Upper Connecticut Valley Hospital

181 Corliss Lane Colebrook, NH 03576
http://www.ucvh.org/
(603) 237-4971

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

9 out of 10

Area Around Room Was Always Quiet at Night:
62%
Nurses Always Communicated Well:
92%
Doctors Always Communicated Well:
87%
Room Was Always Clean:
90%
Help Was Always Received:
76%
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: 41%
Antibody Screen, Red Blood Cells (RBC) $185 N/A $109
Antinuclear Antibodies (ANA) Level $69 N/A $41
Bacterial Culture Swab $49 N/A $29
Bacterial Culture Swab for Aerobic Isolates $46 N/A $27
Bacterial Culture, Quantitative Colony Count $46 N/A $27
Basic Metabolic Panel $85 N/A $50
Bilirubin Level $29 N/A $17
Blood Count (Hemoglobin) $15 N/A $9
Blood Glucose (Sugar) Level $22 N/A $13
Blood Glucose Control (Hemoglobin A1C) $97 N/A $57
Blood Typing (ABO) $17 N/A $10
Blood Typing (Rh (D)) $17 N/A $10
Bone Density Scan $701 N/A $414
Borrelia Burgdorferi (Lyme disease) Antibody Level $97 N/A $57
Brain MRI $5,958 N/A $3,515
C-reactive Protein (CRP) Level $100 N/A $59
Chlamydia Test $257 N/A $152
Cholesterol Test, Lipid Panel $214 N/A $126
Clotting Time $60 N/A $35
Coagulation Assessment $34 N/A $20
Colonoscopy With Biopsy for Noncancerous Growth $9,005 N/A $5,313
Complete Blood Cell Count (Hemoglobin) $71 N/A $42
Complete Blood Cell Count and Automated White Blood Cells $74 N/A $43
Comprehensive Metabolic Panel $150 N/A $89
Creatinine Level $29 N/A $17
CT Scan of Abdomen and Pelvis, With Contrast $4,669 N/A $2,755
CT Scan of Chest, With Contrast $2,602 N/A $1,535
Detection Test for Hepatitis B Surface Antigen $58 N/A $34
Detection Test for Human Papillomavirus (HPV) $372 N/A $219
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $49 N/A $29
Ferritin (Blood Protein) Level $179 N/A $105
Folic Acid Level $84 N/A $50
General Health Panel $418 N/A $247
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $372 N/A $219
Hepatic (Liver) Function Panel $96 N/A $56
Hepatitis B Surface Antibody Level $62 N/A $37
Hepatitis C Antibody Level $82 N/A $48
High Complexity Physical Therapy Evaluation $460 Near Average
State Average: 1
$271
Hydration Infusion $383 N/A $226
Iron Binding Capacity $86 N/A $51
Iron Level $65 N/A $38
Knee MRI $3,617 N/A $2,134
Lab Test to Detect Coronavirus (COVID-19) $172 N/A $102
Lab Test to Detect HIV-1 and HIV-2 $225 N/A $133
Lab Test to Detect Influenza Virus $42 N/A $25
Lab Test to Measure Creatinine Level $29 N/A $17
LDL Cholesterol Level $90 N/A $53
Lead Level $68 N/A $40
Lipase (Fat Enzyme) Level $90 N/A $53
Liver Enzyme (ALT or SGPT) Level $30 N/A $18
Liver Enzyme (AST or SGOT) Level $29 N/A $17
Low Complexity (Outpatient) Emergency Department Visit $443 N/A $261
Low Complexity Physical Therapy Evaluation $361 Near Average
State Average: 1
$213
Magnesium Level $84 N/A $50
Manual Physical Therapy $40 Below Average
State Average: 4
$24
Microalbumin (Protein) Level $81 N/A $48
Minor (Outpatient) Emergency Department Visit $245 N/A $144
Moderate Complexity (Outpatient) Emergency Department Visit $781 N/A $461
