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
Application of Hot or Cold Pack $33 Above Average
State Average: 3
$12
Arthrocentesis $2,155 N/A $819
Arthroscopic Knee Surgery $22,255 N/A $8,457
Arthroscopic Shoulder Surgery $51,090 N/A $19,414
Back MRI $5,085 N/A $1,932
Bacterial Culture Swab $165 N/A $63
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
Biopsy of Prostate Gland $4,692 N/A $1,783
Biopsy of Skin Lesion $1,603 N/A $609
Blood Count (Hemoglobin) $44 N/A $17
Blood Glucose (Sugar) Level $23 N/A $9
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 $974 N/A $370
Borrelia Burgdorferi (Lyme disease) Antibody Level $139 N/A $53
Brain MRI $7,579 N/A $2,880
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 $9,026 N/A $3,430
Colonoscopy With Polyp Removal $9,711 N/A $3,690
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $6,508 N/A $2,473
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 $7,089 N/A $2,694
CT Scan of Chest, With Contrast $5,425 N/A $2,062
CT Scan of Head/Brain, Without Contrast $3,380 N/A $1,285
Cystoscopy $3,863 N/A $1,468
Detection for Strep (Streptococcus, group A) $103 N/A $39
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 $1,306 N/A $496
Diagnostic Mammogram of One Breast $846 N/A $322
Electrical Stimulation Therapy $79 Below Average
State Average: 3
$30
Electrocardiogram (ECG or EKG), Report and Interpretation Only $9,095 N/A $3,456
Electrolytes Panel $42 N/A $16
Endometrial (Uterus) Biopsy $1,812 N/A $689
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $135 N/A $51
Eye Cataract Removal, Simple $15,911 N/A $6,046
Ferritin (Blood Protein) Level $82 N/A $31
Fetal Non-Stress Test $1,044 N/A $397
Folic Acid Level $88 N/A $34
Follow-Up Pregnancy Ultrasound $1,037 N/A $394
General Health Panel $269 N/A $102
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $116 N/A $44
Group Psychotherapy $107 Below Average
State Average: 5
$41
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 $269 N/A $102
Influenza Vaccine, Injected into Muscle $111 N/A $42
Injection of Substance for Pain Management, Lower Back or Tailbone $4,383 N/A $1,666
Iron Binding Capacity $53 N/A $20
Iron Level $39 N/A $15
Knee MRI $5,024 N/A $1,909
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 $40,903 N/A $15,543
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 Physical Therapy Evaluation $195 Near Average
State Average: 1
$74
Magnesium Level $40 N/A $15
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 Above Average
State Average: 1
$130
Moderate Complexity Physical Therapy Evaluation $342 Near Average
State Average: 1
$130
Myocardial Imaging $9,414 N/A $3,577
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, Minimal Presenting Problem $108 N/A $41
Office Visit for Established Patient, Moderate Complexity $386 N/A $147
Office Visit for New Patient, High Complexity $332 N/A $126
Pap Test Screening, Automated with Manual Review $261 N/A $99
Pap Test Screening, Manual $265 N/A $101
Parathyroid Hormone (PTH) Level $63 N/A $24
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $118
Pelvis MRI $7,381 N/A $2,805
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 $204 N/A $77
Preventive Care Visit for Adult, Ages 18-39 $419 N/A $159
Prostate Removal $125,213 N/A $47,581
Prostate Specific Antigen (PSA) Level, Free $149 N/A $57
Prostate Specific Antigen (PSA) Level, Total $108 N/A $41
Psychiatric Diagnostic Evaluation $255 Near Average
State Average: 1
$97
Removal of Recurring Eye Cataract in Lens, Using Laser $7,596 N/A $2,886
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $15,722 N/A $5,974
Renal (Kidney) Function Panel $53 N/A $20
Screening Mammogram of Both Breasts $1,029 N/A $391
Shoulder, Elbow, or Wrist MRI $5,150 N/A $1,957
Single-Level Injection for Pain Management, Lower Back or Tailbone $4,201 N/A $1,596
Skin Growth Removal, Premalignant or Precancerous $702 N/A $267
Skin Growth Removal, Up to 14, Benign or Noncancerous $710 N/A $270
Sleep Monitoring $4,761 N/A $1,809
Smear for Microorganism $169 N/A $64
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $62
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 $1,497 N/A $569
Ultrasound of Abdomen, Limited $1,395 N/A $530
Ultrasound of Breast $1,099 N/A $418
Ultrasound of Head and Neck $1,404 N/A $533
Ultrasound of Pelvis $1,516 N/A $576
Ultrasound Therapy $81 Near Average
State Average: 3
$31
Upper Gastrointestinal (GI) Endoscopy With Biopsy $9,796 N/A $3,723
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $10,280 N/A $3,907
Urea Nitrogen Level $24 N/A $9
Urinalysis, Automated with Microscope Examination $156 N/A $59
Urinalysis, Automated without Microscope $104 N/A $40
Urinalysis, Manual Test $57 N/A $22
Urine Capacity Measurement $902 N/A $343
Vitamin B-12 (Cyanocobalamin) Level $88 N/A $34
Vitamin D-3 Level $120 N/A $45
Walking Training, 15 minutes $168 Above Average
State Average: 1
$64
X-Ray of Abdomen $1,030 N/A $391
X-Ray of Ankle $824 N/A $313
X-Ray of Chest, 1 View $14,373 N/A $5,462
X-Ray of Chest, 2 Views $1,001 N/A $380
X-Ray of Foot $852 N/A $324
X-Ray of Hand $1,171 N/A $445
X-Ray of Hip $1,002 N/A $381
X-Ray of Knee $1,242 N/A $472
X-Ray of Middle Back, Thoracic Spine $1,237 N/A $470
X-Ray of Neck, Cervical Spine $953 N/A $362
X-Ray of Pelvis $1,024 N/A $389
X-Ray of Shoulder $905 N/A $344
X-Ray of Spine $1,086 N/A $413
X-Ray of Spine, 4 Views $1,398 N/A $531
X-Ray of Wrist $931 N/A $354