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:
68%
Help Was Always Received:
68%
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) $120 N/A $45
Arthrocentesis $2,189 N/A $832
Arthroscopic Knee Surgery $22,255 N/A $8,457
Arthroscopic Shoulder Surgery $60,568 N/A $23,016
Back MRI $5,086 N/A $1,933
Bacterial Culture Swab $165 N/A $63
Bacterial Culture Swab for Aerobic Isolates $83 N/A $32
Bacterial Culture, Quantitative Colony Count $140 N/A $53
Basic Metabolic Panel $86 N/A $33
Bilirubin Level $40 N/A $15
Biopsy of Prostate Gland $4,965 N/A $1,887
Biopsy of Skin Lesion $1,611 N/A $612
Blood Count (Hemoglobin) $47 N/A $18
Blood Glucose (Sugar) Level $23 N/A $9
Blood Glucose Control (Hemoglobin A1C) $58 N/A $22
Blood Typing (ABO) $53 N/A $20
Blood Typing (Rh (D)) $103 N/A $39
Bone Density Scan $925 N/A $352
Borrelia Burgdorferi (Lyme disease) Antibody Level $147 N/A $56
Brain MRI $7,621 N/A $2,896
Breast Biopsy $4,786 N/A $1,819
C-reactive Protein (CRP) Level $37 N/A $14
Chlamydia Test $207 N/A $79
Cholesterol Test, Lipid Panel $144 N/A $55
Clotting Time $79 N/A $30
Coagulation Assessment $59 N/A $22
Colonoscopy With Biopsy for Noncancerous Growth $9,204 N/A $3,498
Colonoscopy With Polyp Removal $9,732 N/A $3,698
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $6,511 N/A $2,474
Complete Blood Cell Count (Hemoglobin) $48 N/A $18
Complete Blood Cell Count and Automated White Blood Cells $76 N/A $29
Comprehensive Eye Exam $215 N/A $82
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 $7,111 N/A $2,702
CT Scan of Chest, With Contrast $5,376 N/A $2,043
CT Scan of Head/Brain, Without Contrast $3,394 N/A $1,290
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) $280 N/A $107
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
Electrolytes Panel $127 N/A $48
Endometrial (Uterus) Biopsy $1,833 N/A $697
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $129 N/A $49
Eye Cataract Removal, Simple $15,940 N/A $6,057
Ferritin (Blood Protein) Level $82 N/A $31
Fetal Non-Stress Test $1,124 N/A $427
Folic Acid Level $88 N/A $34
Follow-Up Pregnancy Ultrasound $1,034 N/A $393
Gall Bladder Surgery $29,982 N/A $11,393
General Health Panel $273 N/A $104
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $116 N/A $44
Groin Hernia Repair $25,193 N/A $9,573
Hepatic (Liver) Function Panel $79 N/A $30
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
Injection of Substance for Pain Management, Lower Back or Tailbone $4,572 N/A $1,737
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) $158 N/A $60
Lab Test to Detect HIV-1 and HIV-2 $171 N/A $65
Lab Test to Measure Creatinine Level $183 N/A $69
Laparoscopic Hernia Repair $40,903 N/A $15,543
LDL Cholesterol Level $36 N/A $14
Lead Level $48 N/A $18
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 Back MRI, Before and After Contrast $7,851 N/A $2,983
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 $142 N/A $54
Mileage Rate for Ambulance Transport $38 N/A $14
Minor (Outpatient) Emergency Department Visit $506 N/A $192
Moderate Complexity (Outpatient) Emergency Department Visit $1,255 N/A $477
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 $9,416 N/A $3,578
Natriuretic Peptide Level $141 N/A $53
Non-Emergency Transport, Advanced Life Support $993 N/A $377
Office Visit for Established Patient, Low Complexity $273 N/A $104
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 $773 N/A $294
