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Mary Hitchcock Memorial Hospital

Lebanon, NH · 396 beds · 98 procedures priced

Sourced from this hospital's machine-readable file, posted Wed Jun 03 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 85/100 · source file ↗

98 of 98
Category
Procedure Negotiated iCash iGross i
Abdominal Hysterectomy
$11,866$1.9k$33k
$5,054$16,515
ACL Reconstruction (Arthroscopic)
$11,024$3.0k$31k
$6,199$20,257
Allergy Skin Testing
$1,173$14$4.4k
Basic Metabolic Panel
$34$7$279
$28$91
Bone Marrow Biopsy
$1,813$158$7.7k
$766$2,502
Breast Biopsy (Ultrasound-guided)
$2,679$514$8.3k
$1,389$4,540
Bunion Correction Surgery
$3,812$1.4k$14k
$2,629$8,592
Cardiac Ablation for Atrial Fibrillation
$38,508$7.7k$107k
$20,718$67,707
Cardiac Catheterization (Left Heart)
$11,109$3.0k$25k
$8,141$26,604
Cardiac Stress Test (Treadmill)
$572$258$1.2k
$341$1,114
Carpal Tunnel Release Surgery
$3,822$725$9.2k
$1,957$6,396
Cataract Surgery with Lens Implant
$4,308$2.6k$12k
$3,447$11,265
Cervical Spinal Fusion (Anterior)
$14,975$7.2k$56k
$7,369$24,083
Cesarean Delivery (Global Package)
$8,832$1.7k$14k
$4,523$14,782
Chemotherapy Infusion (First Hour)
$945$197$1.7k
$533$1,743
Chest X-ray (2 Views)
$350$70$584
$188$615
Colonoscopy with Biopsy
$2,624$490$8.3k
$1,322$4,321
Complete Abdominal Ultrasound
$714$119$1.6k
$505$1,649
Complete Blood Count (CBC) with Differential
$33$6$96
$21$70
Comprehensive Metabolic Panel
$50$9$153
$49$161
Coronary Angioplasty with Stent
$14,495$2.7k$49k
$7,224$23,607
Critical Care, First Hour
$3,003$659$5.5k
$1,778$5,812
CT Abdomen and Pelvis with Contrast
$2,559$400$6.1k
$1,965$6,421
CT Cardiac Calcium Scoring
$316$65$547
$176$576
CT Chest without Contrast
$265$32$2.8k
$465$1,519
CT Head without Contrast
$993$119$2.8k
$868$2,835
DEXA Bone Density Scan
$403$83$777
$225$736
Diagnostic Colonoscopy
$2,323$474$8.3k
$1,279$4,181
Diagnostic Mammogram (Both Breasts)
$595$124$1.0k
$335$1,096
Ear Tube Placement (Tympanostomy)
$3,020$605$8.3k
$1,633$5,338
Echocardiogram (Complete with Doppler)
$1,928$445$3.7k
$1,202$3,927
EKG (Electrocardiogram, 12-lead)
$200$15$269
$148$483
Emergency Room Visit (Level 3)
$825$171$3.6k
$461$1,505
Group Therapy Session
$107$72$403
$59$192
Hemodialysis Treatment
$101
$886$2,897
Hemoglobin A1c (Diabetes Test)
$37$8$141
$21$68
HIV Antibody Test
$62$8$480
$40$132
Holter Monitor (24-48 Hour Heart Monitor)
$343$74$512
Home Sleep Study
$273$175$681
Individual Therapy Session (45 Minutes)
$186$180$700
$144$469
Inguinal Hernia Repair (Open)
$5,410$3.7k$15k
$2,075$6,781
Initial Hospital Admission (Level 1)
$215$215$275
$214$700
Initial Psychiatric Diagnostic Evaluation
$186$180$700
$178$581
Initial Psychiatric Evaluation with Medication Management
$186$180$700
$178$581
Intensity-modulated Radiation Therapy (IMRT) Treatment
$2,810$647$6.1k
$1,955$6,390
IUD Insertion
$660$50$7.2k
$352$1,151
IUD Removal
$342$58$7.2k
$156$510
Knee Arthroscopy with Meniscectomy
$5,426$3.6k$14k
$3,884$12,692
