Springfield Medical Care System

25 Ridgewood Road Springfield, VT 05156
https://springfieldmed.org/
(802) 885-2151

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
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: 0%
Antibody Screen, Red Blood Cells (RBC) $76 N/A $76
Antinuclear Antibodies (ANA) Level $37 N/A $37
Bacterial Culture $64 N/A $64
Bacterial Culture Swab $82 N/A $82
Bacterial Culture Swab for Aerobic Isolates $54 N/A $54
Bacterial Culture, Quantitative Colony Count $48 N/A $48
Basic Metabolic Panel $117 N/A $117
Bilirubin Level $72 N/A $72
Blood Count (Hemoglobin) $16 N/A $16
Blood Glucose (Sugar) Level $60 N/A $60
Blood Glucose Control (Hemoglobin A1C) $123 N/A $123
Blood Typing (ABO) $47 N/A $47
Blood Typing (Rh (D)) $84 N/A $84
Bone Density Scan $487 N/A $487
Borrelia Burgdorferi (Lyme disease) Antibody Level $29 N/A $29
Brain MRI $4,596 N/A $4,596
C-reactive Protein (CRP) Level $54 N/A $54
Chlamydia Test $82 N/A $82
Cholesterol Test, Lipid Panel $119 N/A $119
Clotting Time $60 N/A $60
Coagulation Assessment $86 N/A $86
Colonoscopy With Biopsy for Noncancerous Growth $6,554 N/A $6,554
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $5,636 N/A $5,636
Complete Blood Cell Count (Hemoglobin) $92 N/A $92
Complete Blood Cell Count and Automated White Blood Cells $112 N/A $112
Comprehensive Metabolic Panel $98 N/A $98
Creatinine Level $75 N/A $75
CT Scan of Abdomen and Pelvis, With Contrast $5,558 N/A $5,558
Detection for Strep (Streptococcus, group A) $44 N/A $44
Detection Test for Hepatitis B Surface Antigen $71 N/A $71
Detection Test for Human Papillomavirus (HPV) $78 N/A $78
Developmental Screening $17 N/A $17
Diagnostic Laryngoscopy $776 N/A $776
Electrocardiogram (ECG or EKG) With Report and Interpretation $81 N/A $81
Electrolytes Panel $96 N/A $96
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $76 N/A $76
Folic Acid Level $35 N/A $35
General Health Panel $329 N/A $329
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $87 N/A $87
Hepatitis B Core Antibody Level $60 N/A $60
Hepatitis B Surface Antibody Level $41 N/A $41
Hepatitis C Antibody Level $72 N/A $72
Hydration Infusion $196 N/A $196
Influenza Vaccine, Injected into Muscle $35 N/A $35
Iron Level $17 N/A $17
Knee MRI $2,860 N/A $2,860
Lab Test to Detect Coronavirus (COVID-19) $146 N/A $146
Lab Test to Detect HIV-1 and HIV-2 $28 N/A $28
Lab Test to Detect Influenza Virus $47 N/A $47
Lab Test to Measure Creatinine Level $34 N/A $34
Lead Level $37 N/A $37
Lipase (Fat Enzyme) Level $86 N/A $86
Liver Enzyme (ALT or SGPT) Level $70 N/A $70
Liver Enzyme (AST or SGOT) Level $75 N/A $75
Low Complexity (Outpatient) Emergency Department Visit $413 N/A $413
Low Complexity Physical Therapy Evaluation $197 Near Average
State Average: 1
 $197
Magnesium Level $93 N/A $93
Manual Physical Therapy $103 Below Average
State Average: 4
 $103
Minor (Outpatient) Emergency Department Visit $369 N/A $369
Moderate Complexity (Outpatient) Emergency Department Visit $770 N/A $770
Moderate Complexity Physical Therapy Evaluation $293 Near Average
State Average: 1
 $293
Nasal Endoscopy $995 N/A $995
Natriuretic Peptide Level $392 N/A $392
Neuromuscular Reeducation $96 Below Average
State Average: 4
 $96
New Patient Preventive Care Visit for Child, Ages 1-4 $227 N/A $227
Office Visit for Established Patient, Basic $78 N/A $78
Office Visit for Established Patient, High Complexity $245 N/A $245
Office Visit for Established Patient, Low Complexity $124 N/A $124
Office Visit for Established Patient, Minimal Presenting Problem $49 N/A $49
Office Visit for Established Patient, Moderate Complexity $182 N/A $182
Office Visit for New Patient, Low Complexity $180 N/A $180
Office Visit for New Patient, Minor Complexity $170 N/A $170
Office Visit for New Patient, Moderate Complexity $273 N/A $273
Pap Test Screening, Automated with Manual Review $88 N/A $88
Parathyroid Hormone (PTH) Level $87 N/A $87
Pathology Examination of Tissue, Intermediate Complexity $319 N/A $319
Phosphate Level $74 N/A $74
Physical Therapy Re-Evaluation $197 Near Average
State Average: 1
 $197
Pregnancy Test $87 N/A $87
Presence of Drug $185 N/A $185
Preventive Care Visit for Adolescent, Under Ages 12-17 $244 N/A $244
Preventive Care Visit for Adult, 40-64 $268 N/A $268
Preventive Care Visit for Adult, Ages 18-39 $245 N/A $245
Preventive Care Visit for Child, Under Age 1 $200 N/A $200
Preventive Care Visit for Child, Under Ages 1-4 $223 N/A $223
Preventive Care Visit for Child, Under Ages 5-11 $222 N/A $222
Prostate Specific Antigen (PSA) Level, Free $59 N/A $59
Prostate Specific Antigen (PSA) Level, Total $48 N/A $48
Psychiatric Diagnostic Evaluation $212 Near Average
State Average: 1
 $212
Psychotherapy, 30 Minutes with Patient $87 Above Average
State Average: 1
 $87
Psychotherapy, 45 Minutes with Patient $119 Below Average
State Average: 4
 $119
Psychotherapy, 60 Minutes with Patient $165 Below Average
State Average: 6
 $165
Screening Mammogram of Both Breasts $688 N/A $688
Smear for Microorganism $86 N/A $86
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $79 N/A $79
Therapeutic Activities $103 Below Average
State Average: 3
 $103
Therapeutic Exercises $103 Below Average
State Average: 4
 $103
Thyroid Stimulating Hormone (TSH) Level $119 N/A $119
Thyroxine (Thyroid Chemical) Level, Free $137 N/A $137
Transvaginal Ultrasound (Non-Maternity) $1,486 N/A $1,486
Troponin (Protein) Analysis, Quantitative $135 N/A $135
Ultrasound of Abdomen, Limited $1,538 N/A $1,538
Ultrasound of Head and Neck $1,199 N/A $1,199
Ultrasound of Heart (Echocardiogram) $3,126 N/A $3,126
Ultrasound Therapy $89 Near Average
State Average: 3
 $89
Urinalysis, Automated with Microscope Examination $84 N/A $84
Urinalysis, Automated without Microscope $48 N/A $48
Urinalysis, Manual Test $21 N/A $21
Vitamin D-3 Level $95 N/A $95
X-Ray of Ankle, 3 Views $387 N/A $387
X-Ray of Chest, 2 Views $503 N/A $503
X-Ray of Foot, 3 Views $789 N/A $789
X-Ray of Hip, 2 or 3 Views $347 N/A $347
X-Ray of Knee, 3 Views $412 N/A $412
X-Ray of Knee, 4 Views $336 N/A $336
X-Ray of Shoulder, 2 Views $496 N/A $496