Lab & pathology prices at Upper Connecticut Valley Hospital
Colebrook, NH · every code in this section with a posted price and a Medicare benchmark.
225 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Actin smooth muscle antibody each (86015) | $37.19 | $67 | 3.1× |
| Acute hepatitis panel (80074) | $312.47 | $563 | 6.6× |
| Albumin Fluid (82042) | $61.05 | $110 | 7.8× |
| Albumin serum (82040) | $38.85 | $70 | 7.8× |
| Aldosterone urine (82088) | $226.44 | $408 | 5.6× |
| Allergen specific ige (86003) | $29.97 | $54 | 5.7× |
| Alpha-1-antitrypsin phenotype (82104) | $46.62 | $84 | 3.2× |
| Alpha-1-antitrypsin total (82103) | $43.85 | $79 | 3.3× |
| Alpha-Fetoprotein Serum (82105) range across 2 matching MRF lines |
$53.28–$311.36 | $96–$561 | varies |
| Alt (sgpt) (84460) | $17.21 | $31 | 3.2× |
| Ammonia (82140) | $46.62 | $84 | 3.2× |
| Amylase urine (82150) | $21.09 | $38 | 3.3× |
| Antibody Cytomegalovirus Cmv Igm (86645) | $94.35 | $170 | 5.6× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) | $58.28 | $105 | 3.2× |
| Antinuclear antibodies (86038) | $38.85 | $70 | 3.2× |
| Antithrombin iii activity (85300) | $71.04 | $128 | 6.0× |
| Apolipoprotein a1 (82172) range across 2 matching MRF lines |
$34.97–$67.71 | $63–$122 | varies |
| Assay Nephelometry Not Spec (83883) | $76.04 | $137 | 5.6× |
| Assay of blood/uric acid (84550) | $14.99 | $27 | 3.3× |
| Assay of calcium in urine (82340) | $34.41 | $62 | 5.7× |
| Assay of gammaglobulin igm (82784) | $51.62 | $93 | 5.6× |
| Assay of lactic acid (83605) | $37.19 | $67 | 3.2× |
| Assay of serum potassium (84132) | $15.54 | $28 | 3.3× |
| Assay of urea nitrogen (84520) | $27.75 | $50 | 7.0× |
| Assay of vitamin b-1 (84425) | $68.82 | $124 | 3.2× |
| Babesia microti amp prb (87469) | $112.11 | $202 | 3.2× |
| Beta hydroxybutyrate (82010) | $26.09 | $47 | 3.2× |
| Bilirubin direct (82248) | $16.65 | $30 | 3.3× |
| Bilirubin total (82247) | $16.65 | $30 | 3.3× |
| Blood count reticulocyte automated (85045) | $23.31 | $42 | 5.8× |
| Blood gases w/02 saturation (82805) | $249.75 | $450 | 3.2× |
| Blood typing serologic abo (86900) | $9.99 | $18 | 3.3× |
| C-Peptide (84681) | $116 | $209 | 5.6× |
| C-reactive protein (86140) | $56.06 | $101 | 10.8× |
| Calcium ionized (82330) | $44.40 | $80 | 3.2× |
| Calcium total (82310) | $16.65 | $30 | 3.2× |
| Calculus assay quant (82360) | $41.63 | $75 | 3.2× |
| Calprotectin Fecal (83993) | $62.72 | $113 | 3.2× |
| Candida antibody (86628) | $38.85 | $70 | 3.2× |
| Ccp antibody (86200) | $41.63 | $75 | 3.2× |
| Cell count csf (89051) | $29.97 | $54 | 5.4× |
| Ceruloplasmin (82390) | $60.50 | $109 | 5.6× |
| Chemiluminescent assay (82397) | $45.51 | $82 | 3.2× |
| Cholesterol total (82465) | $14.43 | $26 | 3.3× |
| Chorionic gonadotropin test (84702) | $48.29 | $87 | 3.2× |
| Chromogranin a (86316) | $116 | $209 | 5.6× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) | $144.86 | $261 | 4.1× |
| Clostridium Difficile (87324) | $38.30 | $69 | 3.2× |