Moderate Complexity Physical Therapy Evaluation $407 Near Average
State Average: 1
$240
Natriuretic Peptide Level $222 N/A $131
Neuromuscular Reeducation $166 Below Average
State Average: 4
$98
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $248 N/A $146
Office Visit for Established Patient, Basic $100 N/A $59
Office Visit for Established Patient, Low Complexity $163 N/A $96
Office Visit for Established Patient, Minimal Presenting Problem $58 N/A $34
Office Visit for Established Patient, Moderate Complexity $211 N/A $125
Office Visit for New Patient, Low Complexity $226 N/A $133
Office Visit for New Patient, Moderate Complexity $331 N/A $195
Pap Test Screening, Automated with Manual Review $248 N/A $146
Parathyroid Hormone (PTH) Level $406 N/A $240
Pathology Examination of Tissue, Intermediate Complexity $453 N/A $267
Phosphate Level $26 N/A $15
Physical Therapy Re-Evaluation $198 Near Average
State Average: 1
$117
Pregnancy Test $47 N/A $28
Presence of Drug $281 N/A $166
Preventive Care Visit for Adolescent, Under Ages 12-17 $232 N/A $137
Preventive Care Visit for Adult, 40-64 $270 N/A $159
Preventive Care Visit for Adult, Ages 18-39 $254 N/A $150
Preventive Care Visit for Child, Under Ages 5-11 $215 N/A $127
Prostate Cancer Screening $139 N/A $82
Prostate Specific Antigen (PSA) Level, Free $99 N/A $58
Prostate Specific Antigen (PSA) Level, Total $104 N/A $61
Red Blood Cell Sedimentation Rate, Non-Automated $16 N/A $10
Renal (Kidney) Function Panel $182 N/A $107
Screening Mammogram of Both Breasts $1,038 N/A $613
Shoulder, Elbow, or Wrist MRI $3,365 N/A $1,985
Smear for Microorganism $43 N/A $25
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $39 N/A $23
Therapeutic Activities $167 Below Average
State Average: 3
$99
Therapeutic Exercises $177 Below Average
State Average: 4
$105
Thyroglobulin (Thyroid Protein) Antibody Level $90 N/A $53
Thyroid Stimulating Hormone (TSH) Level $194 N/A $115
Thyroxine (Thyroid Chemical) Level, Free $158 N/A $93
Total Protein Level $22 N/A $13
Transvaginal Ultrasound (Non-Maternity) $921 N/A $543
Triiodothyronine (T3) Thyroid Hormone Measurement $167 N/A $99
Troponin (Protein) Analysis, Quantitative $189 N/A $112
Ultrasound of Abdomen, Complete $985 N/A $581
Ultrasound of Abdomen, Limited $746 N/A $440
Ultrasound of Breast $652 N/A $385
Ultrasound of Head and Neck $843 N/A $497
Ultrasound of Heart (Echocardiogram) $3,006 N/A $1,774
Ultrasound Therapy $17 Above Average
State Average: 2
$10
Urea Nitrogen Level $23 N/A $13
Urinalysis, Automated with Microscope Examination $68 N/A $40
Urinalysis, Automated without Microscope $15 N/A $9
Vitamin B-12 (Cyanocobalamin) Level $138 N/A $81
Vitamin D-3 Level $328 N/A $193
X-Ray of Ankle, 3 Views $434 N/A $256
X-Ray of Chest, 2 Views $390 N/A $230
X-Ray of Foot, 3 Views $399 N/A $235
X-Ray of Hip, 2 or 3 Views $547 N/A $323
X-Ray of Knee, 3 Views $501 N/A $296
X-Ray of Knee, 4 Views $529 N/A $312
X-Ray of Low Back, 2 or 3 Views $432 N/A $255
X-Ray of Low Back, 4 Views $599 N/A $353
X-Ray of Neck, 2 or 3 Views $419 N/A $247
X-Ray of Shoulder, 2 Views $406 N/A $240