Androscoggin Valley Hospital

Berlin, NH · Critical Access Hospital

Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.

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ProcedureCash priceGross charge× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $2,470.23 $3,921 2.6×
Upper GI endoscopy (EGD) with biopsy (43239) $1,616.58 $2,566 1.7×
Diagnostic colonoscopy (45378) $1,022.49 $1,623 1.0×
Colonoscopy with biopsy (45380) $2,084.04 $3,308 1.6×
Colonoscopy with lesion removal (45385) $4,475.52 $7,104 3.5×
CT head/brain without contrast (70450) $1,471.68 $2,336 13.2×
MRI brain without contrast (70551) $2,565.99 $4,073 10.1×
MRI brain without and with contrast (70553) $3,814.02 $6,054 10.2×
X-ray lower spine, 4+ views (72110) $402.57 $639 3.6×
MRI lumbar spine without contrast (72148) $2,753.73 $4,371 10.8×
CT pelvis with contrast (72193) $1,665.72 $2,644 8.9×
MRI lower-extremity joint without contrast (73721) $2,256.03 $3,581 8.9×
CT abdomen and pelvis with contrast (74177) $2,989.35 $4,745 8.0×
Ultrasound, abdomen complete (76700) $630.63 $1,001 5.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $619.92 $984 5.6×
Ultrasound, transvaginal (76830) $589.68 $936 5.3×
Mammography, one breast (diagnostic) (77065) $653.31 $1,037 7.6×
Mammography, both breasts (diagnostic) (77066) $646.38 $1,026 5.8×
Mammography, screening (bilateral) (77067) $529.83 $841 5.8×
Basic metabolic panel (80048) $54.18 $86 6.4×
Comprehensive metabolic panel (80053) $96.39 $153 9.1×
Lipid panel (80061) $137.34 $218 10.3×
Renal function panel (80069) $64.89 $103 7.5×
Hepatic function panel (80076) $61.11 $97 7.5×
PSA, total (84153) $66.78 $106 3.6×
Thyroid stimulating hormone (TSH) (84443) $124.11 $197 7.4×
CBC with automated differential (85025) $44.10 $70 5.7×
CBC, automated (85027) $45.99 $73 7.1×
Prothrombin time (PT) (85610) $40.32 $64 9.4×
Partial thromboplastin time (PTT) (85730) $22.68 $36 3.8×
Sleep study (attended polysomnography) (95810) $2,117.43 $3,361 2.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $115.60 $183.50 4.0×

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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