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%
Antibody Screen, Red Blood Cells (RBC) $181 N/A $101
Antinuclear Antibodies (ANA) Level $112 N/A $63
Arthrocentesis $471 N/A $264
Back MRI $3,724 N/A $2,086
Bacterial Culture Swab $80 N/A $45
Bacterial Culture Swab for Aerobic Isolates $76 N/A $42
Bacterial Culture, Quantitative Colony Count $76 N/A $42
Basic Metabolic Panel $79 N/A $44
Bilirubin Level $48 N/A $27
Biopsy of Skin Lesion $1,373 N/A $769
Blood Count (Hemoglobin) $23 N/A $13
Blood Glucose (Sugar) Level $36 N/A $20
Blood Glucose Control (Hemoglobin A1C) $90 N/A $51
Blood Typing (ABO) $28 N/A $16
Blood Typing (Rh (D)) $58 N/A $32
Bone Density Scan $637 N/A $357
Borrelia Burgdorferi (Lyme disease) Antibody Level $158 N/A $88
Brain MRI $6,826 N/A $3,823
C-reactive Protein (CRP) Level $92 N/A $52
Chlamydia Test $321 N/A $180
Cholesterol Test, Lipid Panel $200 N/A $112
Clotting Time $58 N/A $32
Coagulation Assessment $56 N/A $31
Colonoscopy With Biopsy for Noncancerous Growth $6,186 N/A $3,464
Colonoscopy With Polyp Removal $6,416 N/A $3,593
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $4,295 N/A $2,405
Complete Blood Cell Count (Hemoglobin) $66 N/A $37
Complete Blood Cell Count and Automated White Blood Cells $68 N/A $38
Comprehensive Metabolic Panel $140 N/A $78
Creatinine Level $48 N/A $27
CT Scan of Abdomen and Pelvis, With Contrast $2,812 N/A $1,575
CT Scan of Chest, With Contrast $2,235 N/A $1,252
Detection for Strep (Streptococcus, group A) $117 N/A $65
Detection Test for Hepatitis B Surface Antigen $96 N/A $54
Detection Test for Human Papillomavirus (HPV) $295 N/A $165
Electrical Stimulation Therapy $68 Below Average
State Average: 3
$38
Electrocardiogram (ECG or EKG) With Tracing $228 N/A $128
Electrolytes Panel $142 N/A $80
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $80 N/A $45
Family Psychotherapy with Patient $236 Below Average
State Average: 2
$132
Family Psychotherapy without Patient $223 Near Average
State Average: 1
$125
Ferritin (Blood Protein) Level $166 N/A $93
Folic Acid Level $135 N/A $76
General Health Panel $389 N/A $218
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $321 N/A $180
Group Psychotherapy $57 Above Average
State Average: 4
$32
Hepatic (Liver) Function Panel $89 N/A $50
Hepatitis A Vaccine for Children, Injected into Muscle $308 N/A $172
Hepatitis B Core Antibody Level $66 N/A $37
Hepatitis B Surface Antibody Level $100 N/A $56
Hepatitis C Antibody Level $132 N/A $74
Human Papilloma Virus Vaccine, Injected into Muscle $23 N/A $13
Hydration Infusion $247 N/A $138
Iron Binding Capacity $80 N/A $45
Iron Level $60 N/A $34
Knee MRI $3,169 N/A $1,775
Lab Test to Detect Coronavirus (COVID-19) $168 N/A $94
Lab Test to Detect HIV-1 and HIV-2 $210 N/A $118
Lab Test to Detect Influenza Virus $117 N/A $65
Lab Test to Measure Creatinine Level $48 N/A $27
LDL Cholesterol Level $88 N/A $49
Lead Level $112 N/A $63
Lipase (Fat Enzyme) Level $84 N/A $47
Liver Enzyme (ALT or SGPT) Level $50 N/A $28
Liver Enzyme (AST or SGOT) Level $48 N/A $27
Low Complexity (Outpatient) Emergency Department Visit $672 N/A $376
Magnesium Level $78 N/A $44
Manual Physical Therapy $156 Below Average
State Average: 4
$88
Meningococcus Vaccine, Injected into Muscle $23 N/A $13
Microalbumin (Protein) Level $75 N/A $42
Minor (Outpatient) Emergency Department Visit $357 N/A $200
Moderate Complexity (Outpatient) Emergency Department Visit $1,145 N/A $641
Moderate Complexity Physical Therapy Evaluation $407 Near Average
State Average: 1
$228
Myocardial Imaging $4,745 N/A $2,657
Natriuretic Peptide Level $312 N/A $175
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $355 N/A $199
New Patient Preventive Care Visit for Adult, 40-64 $413 N/A $231
New Patient Preventive Care Visit for Adult, Ages 18-39 $355 N/A $199
New Patient Preventive Care Visit for Child, Ages 1-4 $328 N/A $183