| Collagen crosslinks (82523) | $104.34 | $188 | 5.6× |
| Compatibility test antiglob (86922) | $153.18 | $276 | 0.8× |
| Complement Antigen Each Component (86160) | $38.30 | $69 | 3.2× |
| Copper urine (82525) | $40.52 | $73 | 3.3× |
| Cortisol saliva (82533) | $90.47 | $163 | 5.6× |
| Creatine kinase total (82550) | $36.63 | $66 | 5.6× |
| Creatinine blood (82565) | $16.65 | $30 | 3.3× |
| Creatinine Urine (82570) | $31.08 | $56 | 6.0× |
| Crossmatch immediate spin (86920) | $144.30 | $260 | 0.8× |
| Crp High Sensitivity (86141) | $41.63 | $75 | 3.2× |
| Cryptococcus ag titer (87899) | $51.62 | $93 | 3.2× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $26.09 | $47 | 3.2× |
| Culture Anaerobic (87075) | $53.28 | $96 | 5.6× |
| Culture blood (87040) | $83.25 | $150 | 8.1× |
| Culture csf (87070) | $27.75 | $50 | 3.2× |
| Culture screen only (87081) | $21.65 | $39 | 3.3× |
| Culture stool (87045) | $48.29 | $87 | 5.1× |
| Culture urine (87086) | $26.09 | $47 | 3.2× |
| Cyclosporine (80158) | $91.02 | $164 | 5.0× |
| Cytomegalovirus igg (86644) | $79.92 | $144 | 5.6× |
| Cytopath Cell Enhance Tech (88112) | $308.03 | $555 | 5.5× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $139.86 | $252 | 5.3× |
| Detect Agent Nos Dna Quant (87799) | $136.53 | $246 | 3.2× |
| Detect agnt mult DNA ampli (87801) | $238.65 | $430 | 3.4× |
| Dgp Antibody Each Ig Class (86258) | $37.19 | $67 | 3.1× |
| Dhea-S (82627) | $71.60 | $129 | 3.2× |
| Dna Antibody Native/Double Stranded (86225) | $77.15 | $139 | 5.6× |
| Drug assay adalimumab (80145) | $193.14 | $348 | 5.0× |
| Drug assay voriconazole (80285) | $88.25 | $159 | 3.3× |
| Drug Screen Quantitative Levetiracetam (80177) | $67.71 | $122 | 5.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $158.73 | $286 | 2.6× |
| Drug Test Prsmv Instrmnt (80306) | $54.39 | $98 | 3.2× |
| Electrolyte panel (80051) | $46.62 | $84 | 6.7× |
| Endomysial Antibody Each Immunoglobulin Class (86231) | $38.85 | $70 | 3.2× |
| Estradiol serum (82670) | $88.80 | $160 | 3.2× |
| Estrogen total (82672) | $109.89 | $198 | 5.1× |
| Ferritin (82728) | $100.46 | $181 | 7.4× |
| Fibrin Degradation Quant (85379) | $33.30 | $60 | 3.3× |
| Fibrinogen activity (85384) | $31.64 | $57 | 3.3× |
| Flow cytometry first marker (88184) | $538.91 | $971 | 1.4× |
| Folic acid rbc (82747) | $56.61 | $102 | 3.2× |
| Folic Acid Serum (82746) | $47.18 | $85 | 3.2× |
| Follicle Stimulating Hormone (83001) | $104.34 | $188 | 5.6× |
| Gammaglobulin ige (82785) | $52.73 | $95 | 3.2× |
| Gastrointestinal pathogen panel by PCR (12 to 25 targets) (87507) | $951.83 | $1,715 | 2.3× |
| Ggt (82977) | $41.63 | $75 | 5.8× |
| Giardia antigen (87329) | $38.30 | $69 | 3.2× |
| Glucose body fluid (82945) | $12.77 | $23 | 3.2× |
| Glucose Serum (82947) | $12.77 | $23 | 3.2× |
| Glucose tolerance test (gtt) (82951) | $41.63 | $75 | 3.2× |
| Glycated Protein (82985) | $76.59 | $138 | 4.6× |
| Gonadotropin Chorionic Qualitative (84703) | $24.42 | $44 | 3.2× |
| Gtt-added samples (82952) | $12.77 | $23 | 3.3× |
