Weeks Medical Center

173 Middle Street Lancaster, NH 03584
http://www.weeksmedical.org/
(603) 788-4911

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: 44%
Antinuclear Antibodies (ANA) Level $161 N/A $90
Arthrocentesis $558 N/A $313
Back MRI $3,232 N/A $1,810
Bacterial Culture Swab $118 N/A $66
Bacterial Culture Swab for Aerobic Isolates $119 N/A $66
Bacterial Culture, Quantitative Colony Count $69 N/A $39
Basic Metabolic Panel $66 N/A $37
Bilirubin Level $44 N/A $25
Biopsy of Skin Lesion $1,317 N/A $737
Blood Count (Hemoglobin) $21 N/A $12
Blood Glucose (Sugar) Level $53 N/A $29
Blood Glucose Control (Hemoglobin A1C) $90 N/A $51
Bone Density Scan $600 N/A $336
Borrelia Burgdorferi (Lyme disease) Antibody Level $127 N/A $71
Brain MRI $5,498 N/A $3,079
C-reactive Protein (CRP) Level $46 N/A $26
Chlamydia Test $232 N/A $130
Cholesterol Test, Lipid Panel $118 N/A $66
Clotting Time $60 N/A $34
Coagulation Assessment $54 N/A $30
Colonoscopy With Biopsy for Noncancerous Growth $4,969 N/A $2,783
Colonoscopy With Polyp Removal $5,053 N/A $2,830
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $3,808 N/A $2,132
Complete Blood Cell Count (Hemoglobin) $62 N/A $35
Complete Blood Cell Count and Automated White Blood Cells $66 N/A $37
Comprehensive Metabolic Panel $132 N/A $74
Creatinine Level $45 N/A $25
CT Scan of Abdomen and Pelvis, With Contrast $3,201 N/A $1,792
CT Scan of Chest, With Contrast $2,415 N/A $1,352
Detection for Strep (Streptococcus, group A) $101 N/A $56
Detection Test for Hepatitis B Surface Antigen $118 N/A $66
Detection Test for Human Papillomavirus (HPV) $185 N/A $103
Developmental Screening $48 N/A $27
Electrical Stimulation Therapy $68 Below Average
State Average: 3
$38
Electrocardiogram (ECG or EKG) With Tracing $717 N/A $402
Electrolytes Panel $62 N/A $35
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $119 N/A $66
Family Psychotherapy with Patient $231 Near Average
State Average: 2
$129
Family Psychotherapy without Patient $217 Near Average
State Average: 1
$122
Ferritin (Blood Protein) Level $119 N/A $66
Folic Acid Level $129 N/A $72
Gall Bladder Surgery $23,375 N/A $13,090
General Health Panel $381 N/A $213
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $232 N/A $130
Group Psychotherapy $55 Above Average
State Average: 5
$31
Hepatic (Liver) Function Panel $71 N/A $40
Hepatitis A Vaccine for Children, Injected into Muscle $324 N/A $182
Hepatitis B Core Antibody Level $125 N/A $70
Hepatitis B Surface Antibody Level $96 N/A $54
Hepatitis C Antibody Level $119 N/A $66
Human Papilloma Virus Vaccine, Injected into Muscle $23 N/A $13
Hydration Infusion $160 N/A $89
Iron Binding Capacity $78 N/A $44
Iron Level $85 N/A $48
Knee MRI $1,780 N/A $997
Lab Test to Detect Coronavirus (COVID-19) $168 N/A $94
Lab Test to Detect HIV-1 and HIV-2 $152 N/A $85
Lab Test to Detect Influenza Virus $117 N/A $65
Lab Test to Measure Creatinine Level $67 N/A $38
LDL Cholesterol Level $81 N/A $45
Lead Level $85 N/A $48
Lipase (Fat Enzyme) Level $61 N/A $34
Liver Enzyme (ALT or SGPT) Level $71 N/A $40
Liver Enzyme (AST or SGOT) Level $58 N/A $32
Low Complexity (Outpatient) Emergency Department Visit $628 N/A $352
Magnesium Level $64 N/A $36
Manual Physical Therapy $156 Below Average
State Average: 4
$88
Meningococcus Vaccine, Injected into Muscle $23 N/A $13
Microalbumin (Protein) Level $78 N/A $44
Minor (Outpatient) Emergency Department Visit $360 N/A $202
Moderate Complexity (Outpatient) Emergency Department Visit $1,065 N/A $596
Moderate Complexity Physical Therapy Evaluation $437 Near Average
State Average: 1
$245
Myocardial Imaging $7,527 N/A $4,215
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $355 N/A $199
