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) $90 N/A $90
Arthrocentesis $741 N/A $741
Bacterial Culture $66 N/A $66
Bacterial Culture Swab $98 N/A $98
Bacterial Culture Swab for Aerobic Isolates $55 N/A $55
Bacterial Culture, Quantitative Colony Count $49 N/A $49
Basic Metabolic Panel $120 N/A $120
Bilirubin Level $87 N/A $87
Blood Count (Hemoglobin) $48 N/A $48
Blood Glucose (Sugar) Level $67 N/A $67
Blood Glucose Control (Hemoglobin A1C) $147 N/A $147
Blood Typing (ABO) $57 N/A $57
Blood Typing (Rh (D)) $101 N/A $101
Borrelia Burgdorferi (Lyme disease) Antibody Level $125 N/A $125
Brain MRI $5,936 N/A $5,936
C-reactive Protein (CRP) Level $64 N/A $64
Chlamydia Test $92 N/A $92
Cholesterol Test, Lipid Panel $142 N/A $142
Clotting Time $72 N/A $72
Coagulation Assessment $87 N/A $87
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $6,646 N/A $6,646
Complete Blood Cell Count (Hemoglobin) $102 N/A $102
Complete Blood Cell Count and Automated White Blood Cells $116 N/A $116
Comprehensive Metabolic Panel $100 N/A $100
Creatinine Level $77 N/A $77
CT Scan of Chest, With Contrast $2,442 N/A $2,442
Detection for Strep (Streptococcus, group A) $46 N/A $46
Detection Test for Hepatitis B Surface Antigen $74 N/A $74
Detection Test for Human Papillomavirus (HPV) $78 N/A $78
Developmental Screening $18 N/A $18
Diagnostic Laryngoscopy $801 N/A $801
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $78 N/A $78
General Health Panel $415 N/A $415
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $89 N/A $89
Group Psychotherapy $120 Below Average
State Average: 4
 $120
Hepatitis B Core Antibody Level $21 N/A $21
Hepatitis B Surface Antibody Level $42 N/A $42
Hydration Infusion $212 N/A $212
Influenza Vaccine, Injected into Muscle $112 N/A $112
Iron Binding Capacity $26 N/A $26
Lab Test to Detect Coronavirus (COVID-19) $150 N/A $150
Lab Test to Detect HIV-1 and HIV-2 $29 N/A $29
Lab Test to Detect Influenza Virus $49 N/A $49
Lab Test to Measure Creatinine Level $35 N/A $35
LDL Cholesterol Level $128 N/A $128
Lead Level $44 N/A $44
Lipase (Fat Enzyme) Level $101 N/A $101
Liver Enzyme (ALT or SGPT) Level $72 N/A $72
Liver Enzyme (AST or SGOT) Level $89 N/A $89
Low Complexity (Outpatient) Emergency Department Visit $420 N/A $420
Low Complexity Physical Therapy Evaluation $267 Near Average
State Average: 1
 $267
Magnesium Level $96 N/A $96
Manual Physical Therapy $120 Below Average
State Average: 4
 $120
Minor (Outpatient) Emergency Department Visit $376 N/A $376
Moderate Complexity (Outpatient) Emergency Department Visit $916 N/A $916
Moderate Complexity Physical Therapy Evaluation $340 Near Average
State Average: 1
 $340
Nasal Endoscopy $791 N/A $791
Natriuretic Peptide Level $402 N/A $402
New Patient Preventive Care Visit for Adult, 40-64 $665 N/A $665
New Patient Preventive Care Visit for Adult, Ages 18-39 $641 N/A $641
New Patient Preventive Care Visit for Child, Ages 1-4 $544 N/A $544
Office Visit for Established Patient, Basic $86 N/A $86
Office Visit for Established Patient, High Complexity $663 N/A $663
Office Visit for Established Patient, Low Complexity $137 N/A $137
Office Visit for Established Patient, Minimal Presenting Problem $56 N/A $56
Office Visit for Established Patient, Moderate Complexity $480 N/A $480
Office Visit for New Patient, Low Complexity $198 N/A $198
Office Visit for New Patient, Minor Complexity $263 N/A $263
Office Visit for New Patient, Moderate Complexity $302 N/A $302
Pap Test Screening, Automated with Manual Review $105 N/A $105
Parathyroid Hormone (PTH) Level $88 N/A $88
Pathology Examination of Tissue, Intermediate Complexity $77 N/A $77
Phosphate Level $74 N/A $74
Pregnancy Test $89 N/A $89
Presence of Drug $190 N/A $190
Preventive Care Visit for Adolescent, Under Ages 12-17 $270 N/A $270
Preventive Care Visit for Adult, 40-64 $296 N/A $296
Preventive Care Visit for Adult, Ages 18-39 $271 N/A $271
Preventive Care Visit for Child, Under Age 1 $401 N/A $401
Preventive Care Visit for Child, Under Ages 1-4 $247 N/A $247
Preventive Care Visit for Child, Under Ages 5-11 $233 N/A $233
Prostate Cancer Screening $51 N/A $51
Prostate Specific Antigen (PSA) Level, Total $48 N/A $48
Psychiatric Diagnostic Evaluation $229 Near Average
State Average: 1
 $229
Psychotherapy, 30 Minutes with Patient $97 Above Average
State Average: 1
 $97
Psychotherapy, 45 Minutes with Patient $131 Below Average
State Average: 3
 $131
Psychotherapy, 60 Minutes with Patient $183 Below Average
State Average: 6
 $183
Screening Mammogram of Both Breasts $803 N/A $803
Shoulder, Elbow, or Wrist MRI $3,235 N/A $3,235
Smear for Microorganism $88 N/A $88
Telehealth Visit for Established Patient, 11-20 minutes $50 N/A $50
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $81 N/A $81
Therapeutic Activities $103 Below Average
State Average: 3
 $103
Therapeutic Exercises $140 Near Average
State Average: 4
 $140
Thyroglobulin (Thyroid Protein) Antibody Level $64 N/A $64
Thyroid Stimulating Hormone (TSH) Level $122 N/A $122
Thyroxine (Thyroid Chemical) Level, Free $163 N/A $163
Triiodothyronine (T3) Thyroid Hormone Measurement $59 N/A $59
Troponin (Protein) Analysis, Quantitative $139 N/A $139
Ultrasound of Heart (Echocardiogram) $4,089 N/A $4,089
Ultrasound Therapy $122 Above Average
State Average: 2
 $122
Urea Nitrogen Level $63 N/A $63
Urinalysis, Automated with Microscope Examination $86 N/A $86
Urinalysis, Automated without Microscope $49 N/A $49
Urinalysis, Manual Test $57 N/A $57
Vitamin D-3 Level $97 N/A $97
X-Ray of Ankle, 3 Views $632 N/A $632
X-Ray of Chest, 2 Views $650 N/A $650
X-Ray of Hand, 3 Views $767 N/A $767
X-Ray of Knee, 3 Views $660 N/A $660
X-Ray of Knee, 4 Views $855 N/A $855
X-Ray of Shoulder, 2 Views $802 N/A $802
X-Ray of Wrist, 3 Views $903 N/A $903