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:
71%
Nurses Always Communicated Well:
87%
Doctors Always Communicated Well:
79%
Room Was Always Clean:
94%
Help Was Always Received:
91%
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%
Automated Pap Test Screening and Manual Rescreening $216 N/A $128
Automated with Microscope Examination $47 N/A $28
Automated without Microscope $41 N/A $24
Bacterial Culture Swab $91 N/A $54
Bacterial Culture Swab for Aerobic Isolates $119 N/A $70
Bacterial Culture, Quantitative Colony Count $69 N/A $41
Basic Metabolic Panel $66 N/A $39
Blood Count (Hemoglobin) $22 N/A $13
Blood Glucose (Sugar) Level $39 N/A $23
Blood Glucose Control (Hemoglobin A1C) $90 N/A $53
Blood Typing (ABO) $37 N/A $22
Borrelia Burgdorferi (Lyme disease) Antibody Level $171 N/A $101
C-reactive Protein (CRP) Level $59 N/A $35
Chlamydia Test $278 N/A $164
Cholesterol Test, Lipid Panel $118 N/A $69
Clotting Time $53 N/A $31
Coagulation Assessment $65 N/A $38
Complete Blood Cell Count (Hemoglobin) $62 N/A $37
Complete Blood Cell Count and Automated White Blood Cells $66 N/A $39
Comprehensive Metabolic Panel $88 N/A $52
Creatinine Level $49 N/A $29
CT Scan of Chest, With Contrast $3,025 N/A $1,785
Detection Test for Hepatitis B Surface Antigen $110 N/A $65
Detection Test for Human Papillomavirus (HPV) $333 N/A $196
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $104 N/A $61
Ferritin (Blood Protein) Level $124 N/A $73
Folic Acid Level $134 N/A $79
General Health Panel $306 N/A $180
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $278 N/A $164
Hepatic (Liver) Function Panel $90 N/A $53
Hepatitis B Surface Antibody Level $123 N/A $72
Hepatitis C Antibody Level $153 N/A $90
High Complexity Physical Therapy Evaluation $391 Near Average
State Average: 1
$230
Hydration Infusion $356 N/A $210
Influenza Vaccine, Injected into Muscle $26 N/A $15
Iron Level $63 N/A $37
Knee MRI $1,876 N/A $1,107
Lab Test to Detect Coronavirus (COVID-19) $168 N/A $99
Lab Test to Measure Creatinine Level $49 N/A $29
LDL Cholesterol Level $85 N/A $50
Lipase (Fat Enzyme) Level $63 N/A $37
Low Complexity (outpatient) Emergency Department Visit $543 N/A $320
Low Complexity Physical Therapy Evaluation $391 Near Average
State Average: 1
$230
Magnesium Level $64 N/A $38
Manual Pap Test Screening $134 N/A $79
Manual Physical Therapy $148 Above Average
State Average: 4
$87
Minor (outpatient) Emergency Department Visit $216 N/A $128
Moderate Complexity (outpatient) Emergency Department Visit $727 N/A $429
Moderate Complexity Physical Therapy Evaluation $391 Near Average
State Average: 1
$230
Office Visit for Established Patient, Basic $105 N/A $62
Office Visit for Established Patient, Low Complexity $131 N/A $77
Office Visit for Established Patient, Moderate Complexity $184 N/A $108
Office Visit for New Patient, Low Complexity $158 N/A $93
Office Visit for New Patient, Minor Complexity $116 N/A $68
Pathology Examination of Tissue, Intermediate Complexity $254 N/A $150
Pregnancy Test $87 N/A $51
Preventive Care Visit for Adult, 40-64 $158 N/A $93
Prostate Specific Antigen (PSA) Level $139 N/A $82
Renal (Kidney) Function Panel $94 N/A $55
Screening Mammogram of Both Breasts $959 N/A $566
Smear for Microorganism $47 N/A $28
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $62 N/A $37
Therapeutic Exercises $148 Below Average
State Average: 4
$87
Thyroglobulin (Thyroid Protein) Antibody Level $164 N/A $97
Thyroid Stimulating Hormone (TSH) Level $151 N/A $89
Thyroxine (Thyroid Chemical) Level, Free $83 N/A $49
Transvaginal Ultrasound (Non-Maternity) $1,367 N/A $807
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $387 N/A $229
Triiodothyronine (T3) Thyroid Hormone Measurement $156 N/A $92
Troponin (Protein) Analysis, Quantitative $180 N/A $106
Ultrasound of Abdomen, Complete $1,319 N/A $778
Ultrasound of Abdomen, Limited $889 N/A $525
Ultrasound of Breast $1,328 N/A $784
Ultrasound of Head and Neck $889 N/A $525
Vitamin B-12 (Cyanocobalamin) Level $111 N/A $66
Vitamin D-3 Level $306 N/A $180
X-Ray of Ankle $491 N/A $290
X-Ray of Chest, 2 Views $338 N/A $199
X-Ray of Foot $429 N/A $253
X-Ray of Hip $504 N/A $297
X-Ray of Shoulder $564 N/A $333
X-Ray of Spine $641 N/A $378