New Patient Preventive Care Visit for Adult, 40-64 $404 N/A $226
New Patient Preventive Care Visit for Adult, Ages 18-39 $348 N/A $195
New Patient Preventive Care Visit for Child, Ages 1-4 $320 N/A $179
New Patient Preventive Care Visit for Child, Ages 5-11 $319 N/A $179
New Patient Preventive Care Visit for Child, Under Age 1 $296 N/A $166
Office Visit for Established Patient, Basic $92 N/A $52
Office Visit for Established Patient, High Complexity $294 N/A $165
Office Visit for Established Patient, Low Complexity $150 N/A $84
Office Visit for Established Patient, Minimal Presenting Problem $48 N/A $27
Office Visit for Established Patient, Moderate Complexity $219 N/A $123
Office Visit for New Patient, High Complexity $417 N/A $233
Office Visit for New Patient, Low Complexity $219 N/A $123
Office Visit for New Patient, Minor Complexity $155 N/A $87
Office Visit for New Patient, Moderate Complexity $332 N/A $186
Pap Test Screening, Automated with Manual Review $163 N/A $91
Parathyroid Hormone (PTH) Level $428 N/A $240
Pathology Examination of Tissue, Intermediate Complexity $303 N/A $170
Phosphate Level $42 N/A $24
Pneumococcal Vaccine for Children, Injected into Muscle $23 N/A $13
Pregnancy Test $56 N/A $31
Presence of Drug $119 N/A $66
Preventive Care Visit for Adolescent, Under Ages 12-17 $302 N/A $169
Preventive Care Visit for Adult, 40-64 $332 N/A $186
Preventive Care Visit for Adult, Ages 18-39 $303 N/A $170
Preventive Care Visit for Child, Under Age 1 $251 N/A $141
Preventive Care Visit for Child, Under Ages 1-4 $278 N/A $156
Preventive Care Visit for Child, Under Ages 5-11 $277 N/A $155
Prostate Specific Antigen (PSA) Level, Total $173 N/A $97
Psychiatric Diagnostic Evaluation $276 Near Average
State Average: 1
$155
Psychotherapy, 30 Minutes with Patient $134 Near Average
State Average: 1
$75
Psychotherapy, 45 Minutes with Patient $180 Below Average
State Average: 4
$101
Psychotherapy, 60 Minutes with Patient $168 Below Average
State Average: 6
$94
Red Blood Cell Sedimentation Rate, Non-Automated $24 N/A $14
Renal (Kidney) Function Panel $95 N/A $53
Screening Mammogram of Both Breasts $951 N/A $533
Shoulder, Elbow, or Wrist MRI $2,023 N/A $1,133
Smear for Microorganism $38 N/A $21
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $76 N/A $42
Therapeutic Exercises $161 Near Average
State Average: 4
$90
Thyroglobulin (Thyroid Protein) Antibody Level $125 N/A $70
Thyroid Stimulating Hormone (TSH) Level $183 N/A $102
Thyroxine (Thyroid Chemical) Level, Free $81 N/A $45
Total Protein Level $33 N/A $18
Transvaginal Ultrasound (Non-Maternity) $1,043 N/A $584
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $373 N/A $209
Triiodothyronine (T3) Thyroid Hormone Measurement $151 N/A $85
Troponin (Protein) Analysis, Quantitative $180 N/A $101
Ultrasound of Abdomen, Complete $1,012 N/A $567
Ultrasound of Abdomen, Limited $789 N/A $442
Ultrasound of Head and Neck $911 N/A $510
Ultrasound Therapy $92 Above Average
State Average: 3
$52
Urea Nitrogen Level $35 N/A $19
Urinalysis, Automated with Microscope Examination $54 N/A $30
Urinalysis, Automated without Microscope $23 N/A $13
Urinalysis, Manual Test $23 N/A $13
Vitamin B-12 (Cyanocobalamin) Level $105 N/A $59
Vitamin D-3 Level $306 N/A $171
X-Ray of Abdomen $183 N/A $102
X-Ray of Ankle $353 N/A $198
X-Ray of Chest, 1 View $418 N/A $234
X-Ray of Chest, 2 Views $606 N/A $339
X-Ray of Foot $479 N/A $268
X-Ray of Hand $564 N/A $316
X-Ray of Hip $534 N/A $299
X-Ray of Knee $589 N/A $330
X-Ray of Neck, Cervical Spine $276 N/A $155
X-Ray of Shoulder $533 N/A $299
X-Ray of Spine $426 N/A $239
X-Ray of Spine, 4 Views $547 N/A $306
X-Ray of Wrist $460 N/A $258