Upper Connecticut Valley Hospital
Colebrook, NH · Critical Access Hospital
Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$1,424.13–$3,108 | $2,566–$5,600 | varies |
| Colonoscopy with biopsy (45380) | $1,835.94 | $3,308 | 1.4× |
| Colonoscopy with lesion removal (45385) | $3,942.72 | $7,104 | 3.1× |
| CT head/brain without contrast (70450) | $1,296.48 | $2,336 | 11.6× |
| MRI brain without contrast (70551) | $2,260.52 | $4,073 | 8.9× |
| MRI brain without and with contrast (70553) | $3,359.97 | $6,054 | 9.0× |
| X-ray lower spine, 4+ views (72110) | $354.65 | $639 | 3.2× |
| MRI lumbar spine without contrast (72148) | $2,425.91 | $4,371 | 9.5× |
| CT pelvis with contrast (72193) | $1,467.42 | $2,644 | 7.8× |
| MRI lower-extremity joint without contrast (73721) range across 4 matching MRF lines |
$1,934.73–$2,040.18 | $3,486–$3,676 | varies |
| CT abdomen and pelvis with contrast (74177) | $2,633.48 | $4,745 | 7.1× |
| Ultrasound, abdomen complete (76700) | $555.56 | $1,001 | 5.0× |
| Ultrasound, transvaginal (76830) | $519.48 | $936 | 4.7× |
| Mammography, one breast (diagnostic) (77065) | $575.54 | $1,037 | 6.7× |
| Mammography, both breasts (diagnostic) (77066) | $569.43 | $1,026 | 5.2× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$466.76–$534.47 | $841–$963 | varies |
| Basic metabolic panel (80048) | $47.73 | $86 | 5.6× |
| Comprehensive metabolic panel (80053) | $84.92 | $153 | 8.0× |
| Lipid panel (80061) | $120.99 | $218 | 9.0× |
| Hepatic function panel (80076) | $53.84 | $97 | 6.6× |
| PSA, total (84153) | $58.83 | $106 | 3.2× |
| Thyroid stimulating hormone (TSH) (84443) | $109.34 | $197 | 6.5× |
| CBC with automated differential (85025) | $38.85 | $70 | 5.0× |
| CBC, automated (85027) | $40.52 | $73 | 6.3× |
| Prothrombin time (PT) (85610) | $35.52 | $64 | 8.3× |
| Partial thromboplastin time (PTT) (85730) | $19.98 | $36 | 3.3× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$98.79–$104.90 | $178–$189 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) | $70.49 | $127 | 0.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
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.
More prices at this hospital
- Imaging: 84 codes with posted prices and Medicare benchmarks
- Lab & pathology: 225 codes with posted prices and Medicare benchmarks
- Visits & medical services: 53 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 28 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 11 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 1.1 MB) ↓ — captured 2026-08-28
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.