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 $156 N/A $156
Application of Blood Vessel Compression or Decompression Device $36 Above Average
State Average: 3
 $36
Application of Hot or Cold Pack $18 Below Average
State Average: 3
 $18
Application of Mechanical Traction $44 Below Average
State Average: 3
 $44
Arthrocentesis $1,366 N/A $1,366
Back MRI $1,353 N/A $1,353
Bacterial Culture Swab for Aerobic Isolates $121 N/A $121
Bilirubin Level $88 N/A $88
Blood Count (Hemoglobin) $77 N/A $77
Blood Glucose (Sugar) Level $74 N/A $74
Blood Glucose Control (Hemoglobin A1C) $132 N/A $132
Borrelia Burgdorferi (Lyme disease) Antibody Level $192 N/A $192
Brain MRI $3,325 N/A $3,325
C-reactive Protein (CRP) Level $119 N/A $119
Chlamydia Test $232 N/A $232
Cholesterol Test, Lipid Panel $199 N/A $199
Clotting Time $108 N/A $108
Coagulation Assessment $161 N/A $161
Colonoscopy With Polyp Removal $7,699 N/A $7,699
Complete Blood Cell Count (Hemoglobin) $154 N/A $154
Comprehensive Eye Exam $312 N/A $312
Comprehensive Eye Exam, New Patient $303 N/A $303
Creatinine Level $115 N/A $115
Detection Test for Hepatitis B Surface Antigen $264 N/A $264
Detection Test for Human Papillomavirus (HPV) $222 N/A $222
Diagnostic Imaging of Optic Nerve in Eye $309 N/A $309
Electrocardiogram (ECG or EKG), Report and Interpretation Only $566 N/A $566
Electrolytes Panel $181 N/A $181
Folic Acid Level $212 N/A $212
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $229 N/A $229
Group Psychotherapy $267 Above Average
State Average: 4
 $267
Hepatitis B Surface Antibody Level $265 N/A $265
Hepatitis C Antibody Level $192 N/A $192
Hydration Infusion $219 N/A $219
Iron Level $155 N/A $155
Knee MRI $1,916 N/A $1,916
Lab Test to Detect Coronavirus (COVID-19) $178 N/A $178
Lab Test to Detect HIV-1 and HIV-2 $162 N/A $162
Lab Test to Measure Creatinine Level $83 N/A $83
LDL Cholesterol Level $110 N/A $110
Liver Enzyme (ALT or SGPT) Level $95 N/A $95
Liver Enzyme (AST or SGOT) Level $91 N/A $91
Low Complexity (Outpatient) Emergency Department Visit $702 N/A $702
Low Complexity Physical Therapy Evaluation $457 Near Average
State Average: 1
 $457
Magnesium Level $140 N/A $140
Manual Electrical Stimulation Therapy, 15 minutes $43 Above Average
State Average: 3
 $43
Manual Physical Therapy $82 Below Average
State Average: 4
 $82
Microalbumin (Protein) Level $102 N/A $102
Minor (Outpatient) Emergency Department Visit $237 N/A $237
Moderate Complexity (Outpatient) Emergency Department Visit $1,325 N/A $1,325
Moderate Complexity Physical Therapy Evaluation $465 Near Average
State Average: 1
 $465
Natriuretic Peptide Level $348 N/A $348
Neuromuscular Reeducation $105 Below Average
State Average: 4
 $105
Office Visit for New Patient, High Complexity $506 N/A $506
Pap Test Screening, Automated with Manual Review $191 N/A $191
Pap Test Screening, Manual $155 N/A $155
Parathyroid Hormone (PTH) Level $879 N/A $879
Phosphate Level $121 N/A $121
Pregnancy Test $156 N/A $156
Presence of Drug $562 N/A $562
Prostate Specific Antigen (PSA) Level, Total $197 N/A $197
Psychiatric Diagnostic Evaluation $282 Near Average
State Average: 1
 $282
Psychotherapy, 30 Minutes with Patient $161 Near Average
State Average: 1
 $161
Psychotherapy, 45 Minutes with Patient $206 Below Average
State Average: 4
 $206
Red Blood Cell Sedimentation Rate, Non-Automated $96 N/A $96
Self-Care or Home Management Training $100 Below Average
State Average: 2
 $100
Shoulder, Elbow, or Wrist MRI $1,869 N/A $1,869
Sleep Monitoring $5,052 N/A $5,052
Smear for Microorganism $101 N/A $101
Telehealth Visit for Established Patient, 11-20 minutes $154 N/A $154
Telehealth Visit for Established Patient, 21-30 minutes $238 N/A $238
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $144 N/A $144
Therapeutic Activities $117 Above Average
State Average: 3
 $117
Therapeutic Exercises $89 Below Average
State Average: 4
 $89
Thyroglobulin (Thyroid Protein) Antibody Level $151 N/A $151
Thyroid Stimulating Hormone (TSH) Level $208 N/A $208
Thyroxine (Thyroid Chemical) Level, Free $153 N/A $153
Total Protein Level $96 N/A $96
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $325 N/A $325
Troponin (Protein) Analysis, Quantitative $270 N/A $270
Ultrasound of Abdomen, Limited $896 N/A $896
Ultrasound of Head and Neck $887 N/A $887
Ultrasound of Heart (Echocardiogram) $3,275 N/A $3,275
Ultrasound Therapy $42 Above Average
State Average: 3
 $42
Urea Nitrogen Level $101 N/A $101
Urinalysis, Automated with Microscope Examination $119 N/A $119
Urinalysis, Automated without Microscope $84 N/A $84
Urinalysis, Manual Test $42 N/A $42
Urine Capacity Measurement $760 N/A $760
Vitamin B-12 (Cyanocobalamin) Level $193 N/A $193
Vitamin D-3 Level $256 N/A $256
Walking Training, 15 minutes $88 Above Average
State Average: 1
 $88
X-Ray of Chest, 1 View $3,592 N/A $3,592
X-Ray of Chest, 2 Views $773 N/A $773
X-Ray of Foot, 3 Views $881 N/A $881
X-Ray of Knee, 4 Views $1,060 N/A $1,060
X-Ray of Low Back, 2 or 3 Views $914 N/A $914
X-Ray of Shoulder, 2 Views $677 N/A $677