Pap Test Screening, Automated with Manual Review $264 N/A $100
Pap Test Screening, Manual $272 N/A $103
Parathyroid Hormone (PTH) Level $69 N/A $26
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $118
Pelvis MRI $7,411 N/A $2,816
Phosphate Level $28 N/A $11
Pregnancy Test $62 N/A $24
Pregnancy Ultrasound (Outpatient) $1,075 N/A $408
Presence of Drug $229 N/A $87
Preventive Care Visit for Adult, 40-64 $228 N/A $87
Preventive Care Visit for Adult, Ages 18-39 $437 N/A $166
Prostate Cancer Screening $108 N/A $41
Prostate Removal $123,268 N/A $46,842
Prostate Specific Antigen (PSA) Level, Free $165 N/A $63
Prostate Specific Antigen (PSA) Level, Total $108 N/A $41
Psychiatric Diagnostic Evaluation $266 Near Average
State Average: 1
$101
Psychotherapy, 30 Minutes with Patient $97 Above Average
State Average: 1
$37
Removal of Recurring Eye Cataract in Lens, Using Laser $8,162 N/A $3,101
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $16,081 N/A $6,111
Renal (Kidney) Function Panel $53 N/A $20
Screening Mammogram of Both Breasts $1,029 N/A $391
Shoulder, Elbow, or Wrist MRI $5,196 N/A $1,975
Single-Level Injection for Pain Management, Lower Back or Tailbone $4,406 N/A $1,674
Skin Growth Removal, Premalignant or Precancerous $726 N/A $276
Skin Growth Removal, Up to 14, Benign or Noncancerous $741 N/A $282
Sleep Monitoring $5,022 N/A $1,908
Smear for Microorganism $162 N/A $61
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 $181 N/A $69
Thyroid Stimulating Hormone (TSH) Level $101 N/A $38
Thyroxine (Thyroid Chemical) Level, Free $54 N/A $20
Total Protein Level $138 N/A $52
Transvaginal Ultrasound (Non-Maternity) $1,558 N/A $592
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $347 N/A $132
Triiodothyronine (T3) Thyroid Hormone Measurement $36 N/A $14
Troponin (Protein) Analysis, Quantitative $64 N/A $24
Ultrasound of Abdomen, Complete $1,453 N/A $552
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 Heart (Echocardiogram) $4,500 N/A $1,710
Ultrasound of Pelvis $1,516 N/A $576
Ultrasound Therapy $81 Above Average
State Average: 3
$31
Upper Gastrointestinal (GI) Endoscopy With Biopsy $9,963 N/A $3,786
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $7,956 N/A $3,023
Urea Nitrogen Level $24 N/A $9
Urinalysis, Automated with Microscope Examination $165 N/A $63
Urinalysis, Automated without Microscope $116 N/A $44
Urinalysis, Manual Test $57 N/A $22
Urine Capacity Measurement $983 N/A $373
Vitamin B-12 (Cyanocobalamin) Level $88 N/A $34
Vitamin D-3 Level $171 N/A $65
Walking Training, 15 minutes $168 Near Average
State Average: 1
$64
X-Ray of Abdomen, 1 View $1,075 N/A $408
X-Ray of Ankle, 3 Views $841 N/A $320
X-Ray of Chest, 1 View $12,855 N/A $4,885
X-Ray of Chest, 2 Views $1,008 N/A $383
X-Ray of Fingers, 2 Views $923 N/A $351
X-Ray of Foot, 3 Views $852 N/A $324
X-Ray of Hand, 2 Views $1,545 N/A $587
X-Ray of Hand, 3 Views $1,082 N/A $411
X-Ray of Hip, 2 or 3 Views $1,002 N/A $381
X-Ray of Knee, 1 or 2 Views $1,008 N/A $383
X-Ray of Knee, 3 Views $1,274 N/A $484
X-Ray of Knee, 4 Views $1,139 N/A $433
X-Ray of Low Back, 2 or 3 Views $1,112 N/A $423
X-Ray of Low Back, 4 Views $1,393 N/A $529
X-Ray of Lower Leg, 2 Views $783 N/A $298
X-Ray of Middle Back, 2 Views $1,093 N/A $415
X-Ray of Neck, 2 or 3 Views $953 N/A $362
X-Ray of Neck, 4 to 5 Views $1,103 N/A $419
X-Ray of Pelvis, 1 or 2 Views $686 N/A $261
X-Ray of Shoulder, 2 Views $948 N/A $360
X-Ray of Wrist, 3 Views $952 N/A $362