Veterans Administration Medical Center

718 Smyth Road Manchester, NH 03104
Medical Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Arthrocentesis (outpatient)$1,668N/A$1,668
Bacterial Culture - Aerobic Isolates$121N/A$121
Blood Test - Blood Glucose (Sugar) Level$68N/A$68
Blood Test - Blood Glucose Control (Hemoglobin A1C)$125N/A$125
Blood Test - Coagulation Assessment$150N/A$150
Blood Test - Creatinine Level$97N/A$97
Blood Test - Electrolytes Panel$184N/A$184
Blood Test - Hepatitis B Surface Antibody Level$226N/A$226
Blood Test - Hepatitis C Antibody Level$183N/A$183
Blood Test - LDL Cholesterol Level$105N/A$105
Blood Test - Lead Level$118N/A$118
Blood Test - Prostate Specific Antigen (PSA) Level$188N/A$188
Blood Test - Thyroid Stimulating Hormone (TSH) Level$203N/A$203
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$151N/A$151
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$187N/A$187
Blood Test - Vitamin D-3 Level$266N/A$266
Colonoscopy - Diagnostic (outpatient)$5,566N/A$5,566
Cystoscopy$2,978N/A$2,978
Hydration Infusion$213N/A$213
Lab Test - Creatinine Level$83N/A$83
Lab Test - Detection test for Hepatitis B Surface Antigen$219N/A$219
Lab Test - Detection test for HIV-1 and HIV-2$167N/A$167
Lab Test - Detection test for Human Papillomavirus (HPV)$223N/A$223
Lab Test - Detection test for Influenza Virus$144N/A$144
Lab Test - Smear for Microorganism$99N/A$99
MRI - Back (outpatient)$1,917N/A$1,917
MRI - Knee (outpatient)$1,870N/A$1,870
MRI - Shoulder, Elbow, or Wrist$1,870N/A$1,870
Pap Test, manual screening$161N/A$161
Physical Therapy - Application of Blood Vessel Compression or Decompression Device$45 Above Average
State Average: 3
$45
Physical Therapy - Manual Electrical Stimulation Therapy, 15 minutes$43 Above Average
State Average: 3
$43
Physical Therapy - Manual Therapy$79 Below Average
State Average: 4
$79
Physical Therapy - Neuromuscular Reeducation$98 Below Average
State Average: 4
$98
Physical Therapy - Self-care or Home Management Training$97 Near Average
State Average: 1
$97
Physical Therapy - Therapeutic Exercises$86 Below Average
State Average: 4
$86
Physical Therapy - Ultrasound Therapy$37 Above Average
State Average: 3
$37
Psychotherapy - 30 Minutes$117 Near Average
State Average: 1
$117
Psychotherapy - Group Session$91 Above Average
State Average: 5
$91
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$144N/A$144
Ultrasound - Abdominal, Limited$891N/A$891
Urine Capacity Measurement$891N/A$891
Urine Test - Automated with Microscope Examination$116N/A$116
Urine Test - Automated without Microscope$80N/A$80
Urine Test - Chlamydia$230N/A$230
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$225N/A$225
Urine Test - Microalbumin (Protein) Level$103N/A$103
Urine Test - Pregnancy$148N/A$148
Urine Test - Urinalysis, Manual Test$41N/A$41
X-Ray - Chest (outpatient)$1,154N/A$1,154
X-Ray - Foot (outpatient)$896N/A$896
X-Ray - Hip$1,151N/A$1,151
X-Ray - Shoulder (outpatient)$642N/A$642
X-Ray - Spine (outpatient)$1,042N/A$1,042