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 $147 N/A $147
Application of Blood Vessel Compression or Decompression Device $36 Near Average
State Average: 2
 $36
Application of Hot or Cold Pack $18 Below Average
State Average: 3
 $18
Application of Mechanical Traction $44 Near Average
State Average: 3
 $44
Arthrocentesis $1,470 N/A $1,470
Back MRI $649 N/A $649
Bacterial Culture Swab for Aerobic Isolates $116 N/A $116
Bacterial Culture, Quantitative Colony Count $161 N/A $161
Bilirubin Level $89 N/A $89
Blood Glucose (Sugar) Level $75 N/A $75
Blood Glucose Control (Hemoglobin A1C) $127 N/A $127
Blood Typing (Rh (D)) $187 N/A $187
Bone Density Scan $666 N/A $666
Borrelia Burgdorferi (Lyme disease) Antibody Level $189 N/A $189
Brain MRI $3,047 N/A $3,047
C-reactive Protein (CRP) Level $119 N/A $119
Chlamydia Test $224 N/A $224
Cholesterol Test, Lipid Panel $189 N/A $189
Clotting Time $106 N/A $106
Coagulation Assessment $155 N/A $155
Colonoscopy With Polyp Removal $7,966 N/A $7,966
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $5,440 N/A $5,440
Complete Blood Cell Count (Hemoglobin) $151 N/A $151
Comprehensive Eye Exam $163 N/A $163
Comprehensive Eye Exam, New Patient $197 N/A $197
Creatinine Level $120 N/A $120
CT Scan of Head/Brain, Without Contrast $971 N/A $971
Detection Test for Human Papillomavirus (HPV) $207 N/A $207
Diagnostic Imaging of Optic Nerve in Eye $66 N/A $66
Electrocardiogram (ECG or EKG), Report and Interpretation Only $66 N/A $66
Electrolytes Panel $202 N/A $202
Folic Acid Level $208 N/A $208
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $221 N/A $221
Group Psychotherapy $267 Below Average
State Average: 5
 $267
Hepatitis B Surface Antibody Level $289 N/A $289
Hepatitis C Antibody Level $178 N/A $178
High Complexity Physical Therapy Evaluation $423 Near Average
State Average: 1
 $423
Hydration Infusion $219 N/A $219
Knee MRI $1,851 N/A $1,851
Lab Test to Detect Coronavirus (COVID-19) $207 N/A $207
Lab Test to Detect HIV-1 and HIV-2 $152 N/A $152
Lab Test to Measure Creatinine Level $81 N/A $81
LDL Cholesterol Level $110 N/A $110
Lipase (Fat Enzyme) Level $187 N/A $187
Liver Enzyme (ALT or SGPT) Level $95 N/A $95
Liver Enzyme (AST or SGOT) Level $92 N/A $92
Low Complexity (Outpatient) Emergency Department Visit $690 N/A $690
Low Complexity Physical Therapy Evaluation $388 Near Average
State Average: 1
 $388
Magnesium Level $140 N/A $140
Manual Electrical Stimulation Therapy, 15 minutes $44 Below Average
State Average: 3
 $44
Manual Physical Therapy $83 Above Average
State Average: 4
 $83
Microalbumin (Protein) Level $96 N/A $96
Minor (Outpatient) Emergency Department Visit $273 N/A $273
Moderate Complexity (Outpatient) Emergency Department Visit $1,261 N/A $1,261
Moderate Complexity Physical Therapy Evaluation $395 Near Average
State Average: 1
 $395
Myocardial Imaging $7,252 N/A $7,252
Natriuretic Peptide Level $336 N/A $336
Neuromuscular Reeducation $105 Below Average
State Average: 4
 $105
Office Visit for Established Patient, Basic $93 N/A $93
Office Visit for Established Patient, Low Complexity $186 N/A $186
Office Visit for Established Patient, Moderate Complexity $276 N/A $276
Office Visit for New Patient, High Complexity $522 N/A $522
Office Visit for New Patient, Low Complexity $229 N/A $229
Pap Test Screening, Manual $152 N/A $152
Phosphate Level $125 N/A $125
Pregnancy Test $153 N/A $153
Presence of Drug $517 N/A $517
Prostate Cancer Screening $170 N/A $170
Prostate Specific Antigen (PSA) Level, Free $152 N/A $152
Prostate Specific Antigen (PSA) Level, Total $188 N/A $188
Psychiatric Diagnostic Evaluation $289 Near Average
State Average: 1
 $289
Psychotherapy, 30 Minutes with Patient $146 Above Average
State Average: 1
 $146
Psychotherapy, 45 Minutes with Patient $282 Below Average
State Average: 4
 $282
Psychotherapy, 60 Minutes with Patient $383 Below Average
State Average: 6
 $383
Self-Care or Home Management Training $99 Below Average
State Average: 2
 $99
Shoulder, Elbow, or Wrist MRI $1,869 N/A $1,869
Smear for Microorganism $99 N/A $99
Telehealth Visit for Established Patient, 11-20 minutes $190 N/A $190
Telehealth Visit for Established Patient, 21-30 minutes $276 N/A $276
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $136 N/A $136
Therapeutic Activities $119 Near Average
State Average: 3
 $119
Therapeutic Exercises $90 Below Average
State Average: 4
 $90
Thyroglobulin (Thyroid Protein) Antibody Level $144 N/A $144
Thyroid Stimulating Hormone (TSH) Level $200 N/A $200
Thyroxine (Thyroid Chemical) Level, Free $147 N/A $147
Total Protein Level $91 N/A $91
Triiodothyronine (T3) Thyroid Hormone Measurement $190 N/A $190
Troponin (Protein) Analysis, Quantitative $260 N/A $260
Ultrasound of Abdomen, Limited $868 N/A $868
Ultrasound of Head and Neck $858 N/A $858
Ultrasound of Heart (Echocardiogram) $2,854 N/A $2,854
Ultrasound Therapy $44 Above Average
State Average: 3
 $44
Urea Nitrogen Level $109 N/A $109
Urinalysis, Automated with Microscope Examination $117 N/A $117
Urinalysis, Automated without Microscope $81 N/A $81
Urinalysis, Manual Test $40 N/A $40
Vitamin B-12 (Cyanocobalamin) Level $189 N/A $189
Vitamin D-3 Level $249 N/A $249
Walking Training, 15 minutes $90 Near Average
State Average: 1
 $90
X-Ray of Ankle, 3 Views $474 N/A $474
X-Ray of Chest, 1 View $518 N/A $518
X-Ray of Chest, 2 Views $534 N/A $534
X-Ray of Foot, 3 Views $508 N/A $508
X-Ray of Hand, 3 Views $517 N/A $517
X-Ray of Knee, 4 Views $679 N/A $679
X-Ray of Low Back, 2 or 3 Views $679 N/A $679
X-Ray of Middle Back, 2 Views $701 N/A $701
X-Ray of Neck, 4 to 5 Views $702 N/A $702
X-Ray of Shoulder, 2 Views $518 N/A $518
X-Ray of Wrist, 3 Views $511 N/A $511