Veterans Administration Medical Center

718 Smyth Road Manchester, NH 03104
http://www.manchester.va.gov/
(603) 624-4366

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%
Antinuclear Antibodies (ANA) Level $155 N/A $155
Bacterial Culture Swab for Aerobic Isolates $131 N/A $131
Bacterial Culture, Quantitative Colony Count $173 N/A $173
Bilirubin Level $111 N/A $111
Blood Glucose (Sugar) Level $83 N/A $83
Blood Glucose Control (Hemoglobin A1C) $143 N/A $143
Borrelia Burgdorferi (Lyme disease) Antibody Level $201 N/A $201
Cholesterol Test, Lipid Panel $208 N/A $208
Clotting Time $113 N/A $113
Coagulation Assessment $160 N/A $160
Comprehensive Eye Exam $190 N/A $190
Comprehensive Eye Exam, New Patient $241 N/A $241
Comprehensive Metabolic Panel $391 N/A $391
Coronavirus (COVID-19) Antibody Level $292 N/A $292
CT Scan of Abdomen and Pelvis, With Contrast $2,833 N/A $2,833
Detection for Strep (Streptococcus, group A) $149 N/A $149
Detection Test for Human Papillomavirus (HPV) $231 N/A $231
Diagnostic Imaging of Optic Nerve in Eye $86 N/A $86
Electrocardiogram (ECG or EKG), Report and Interpretation Only $69 N/A $69
Electrolytes Panel $262 N/A $262
Folic Acid Level $222 N/A $222
Group Psychotherapy $63 Below Average
State Average: 4
 $63
Hepatitis B Surface Antibody Level $326 N/A $326
Hepatitis C Antibody Level $182 N/A $182
Hydration Infusion $238 N/A $238
Lab Test to Detect HIV-1 and HIV-2 $170 N/A $170
Lab Test to Measure Creatinine Level $94 N/A $94
LDL Cholesterol Level $114 N/A $114
Lipase (Fat Enzyme) Level $216 N/A $216
Liver Enzyme (ALT or SGPT) Level $101 N/A $101
Liver Enzyme (AST or SGOT) Level $101 N/A $101
Low Complexity Physical Therapy Evaluation $367 Near Average
State Average: 1
 $367
Magnesium Level $149 N/A $149
Manual Physical Therapy $82 Below Average
State Average: 4
 $82
Microalbumin (Protein) Level $108 N/A $108
Natriuretic Peptide Level $378 N/A $378
New Patient Preventive Care Visit for Adult, 40-64 $364 N/A $364
Office Visit for Established Patient, Basic $154 N/A $154
Office Visit for Established Patient, High Complexity $413 N/A $413
Office Visit for Established Patient, Low Complexity $193 N/A $193
Office Visit for Established Patient, Minimal Presenting Problem $185 N/A $185
Office Visit for Established Patient, Moderate Complexity $298 N/A $298
Office Visit for New Patient, High Complexity $565 N/A $565
Office Visit for New Patient, Low Complexity $231 N/A $231
Pap Test Screening, Manual $170 N/A $170
Physical Therapy Re-Evaluation $228 Near Average
State Average: 1
 $228
Pregnancy Test $180 N/A $180
Presence of Drug $518 N/A $518
Preventive Care Visit for Adult, 40-64 $301 N/A $301
Preventive Care Visit for Adult, Ages 18-39 $282 N/A $282
Prostate Specific Antigen (PSA) Level, Total $200 N/A $200
Psychiatric Diagnostic Evaluation $357 Near Average
State Average: 1
 $357
Psychotherapy, 30 Minutes with Patient $163 Near Average
State Average: 1
 $163
Psychotherapy, 45 Minutes with Patient $210 Near Average
State Average: 3
 $210
Psychotherapy, 60 Minutes with Patient $383 Below Average
State Average: 6
 $383
Telehealth Visit for Established Patient, 11-20 minutes $186 N/A $186
Therapeutic Exercises $89 Below Average
State Average: 4
 $89
Thyroid Stimulating Hormone (TSH) Level $219 N/A $219
Thyroxine (Thyroid Chemical) Level, Free $167 N/A $167
Total Protein Level $94 N/A $94
Triiodothyronine (T3) Thyroid Hormone Measurement $214 N/A $214
Troponin (Protein) Analysis, Quantitative $275 N/A $275
Ultrasound of Abdomen, Limited $871 N/A $871
Ultrasound of Head and Neck $834 N/A $834
Urea Nitrogen Level $125 N/A $125
Urinalysis, Automated with Microscope Examination $134 N/A $134
Urinalysis, Automated without Microscope $98 N/A $98
Urinalysis, Manual Test $49 N/A $49
Vitamin B-12 (Cyanocobalamin) Level $213 N/A $213
Vitamin D-3 Level $275 N/A $275
X-Ray of Chest, 2 Views $551 N/A $551
X-Ray of Foot, 3 Views $557 N/A $557
X-Ray of Knee, 4 Views $676 N/A $676