Veterans Administration Medical Center

718 Smyth Road Manchester, NH 03104
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$1,4930%$1,493 Medium
Blood Test - Electrolytes Panel$1660%$166 Medium
Blood Test - Hepatitis C Antibody Level$1800%$180 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1450%$145 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$1840%$184 Medium
Blood Test - Vitamin D-3 Level$2590%$259 Medium
Colonoscopy - Diagnostic (outpatient)$5,5460%$5,546 Medium
Colonoscopy - With Biopsy (outpatient)$7,6330%$7,633 Medium
Colonoscopy - With Polyp Removal (outpatient)$8,6510%$8,651 Medium
CT Scan - Head/Brain, without Contrast$9670%$967 Medium
Detection Test for Human Papillomavirus (HPV)$2180%$218 Medium
Emergency Department Visit - Moderate Complexity (outpatient)$2820%$282 Medium
MRI - Back (outpatient)$1,8880%$1,888 High
MRI - Brain (outpatient)$3,3450%$3,345 Medium
MRI - Knee (outpatient)$1,8560%$1,856 High
MRI - Shoulder, Elbow, or Wrist$1,8450%$1,845 Medium
Physical Therapy - Application of Mechanical Traction$460%$46 Medium
Physical Therapy - Manual Therapy$860%$86 Medium
Physical Therapy - Neuromuscular Reeducation$960%$96 Medium
Physical Therapy - Self-care or Home Management Training$990%$99 Medium
Physical Therapy - Therapeutic Exercises$920%$92 Medium
Physical Therapy - Ultrasound Therapy$360%$36 Medium
Psychiatric Diagnostic Evaluation$2610%$261 Medium
Psychotherapy - 45 Minutes$1730%$173 Medium
Psychotherapy - Group Session$2600%$260 Medium
Ultrasound - Abdominal, Limited$8750%$875 High
Upper Gastrointestinal Endoscopy - With Biopsy$5,4000%$5,400 Low
Urine Capacity Measurement$8380%$838 High
Urine Test - Automated with Microscope Examination$1110%$111 Medium
Urine Test - Automated without Microscope$790%$79 Medium
Urine Test - Chlamydia$2240%$224 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$2170%$217 Medium
Urine Test - Pregnancy$1440%$144 Medium
X-Ray - Chest (outpatient)$6830%$683 Medium
X-Ray - Foot (outpatient)$6400%$640 High
X-Ray - Hand$7600%$760 High
X-Ray - Shoulder (outpatient)$5200%$520 Medium
X-Ray - Spine (outpatient)$7990%$799 Medium