New Patient Preventive Care Visit for Child, Ages 5-11 $327 N/A $183
New Patient Preventive Care Visit for Child, Under Age 1 $302 N/A $169
Office Visit for Established Patient, Basic $95 N/A $53
Office Visit for Established Patient, High Complexity $300 N/A $168
Office Visit for Established Patient, Low Complexity $153 N/A $86
Office Visit for Established Patient, Minimal Presenting Problem $105 N/A $59
Office Visit for Established Patient, Moderate Complexity $225 N/A $126
Office Visit for New Patient, High Complexity $425 N/A $238
Office Visit for New Patient, Low Complexity $225 N/A $126
Office Visit for New Patient, Minor Complexity $159 N/A $89
Office Visit for New Patient, Moderate Complexity $339 N/A $190
Pap Test Screening, Automated with Manual Review $245 N/A $137
Parathyroid Hormone (PTH) Level $379 N/A $212
Pathology Examination of Tissue, Intermediate Complexity $433 N/A $242
Phosphate Level $43 N/A $24
Pneumococcal Vaccine for Children, Injected into Muscle $23 N/A $13
Pregnancy Test $59 N/A $33
Preventive Care Visit for Adolescent, Under Ages 12-17 $309 N/A $173
Preventive Care Visit for Adult, 40-64 $339 N/A $190
Preventive Care Visit for Adult, Ages 18-39 $310 N/A $173
Preventive Care Visit for Child, Under Age 1 $256 N/A $143
Preventive Care Visit for Child, Under Ages 1-4 $285 N/A $159
Preventive Care Visit for Child, Under Ages 5-11 $284 N/A $159
Prostate Cancer Screening $154 N/A $86
Prostate Specific Antigen (PSA) Level, Free $99 N/A $55
Prostate Specific Antigen (PSA) Level, Total $170 N/A $95
Psychiatric Diagnostic Evaluation $282 Near Average
State Average: 1
$158
Psychotherapy, 30 Minutes with Patient $138 Near Average
State Average: 1
$77
Psychotherapy, 45 Minutes with Patient $184 Below Average
State Average: 4
$103
Psychotherapy, 60 Minutes with Patient $275 Below Average
State Average: 6
$154
Red Blood Cell Sedimentation Rate, Non-Automated $41 N/A $23
Renal (Kidney) Function Panel $95 N/A $53
Screening Mammogram of Both Breasts $1,286 N/A $720
Shoulder, Elbow, or Wrist MRI $3,169 N/A $1,775
Smear for Microorganism $40 N/A $22
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $60 N/A $34
Therapeutic Activities $167 Below Average
State Average: 3
$93
Therapeutic Exercises $161 Below Average
State Average: 4
$90
Thyroglobulin (Thyroid Protein) Antibody Level $147 N/A $82
Thyroid Stimulating Hormone (TSH) Level $181 N/A $101
Thyroxine (Thyroid Chemical) Level, Free $108 N/A $61
Total Protein Level $34 N/A $19
Transvaginal Ultrasound (Non-Maternity) $906 N/A $507
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $369 N/A $206
Triiodothyronine (T3) Thyroid Hormone Measurement $155 N/A $87
Troponin (Protein) Analysis, Quantitative $175 N/A $98
Ultrasound of Abdomen, Complete $985 N/A $552
Ultrasound of Abdomen, Limited $740 N/A $415
Ultrasound of Head and Neck $963 N/A $539
Ultrasound of Heart (Echocardiogram) $1,621 N/A $908
Ultrasound Therapy $102 Near Average
State Average: 3
$57
Urea Nitrogen Level $38 N/A $21
Urinalysis, Automated with Microscope Examination $63 N/A $35
Urinalysis, Automated without Microscope $20 N/A $11
Urinalysis, Manual Test $29 N/A $16
Vitamin B-12 (Cyanocobalamin) Level $140 N/A $78
Vitamin D-3 Level $306 N/A $171
X-Ray of Ankle, 3 Views $375 N/A $210
X-Ray of Chest, 1 View $205 N/A $115
X-Ray of Chest, 2 Views $357 N/A $200
X-Ray of Fingers, 2 Views $415 N/A $232
X-Ray of Foot, 3 Views $379 N/A $212
X-Ray of Hand, 3 Views $408 N/A $229
X-Ray of Hip, 2 or 3 Views $497 N/A $278
X-Ray of Knee, 3 Views $433 N/A $242
X-Ray of Knee, 4 Views $516 N/A $289
X-Ray of Low Back, 2 or 3 Views $392 N/A $219
X-Ray of Low Back, 4 Views $544 N/A $305
X-Ray of Neck, 2 or 3 Views $362 N/A $203
X-Ray of Neck, 4 to 5 Views $534 N/A $299
X-Ray of Shoulder, 2 Views $352 N/A $197
X-Ray of Wrist, 3 Views $433 N/A $242