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%
Arthrocentesis $537 N/A $537
Automated Pap Test Screening and Manual Rescreening $132 N/A $132
Automated with Microscope Examination $74 N/A $74
Automated without Microscope $42 N/A $42
Bacterial Culture $56 N/A $56
Bacterial Culture Swab $105 N/A $105
Bacterial Culture Swab for Aerobic Isolates $47 N/A $47
Bacterial Culture, Quantitative Colony Count $42 N/A $42
Basic Metabolic Panel $103 N/A $103
Blood Count (Hemoglobin) $15 N/A $15
Blood Glucose (Sugar) Level $53 N/A $53
Blood Glucose Control (Hemoglobin A1C) $108 N/A $108
Blood Typing (ABO) $41 N/A $41
Blood Typing (Rh (D)) $74 N/A $74
Borrelia Burgdorferi (Lyme disease) Antibody Level $58 N/A $58
C-reactive Protein (CRP) Level $47 N/A $47
Chlamydia Test $105 N/A $105
Cholesterol Test, Lipid Panel $105 N/A $105
Clotting Time $53 N/A $53
Coagulation Assessment $75 N/A $75
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $4,182 N/A $4,182
Complete Blood Cell Count (Hemoglobin) $81 N/A $81
Complete Blood Cell Count and Automated White Blood Cells $99 N/A $99
Comprehensive Metabolic Panel $85 N/A $85
Creatinine Level $65 N/A $65
Detection for Strep (Streptococcus, group A) $42 N/A $42
Detection Test for Hepatitis B Surface Antigen $62 N/A $62
Detection Test for Human Papillomavirus (HPV) $107 N/A $107
Developmental Screening $16 N/A $16
Electrocardiogram (ECG or EKG) With Report and Interpretation $379 N/A $379
Electrolytes Panel $84 N/A $84
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $66 N/A $66
Ferritin (Blood Protein) Level $162 N/A $162
Folic Acid Level $29 N/A $29
General Health Panel $289 N/A $289
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $105 N/A $105
Hepatitis B Surface Antibody Level $36 N/A $36
Hepatitis C Antibody Level $55 N/A $55
Hydration Infusion $173 N/A $173
Influenza Vaccine, Injected into Muscle $37 N/A $37
Iron Binding Capacity $81 N/A $81
Iron Level $81 N/A $81
Knee MRI $1,863 N/A $1,863
Lab Test to Detect Coronavirus (COVID-19) $164 N/A $164
Lab Test to Detect Influenza Virus $45 N/A $45
Lab Test to Measure Creatinine Level $65 N/A $65
Lead Level $20 N/A $20
Lipase (Fat Enzyme) Level $76 N/A $76
Low Complexity (outpatient) Emergency Department Visit $365 N/A $365
Low Complexity Physical Therapy Evaluation $174 Near Average
State Average: 1
 $174
Magnesium Level $82 N/A $82
Manual Physical Therapy $90 Below Average
State Average: 4
 $90
Microalbumin (Protein) Level $65 N/A $65
Moderate Complexity (outpatient) Emergency Department Visit $683 N/A $683
Moderate Complexity Physical Therapy Evaluation $259 Near Average
State Average: 1
 $259
Office Visit for Established Patient, Basic $75 N/A $75
Office Visit for Established Patient, High Complexity $235 N/A $235
Office Visit for Established Patient, Low Complexity $119 N/A $119
Office Visit for Established Patient, Moderate Complexity $174 N/A $174
Office Visit for New Patient, Low Complexity $172 N/A $172
Office Visit for New Patient, Minor Complexity $164 N/A $164
Pathology Examination of Tissue, Intermediate Complexity $282 N/A $282
Pregnancy Test $77 N/A $77
Presence of Drug $163 N/A $163
Preventive Care Visit for Adolescent, Under Ages 12-17 $234 N/A $234
Preventive Care Visit for Adult, 40-64 $257 N/A $257
Preventive Care Visit for Adult, Ages 18-39 $235 N/A $235
Preventive Care Visit for Child, Under Age 1 $200 N/A $200
Preventive Care Visit for Child, Under Ages 1-4 $214 N/A $214
Preventive Care Visit for Child, Under Ages 5-11 $213 N/A $213
Prostate Specific Antigen (PSA) Level $37 N/A $37
Psychiatric Diagnostic Evaluation $204 Near Average
State Average: 1
 $204
Psychotherapy, 30 Minutes with Patient $84 Near Average
State Average: 1
 $84
Psychotherapy, 45 Minutes with Patient $114 Below Average
State Average: 4
 $114
Psychotherapy, 60 Minutes with Patient $159 Below Average
State Average: 6
 $159
Screening Mammogram of Both Breasts $819 N/A $819
Self-Care or Home Management Training $87 Above Average
State Average: 1
 $87
Smear for Microorganism $76 N/A $76
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $69 N/A $69
Therapeutic Exercises $90 Near Average
State Average: 4
 $90
Thyroid Stimulating Hormone (TSH) Level $105 N/A $105
Thyroxine (Thyroid Chemical) Level, Free $121 N/A $121
Transvaginal Ultrasound (Non-Maternity) $1,497 N/A $1,497
Triiodothyronine (T3) Thyroid Hormone Measurement $50 N/A $50
Troponin (Protein) Analysis, Quantitative $120 N/A $120
Ultrasound of Abdomen, Limited $1,140 N/A $1,140
Ultrasound of Breast $1,734 N/A $1,734
Ultrasound Therapy $79 Above Average
State Average: 3
 $79
Urinalysis, Manual Test $42 N/A $42
Vitamin B-12 (Cyanocobalamin) Level $26 N/A $26
Vitamin D-3 Level $128 N/A $128
X-Ray of Abdomen $509 N/A $509
X-Ray of Ankle $457 N/A $457
X-Ray of Chest, 2 Views $502 N/A $502
X-Ray of Hip $480 N/A $480
X-Ray of Shoulder $439 N/A $439