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
Ambulance Service - Emergency Transport, Advanced Life Support$1,2380%$1,238 Medium
Ambulance Service - Mileage Rate for Ambulance Transport$170%$17 Medium
Ambulance Service - Non-Emergency Transport, Basic Life Support$6800%$680 Medium
Arthrocentesis (outpatient)$1,2370%$1,237 Medium
Blood Test - Electrolytes Panel$1690%$169 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1540%$154 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$1840%$184 Medium
Blood Test - Vitamin D-3 Level$2590%$259 Medium
Colonoscopy - Diagnostic (outpatient)$4,8000%$4,800 Medium
Colonoscopy - With Biopsy (outpatient)$7,0980%$7,098 Medium
Colonoscopy - With Polyp Removal (outpatient)$6,8920%$6,892 Medium
CT Scan - Head/Brain, without Contrast$1,6650%$1,665 Medium
Emergency Department Visit - Moderate Complexity (outpatient)$3030%$303 Medium
MRI - Back (outpatient)$1,6830%$1,683 High
MRI - Brain (outpatient)$3,3580%$3,358 High
MRI - Knee (outpatient)$1,7430%$1,743 Medium
Physical Therapy - Low Complexity Evaluation$2280%$228 Medium
Physical Therapy - Manual Therapy$860%$86 Medium
Physical Therapy - Neuromuscular Reeducation$960%$96 Medium
Physical Therapy - Therapeutic Exercises$920%$92 Medium
Physical Therapy - Ultrasound Therapy$360%$36 Medium
Psychiatric Diagnostic Evaluation$2610%$261 Medium
Psychotherapy - 30 Minutes$1760%$176 Medium
Psychotherapy - Group Session$2560%$256 Medium
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$1210%$121 Medium
Ultrasound - Abdominal, Limited$8750%$875 High
Ultrasound - Pregnancy Follow-Up$8430%$843 Medium
Upper Gastrointestinal Endoscopy - With Biopsy$7,0950%$7,095 Medium
Urine Test - Automated with Microscope Examination$1070%$107 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)$8230%$823 Medium
X-Ray - Foot (outpatient)$6720%$672 Medium
X-Ray - Hand$1,0730%$1,073 Medium
X-Ray - Hip$4260%$426 Medium
X-Ray - Shoulder (outpatient)$8180%$818 High
X-Ray - Spine (outpatient)$7470%$747 Medium
X-Ray - Wrist (outpatient)$5250%$525 Medium