Cholesterol Level $33 N/A $12
Lead Level $11 N/A $4
Lipase (Fat Enzyme) Level $41 N/A $16
Liver Enzyme (ALT or SGPT) Level $32 N/A $12
Liver Enzyme (AST or SGOT) Level $32 N/A $12
Low Complexity (outpatient) Emergency Department Visit $719 N/A $273
Low Complexity Occupational Therapy Evaluation $195 Near Average
State Average: 1
$74
Low Complexity Physical Therapy Evaluation $195 Near Average
State Average: 1
$74
Magnesium Level $40 N/A $15
Manual Pap Test Screening $265 N/A $101
Microalbumin (Protein) Level $190 N/A $72
Mileage Rate for Ambulance Transport $38 N/A $14
Minor (outpatient) Emergency Department Visit $506 N/A $192
Moderate Complexity (outpatient) Emergency Department Visit $1,190 N/A $452
Moderate Complexity Occupational Therapy Evaluation $342 Near Average
State Average: 1
$130
Moderate Complexity Physical Therapy Evaluation $342 Near Average
State Average: 1
$130
Myocardial Imaging $9,284 N/A $3,528
Non-Emergency Transport, Advanced Life Support $993 N/A $377
Office Visit for Established Patient, High Complexity $522 N/A $198
Office Visit for Established Patient, Low Complexity $261 N/A $99
Office Visit for Established Patient, Moderate Complexity $386 N/A $147
Office Visit for New Patient, High Complexity $743 N/A $282
Parathyroid Hormone (PTH) Level $63 N/A $24
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $118
Pelvis MRI $7,375 N/A $2,802
Phosphate Level $28 N/A $11
Pregnancy Test $62 N/A $24
Pregnancy Ultrasound (Outpatient) $1,047 N/A $398
Presence of Drug $212 N/A $81
Preventive Care Visit for Adult, 40-64 $457 N/A $174
Preventive Care Visit for Adult, Ages 18-39 $419 N/A $159
Prostate Specific Antigen (PSA) Level $108 N/A $41
Punch Biopsy of Skin $1,882 N/A $715
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $15,755 N/A $5,987
Renal (Kidney) Function Panel $53 N/A $20
Screening Mammogram of Both Breasts $978 N/A $371
Shoulder, Elbow, or Wrist MRI $5,150 N/A $1,957
Skin Growth Removal, Premalignant or Precancerous $668 N/A $254
Skin Growth Removal, Up to 14, Benign or Noncancerous $710 N/A $270
Smear for Microorganism $169 N/A $64
Tangential Biopsy of Skin $1,476 N/A $561
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $62
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $144 N/A $55
Therapeutic Activities $95 Below Average
State Average: 3
$36
Therapeutic Exercises $95 Below Average
State Average: 4
$36
Thyroglobulin (Thyroid Protein) Antibody Level $170 N/A $65
Thyroid Stimulating Hormone (TSH) Level $101 N/A $38
Thyroxine (Thyroid Chemical) Level, Free $54 N/A $20
Total Protein Level $185 N/A $70
Transvaginal Ultrasound (Non-Maternity) $1,485 N/A $564
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $347 N/A $132
Triiodothyronine (T3) Thyroid Hormone Measurement $33 N/A $12
Troponin (Protein) Analysis, Quantitative $59 N/A $22
Ultrasound of Abdomen, Complete $1,530 N/A $581
Ultrasound of Abdomen, Limited $1,327 N/A $504
Ultrasound of Breast $1,046 N/A $397
Ultrasound of Head and Neck $1,336 N/A $508
Ultrasound of Pelvis $1,443 N/A $548
Ultrasound Therapy $81 Near Average
State Average: 3
$31
Upper Gastrointestinal (GI) Endoscopy With Biopsy $9,353 N/A $3,554
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $7,459 N/A $2,834
Urea Nitrogen Level $24 N/A $9
Urinalysis, Manual Test $57 N/A $22
Urine Capacity Measurement $887 N/A $337
Vitamin B-12 (Cyanocobalamin) Level $88 N/A $34
Vitamin D-3 Level $120 N/A $45
Walking Training, 15 minutes $168 Near Average
State Average: 1
$64
X-Ray of Abdomen $1,044 N/A $397
X-Ray of Ankle $824 N/A $313
X-Ray of Chest, 1 View $31,392 N/A $11,929
X-Ray of Chest, 2 Views $973 N/A $370
X-Ray of Foot $811 N/A $308
X-Ray of Hand $1,156 N/A $439
X-Ray of Hip $954 N/A $363
X-Ray of Knee $1,243 N/A $472
X-Ray of Middle Back, Thoracic Spine $1,259 N/A $478
X-Ray of Neck, Cervical Spine $908 N/A $345
X-Ray of Pelvis $1,078 N/A $410
X-Ray of Shoulder $894 N/A $340
X-Ray of Spine $1,047 N/A $398
X-Ray of Spine, 4 Views $1,381 N/A $525
X-Ray of Wrist $809 N/A $307