Based on public Medicaid payment data.
Mary Hitchcock Memorial Hospital
Medicaid Provider in Lebanon, NH
Type
Organization
Address
One Medical Center Dr
Lebanon, NH 037560001
Phone
6036505000
NPI
1023092053
Procedures
29
Total Claims
499.1K
Patients Served
411.2K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Blood Work & Lab Tests | $4.64 | 329,590 | 275,891 |
| Urinalysis & Urine Tests | $2.84 | 28,638 | 24,472 |
| Culture & Microbiology Tests | $5.78 | 24,117 | 21,403 |
| Pathology & Lab Services | $26.34 | 17,807 | 15,649 |
| Prescription Medications | $4.40 | 16,500 | 11,622 |
| Office Visit | $17.61 | 12,942 | 11,065 |
| Emergency Room Visit | $160.56 | 11,652 | 9,597 |
| Physical Therapy | $14.62 | 10,129 | 4,555 |
| X-Ray | $37.85 | 8,961 | 7,301 |
| EKG / ECG (Electrocardiogram) | $16.73 | 7,640 | 6,006 |
| Chemotherapy | $56.97 | 7,108 | 4,254 |
| CT Scan (Computed Tomography) | $242.87 | 5,081 | 4,287 |
| Ultrasound | $92.57 | 3,583 | 2,942 |
| MRI (Magnetic Resonance Imaging) | $376.26 | 3,223 | 2,655 |
| Ambulance Transport | $1,390 | 2,277 | 1,604 |
| Pulmonary Function Test | $31.00 | 1,787 | 1,458 |
| Eye Exam | $7.51 | 1,777 | 1,260 |
| Echocardiogram | $214.01 | 1,291 | 1,109 |
| Upper Endoscopy (EGD) | $201.29 | 1,132 | 894 |
| Tooth Extraction | $45.77 | 1,056 | 952 |
| Molecular & Genetic Testing | $201.21 | 869 | 712 |
| Vaccines & Immunizations | $0.53 | 865 | 773 |
| Psychiatric Evaluation | $29.60 | 551 | 307 |
| Mammogram | $62.09 | 192 | 176 |
| Colonoscopy | $186.34 | 108 | 81 |
| Hearing Test (Audiometry) | $0.89 | 93 | 91 |
| Sleep Study (Polysomnography) | $376.46 | 73 | 66 |
| Podiatry (Foot Care) | $2.06 | 13 | 13 |
| Speech Therapy | $33.37 | 12 | 12 |
Patient Experiences
No patient experiences shared yet. Be the first to share yours.
Share Your Experience
Share your experience with this provider. Focus on the process, billing, wait time, or outcome. Do not share exact prices.
See something wrong on this page?
Report an error