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 $151 N/A $151
Application of Mechanical Traction $44 Below Average
State Average: 3
$44
Automated Pap Test Screening and Manual Rescreening $191 N/A $191
Automated with Microscope Examination $119 N/A $119
Automated without Microscope $84 N/A $84
Back MRI $1,910 N/A $1,910
Bacterial Culture Swab for Aerobic Isolates $120 N/A $120
Bilirubin Level $88 N/A $88
Blood Glucose (Sugar) Level $74 N/A $74
Blood Glucose Control (Hemoglobin A1C) $130 N/A $130
Borrelia Burgdorferi (Lyme disease) Antibody Level $185 N/A $185
Brain MRI $3,404 N/A $3,404
C-reactive Protein (CRP) Level $124 N/A $124
Chlamydia Test $232 N/A $232
Clotting Time $104 N/A $104
Coagulation Assessment $161 N/A $161
Comprehensive Eye Exam $204 N/A $204
Creatinine Level $103 N/A $103
Detection Test for Hepatitis B Surface Antigen $232 N/A $232
Detection Test for Human Papillomavirus (HPV) $222 N/A $222
Electrocardiogram (ECG or EKG), Report and Interpretation Only $62 N/A $62
Electrolytes Panel $181 N/A $181
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $159 N/A $159
Folic Acid Level $212 N/A $212
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $229 N/A $229
Group Psychotherapy $76 Below Average
State Average: 4
$76
Hepatitis B Surface Antibody Level $238 N/A $238
Hepatitis C Antibody Level $192 N/A $192
High Complexity Physical Therapy Evaluation $557 Near Average
State Average: 1
$557
Hydration Infusion $227 N/A $227
Knee MRI $2,057 N/A $2,057
Lab Test to Detect Coronavirus (COVID-19) $240 N/A $240
Lab Test to Detect HIV-1 and HIV-2 $162 N/A $162
Lab Test to Measure Creatinine Level $82 N/A $82
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 Physical Therapy Evaluation $457 Near Average
State Average: 1
$457
Manual Electrical Stimulation Therapy, 15 minutes $43 Above Average
State Average: 3
$43
Manual Pap Test Screening $155 N/A $155
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
Neuromuscular Reeducation $103 Below Average
State Average: 4
$103
Office Visit for New Patient, High Complexity $504 N/A $504
Phosphate Level $121 N/A $121
Pneumococcal Conjugate Vaccine, Injected into Muscle $540 N/A $540
Pregnancy Test $152 N/A $152
Presence of Drug $562 N/A $562
Prostate Specific Antigen (PSA) Level $197 N/A $197
Psychiatric Diagnostic Evaluation $299 Near Average
State Average: 1
$299
Psychotherapy, 30 Minutes with Patient $161 Near Average
State Average: 1
$161
Psychotherapy, 45 Minutes with Patient $153 Below Average
State Average: 4
$153
Self-Care or Home Management Training $97 Below Average
State Average: 2
$97
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 $94 N/A $94
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $283 N/A $283
Triiodothyronine (T3) Thyroid Hormone Measurement $196 N/A $196
Troponin (Protein) Analysis, Quantitative $270 N/A $270
Ultrasound of Abdomen, Limited $896 N/A $896
Ultrasound of Head and Neck $873 N/A $873
Ultrasound Therapy $42 Above Average
State Average: 3
$42
Upper Gastrointestinal (GI) Endoscopy With Biopsy $7,107 N/A $7,107
Urea Nitrogen Level $101 N/A $101
Urine Capacity Measurement $997 N/A $997
Vitamin B-12 (Cyanocobalamin) Level $193 N/A $193
Vitamin D-3 Level $256 N/A $256
X-Ray of Chest, 1 View $3,985 N/A $3,985
X-Ray of Foot $477 N/A $477
X-Ray of Hip $1,247 N/A $1,247
X-Ray of Shoulder $581 N/A $581
X-Ray of Spine $1,076 N/A $1,076