Upper Connecticut Valley Hospital

181 Corliss Lane Colebrook, NH 03576
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Bacterial Culture - Aerobic Isolates$11941%$70
Bacterial Culture - Swab$9141%$54
Blood Test - Basic Metabolic Panel$6641%$39
Blood Test - Blood Glucose Control (Hemoglobin A1C)$9041%$53
Blood Test - Cholesterol Test, Lipid Panel$11841%$69
Blood Test - Clotting Time$5341%$31
Blood Test - Coagulation Assessment$6541%$38
Blood Test - Complete Blood Cell Count (Hemoglobin)$6241%$37
Blood Test - Complete Blood Cell Count and Automated WBC$6641%$39
Blood Test - Comprehensive Metabolic Panel$8841%$52
Blood Test - Ferritin (Blood Protein) Level$12441%$73
Blood Test - Folic Acid Level$13441%$79
Blood Test - General Health Panel$30641%$180
Blood Test - Hepatic (Liver) Function Panel$9041%$53
Blood Test - Hepatitis C Antibody Level$15341%$90
Blood Test - Iron Level$6341%$37
Blood Test - LDL Cholesterol Level$8541%$50
Blood Test - Lipase (fat enzyme) Level$6341%$37
Blood Test - Prostate Specific Antigen (PSA) Level$13941%$82
Blood Test - Renal (Kidney) Function Panel$9241%$55
Blood Test - Thyroid Stimulating Hormone (TSH) Level$15141%$89
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$8341%$49
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$15641%$92
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$11141%$66
Blood Test - Vitamin D-3 Level$30641%$180
Bone Density Scan (outpatient)$48041%$283
Colonoscopy - With Biopsy (outpatient)$7,32041%$4,319
Colonoscopy - With Polyp Removal (outpatient)$8,71241%$5,140
CT Scan - Abdomen and Pelvis, with Contrast$4,76441%$2,811
Detection test for Human Papillomavirus (HPV)$33341%$196
Emergency Department Visit - Low Complexity (outpatient)$54341%$320
Emergency Department Visit - Minor (outpatient)$21641%$128
Emergency Department Visit - Moderate Complexity (outpatient)$72741%$429
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$10441%$61
Lab Test - Detection test for Hepatitis B Surface Antigen$11041%$65
Lab Test - Smear for Microorganism$4741%$28
Mammogram (outpatient)$1,01241%$597
MRI - Back (outpatient)$1,73641%$1,024
MRI - Knee (outpatient)$1,77641%$1,048
Office Visit - Basic$10541%$62
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$15841%$93
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$15841%$93
Office Visit - Established Patient, Low Complexity$13141%$77
Office Visit - Established Patient, Moderate Complexity$18441%$108
Office Visit - New Patient, Low Complexity$15841%$93
Office Visit - New Patient, Minor$11641%$68
Pap Test$21641%$128
Physical Therapy - High Complexity Evaluation$34541%$204
Physical Therapy - Low Complexity Evaluation$34541%$204
Physical Therapy - Manual Therapy$14841%$87
Physical Therapy - Moderate Complexity Evaluation$34541%$204
Physical Therapy - Therapeutic Exercises$14841%$87
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$6241%$37
Ultrasound - Abdominal, Complete$1,39741%$824
Ultrasound - Abdominal, Limited$1,12941%$666
Ultrasound - Breast (outpatient)$67941%$401
Ultrasound - Head and Neck$94441%$557
Ultrasound - Transvaginal (non-maternity)$1,41941%$837
Urine Test - Automated with Microscope Examination$4741%$28
Urine Test - Automated without Microscope$4141%$24
Urine Test - Bacterial Culture, Quantitative Colony Count$6941%$41
Urine Test - Pregnancy$1641%$9
X-Ray - Ankle (outpatient)$36641%$216
X-Ray - Chest (outpatient)$34241%$202
X-Ray - Foot (outpatient)$44041%$260
X-Ray - Hand$36641%$216
X-Ray - Hip$50241%$296
X-Ray - Shoulder (outpatient)$65941%$389
X-Ray - Spine (outpatient)$1,11641%$659

Patient Centered Care

MeasurePerformance
Hospital Recommended Near Average
73%
state average (73%)
Best Hospital Experience Near Average
75%
state average (72%)
Area Around Room Was Always Quiet at Night Above Average
71%
state average (55%)
Nurses Always Communicated Well Above Average
89%
state average (82%)
Doctors Always Communicated Well Above Average
94%
state average (82%)
Room Was Always Clean Above Average
92%
state average (78%)
Help Was Always Received Above Average
92%
state average (71%)
Hospital Staff Provided Discharge Information Near Average
86%
state average (89%)

Timely Care

MeasurePerformance
Time Spent in the Emergency Department Before Being Admitted Above Average
264 mins
state average (290 mins)
Time Spent in the Emergency Department After Being Admitted Before Getting to Room Above Average
59 mins
state average (102 mins)
Time Spent in the Emergency Department Before Being Discharged Above Average
101 mins
state average (142 mins)
Time Spent Before Receiving Electrocardiography (ECG) Above Average
4 mins
state average (9 mins)