Laparoscopic Appendectomy
$8,442$6.5k$25k
$2,300$7,516
Laparoscopic Gallbladder Removal
$10,179$6.5k$25k
$3,482$11,378
Laparoscopic Tubal Ligation
$10,029$4.3k$25k
$3,058$9,995
Lipid Panel (Cholesterol Test)
$58$12$171
$47$154
Lumbar Epidural Steroid Injection
$1,794$354$7.7k
$956$3,125
Lumbar Puncture (Spinal Tap)
$1,225$236$7.7k
$637$2,083
Lumbar Spinal Fusion (Posterior)
$21,197$3.5k$80k
$6,294$20,568
Lumpectomy (Partial Mastectomy)
$6,015$3.4k$17k
$1,442$4,711
MRI Abdomen with and without Contrast
$2,748$400$7.1k
$2,299$7,514
MRI Brain with and without Contrast
$2,745$400$7.1k
$2,295$7,499
MRI Brain with Contrast
$2,614$400$5.9k
$1,895$6,192
MRI Brain without Contrast
$1,970$271$5.3k
$1,720$5,622
MRI Cervical Spine (Neck) without Contrast
$1,878$271$5.1k
$1,640$5,360
MRI Knee without Contrast
$1,815$271$5.2k
$1,585$5,181
MRI Lower Back (Lumbar Spine) without Contrast
$1,786$271$4.8k
$1,559$5,096
MRI Thoracic Spine (Mid-back) without Contrast
$1,841$271$5.0k
$1,608$5,255
Newborn Circumcision
$1,346$172$9.2k
$465$1,520
Nuclear Cardiac Stress Test
$3,872$789$8.5k
$2,132$6,967
Office Visit, Established Patient (Level 3)
$298$38$1.4k
$278$909
Office Visit, New Patient (Level 3)
$323$61$514
$166$541
Pacemaker Insertion (Dual Chamber)
$11,711$1.7k$46k
$4,713$15,401
PET/CT Scan, Whole Body
$6,351$1.3k$11k
$3,615$11,815
Pregnancy Ultrasound (Second or Third Trimester)
$538$119$1.3k
$429$1,403
Prostate Biopsy
$2,400$426$8.9k
$1,149$3,756
PSA Prostate Cancer Screening
$41$6$121
$28$92
Pulmonary Function Test with Bronchodilator
$627$126$1.4k
$340$1,112
Rotator Cuff Repair (Arthroscopic)
$11,125$4.3k$31k
$3,694$12,073
Screening Mammogram
$466$109$911
$293$959
Septoplasty (Deviated Septum Repair)
$3,811$1.3k$14k
$3,484$11,386
Sinus Surgery (Endoscopic, with Tissue Removal)
$8,134$965$30k
$2,303$7,525
Skin Biopsy (Tangential)
$228$37$7.2k
$100$328
Skin Lesion Removal (Benign, up to 0.5 cm)
$1,867$180$7.7k
$853$2,787
Sleep Study (In-lab Polysomnography)
$1,805$1.1k$4.4k
$416$1,360
Spinal Cord Stimulator Trial
$7,712$976$29k
$4,549$14,866
Spirometry (Breathing Test)
$303$60$681
$161$527
Tonsillectomy and Adenoidectomy (Age 12 and Over)
$4,322$3.6k$14k
$1,343$4,390
Tonsillectomy and Adenoidectomy (Under Age 12)
$6,951$3.0k$26k
$1,274$4,165
Total Hip Replacement
$14,831$3.3k$56k
$7,845$25,638
Total Knee Replacement
$14,831$3.5k$56k
$8,028$26,234
Total Mastectomy
$7,663$4.2k$28k
$3,115$10,179
TSH Thyroid Function Test
$38$6$218
$24$78
TURP (Transurethral Prostate Resection)
$8,739$3.7k$22k
$4,294$14,034
Umbilical Hernia Repair
$3,749
Upper GI Endoscopy (EGD)
$2,502$511$8.3k
$1,380$4,509
Urinalysis with Microscopy
$20$3$156
$50$164
Vaginal Birth After Cesarean (VBAC) Global Package
$6,593$1.3k$10k
$3,376$11,034
Vaginal Delivery (Global Package)
$5,283$1.0k$8.4k
$2,706$8,842
Vaginal Hysterectomy
$7,910$5.5k$21k
$4,517$14,761
Vasectomy
$4,805$980$9.2k
$2,646$8,647
Vitamin D Blood Test
$101$23$195
$63$205

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.