Mary Hitchcock Memorial Hospital
1 Medical Center Drive Lebanon, NH 03756
Medical Procedures
Radiology Services
Outpatient Tests and Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Arthrocentesis (outpatient) | $1628 | 58% | $684 | High |
| Arthroscopic Knee Surgery (outpatient) | $19969 | 58% | $8387 | Medium |
| Arthroscopic Shoulder Surgery | $54480 | 58% | $22881 | High |
| Biopsy, endometrial (uterus) | $1591 | 58% | $668 | Medium |
| Biopsy, Skin lesion | $1534 | 58% | $644 | Medium |
| Breast Biopsy | $4635 | 58% | $1947 | Medium |
| Colonoscopy with biopsy (outpatient) | $7304 | 58% | $3068 | Medium |
| Colonoscopy with polyp removal (outpatient) | $8049 | 58% | $3381 | Medium |
| Cystoscopy | $3759 | 58% | $1579 | Medium |
| Destruction of Lesion (outpatient) | $630 | 58% | $265 | Medium |
| Destruction of lesions, up to 14 | $597 | 58% | $251 | High |
| Diagnostic colonoscopy (outpatient) | $5530 | 58% | $2322 | High |
| Fetal Non-Stress Test | $935 | 58% | $392 | High |
| Hernia Repair - laparoscopic (outpatient) | $27554 | 58% | $11573 | Medium |
| Tonsillectomy with Adenoidectomy (outpatient) | $15120 | 58% | $6351 | High |
| Upper Gastrointestinal Endoscopy, diagnostic | $6309 | 58% | $2650 | Medium |
| Upper Gastrointestinal Endoscopy, with biopsy | $7991 | 58% | $3356 | Medium |
Laboratory Services
Physical Therapy
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Low Complexity Evaluation - PT | $227 | 58% | $95 | Medium |
| Moderate Complexity Evaluation - PT | $398 | 58% | $167 | Medium |
| Electrical Stimulation Therapy - PT | $79 | 58% | $33 | Medium |
| Ultrasound Therapy - PT | $81 | 58% | $34 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Office Visit, Established Pt | $206 | 58% | $86 | Medium |
| Office Visit of Moderate Complexity | $312 | 58% | $131 | Medium |
| Office Visit of Moderate to High Complexity | $428 | 58% | $180 | Medium |
| Comp Preventive Medicine 1-4 yrs old | $336 | 58% | $141 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $368 | 58% | $154 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $401 | 58% | $168 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $410 | 58% | $172 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $465 | 58% | $195 | Medium |
Emergency Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Emergency Room Visit - Very Minor (outpatient) | $303 | 58% | $127 | Medium |
| Emergency Department Visit - Low Complexity (outpatient) | $635 | 58% | $267 | Medium |
| Emergency Room Visit - Medium (outpatient) | $889 | 58% | $374 | Medium |
Ambulance Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mileage Rate for Ambulance Transport | $35 | 58% | $15 | Medium |
| Non-emergency Transport, Advanced Life Support - Ambulance Service | $956 | 58% | $401 | Medium |
Patient Centered Care
| Measure | Performance | |
|---|---|---|
| Overall Patient Experience | 3 out of 5 stars | |
| Hospital Recommended | Above Average | |
| Best Hospital Experience | Near Average | |
| Area Around Room Was Always Quiet at Night | Below Average | |
| Nurses Always Communicated Well | Near Average | |
| Doctors Always Communicated Well | Near Average | |
| Room Was Always Clean | Below Average | |
| Help Was Always Received | Near Average | |
| Hospital Staff Provided Discharge Information | Above Average |
Timely Care
| Measure | Performance | |
|---|---|---|
| Time Spent in the Emergency Department Before Seeing Healthcare Provider | Below Average | |
| Time Spent in the Emergency Department Before Being Admitted | Below Average | |
| Time Spent in the Emergency Department After Being Admitted Before Getting to Room | Below Average | |
| Time Spent in the Emergency Department Before Being Discharged | Below Average | |
| Time Spent Before Receiving Pain Treatment for Long Bone Fracture | Below Average |
Effective Care
| Measure | Performance | |
|---|---|---|
| Patients with Normal Colonoscopy Who Received Appropriate Recommendation for Follow-Up | Below Average | |
| MRI Lumbar Spine for Low Back Pain | Below Average | |
| Mothers with Elective Delivery | Below Average |
Safe Care
| Measure | Performance | |
|---|---|---|
| Patients Infected with MRSA While at Hospital | Near Average | 1.12 state average (1.00) |
| Patients Infected with C.diff While at Hospital | Near Average | 1.10 state average (1.00) |