| Haptoglobin (83010) | $70.49 | $127 | 5.6× |
| Helicobacter Pylori Stool (87338) | $46.07 | $83 | 3.2× |
| Hematocrit (85014) | $8.33 | $15 | 3.5× |
| Hemoglobin (85018) | $8.33 | $15 | 3.5× |
| Hemoglobin a1c (83036) | $54.39 | $98 | 5.6× |
| Hepatitis a antibody total (86708) | $39.41 | $71 | 3.2× |
| Hepatitis b core ab igm (86705) | $37.74 | $68 | 3.2× |
| Hepatitis b core ab total (86704) | $38.85 | $70 | 3.2× |
| Hepatitis B Surface Antibody (86706) | $34.97 | $63 | 3.3× |
| Hepatitis B Surface Antigen (87340) | $33.86 | $61 | 3.3× |
| Hepatitis Be Antibody (86707) | $58.83 | $106 | 5.1× |
| Hepatitis Be Antigen (87350) | $63.27 | $114 | 5.5× |
| Hepatitis C Antibody (86803) | $46.07 | $83 | 3.2× |
| Heterophile Antibody Screen (86308) | $16.65 | $30 | 3.2× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $126.54 | $228 | 5.3× |
| Homocysteine (83090) | $57.17 | $103 | 3.2× |
| Homogenization Tissue (87176) | $17.76 | $32 | 3.0× |
| Hpv Types 16 & 18 Only (87625) range across 2 matching MRF lines |
$51.62–$209.79 | $93–$378 | varies |
| Iaad Ia Streptococcus Group A (87430) | $53.84 | $97 | 3.2× |
| Iadna anaplasma phagocytophilum amplifed prb tq (87468) | $112.11 | $202 | 3.2× |
| Iadna ehrlichia chaffeensis amplified probe tq (87484) | $112.11 | $202 | 3.2× |
| Iadna mycoplsm pneumoniae amplified probe tq (87581) | $194.81 | $351 | 5.6× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $209.79 | $378 | 6.0× |
| Iadna Respiratry Probe & Rev Trnscr 3-5 Targets (87631) | $271.95 | $490 | 1.9× |
| Iadna-Dna/Rna Probe Tq 6-11 (87506) | $834.17 | $1,503 | 3.2× |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $76.59 | $138 | 5.1× |
| Immunofixation electrophoresis (86334) | $123.77 | $223 | 5.5× |
| Immunohistochemistry (88342) | $547.79 | $987 | 3.0× |
| Insitu hybridization manual (88368) | $832.50 | $1,500 | 2.2× |
| Insulin total (83525) | $63.27 | $114 | 5.5× |
| Iron (83540) | $36.63 | $66 | 5.7× |
| Iron Binding Capacity (83550) | $48.29 | $87 | 5.5× |
| Lactate (ld) (ldh) enzyme (83615) | $34.41 | $62 | 5.7× |
| LDL direct (83721) range across 2 matching MRF lines |
$32.19–$53.28 | $58–$96 | varies |
| Lead (83655) | $38.85 | $70 | 3.2× |
| Legionella antigen urine (87449) | $38.30 | $69 | 3.2× |
| Leukocyte Assessment Fecal (89055) | $14.43 | $26 | 3.4× |
| Lipase (83690) | $51.06 | $92 | 7.4× |
| Lipoprotein A (83695) | $46.07 | $83 | 3.2× |
| Luteinizing Hormone (Lh) (83002) | $59.39 | $107 | 3.2× |
| Lyme disease antibody (86618) | $54.39 | $98 | 3.2× |
| Magnesium Urine (83735) | $47.18 | $85 | 7.0× |
| Mass Spectrometry Quant (83789) | $77.15 | $139 | 3.2× |
| Mercury urine (83825) | $52.17 | $94 | 3.2× |
| Methylmalonic acid serum (83921) | $91.58 | $165 | 4.3× |
| Microalbumin, quantitative (82043) | $73.26 | $132 | 12.7× |
| Microsomal Antibodies Each (86376) | $46.62 | $84 | 3.2× |
| Mitochondrial Antibody Each (86381) | $48.29 | $87 | 1.9× |
| Mrsa Pcr (87641) | $112.11 | $202 | 3.2× |
| Mumps antibody (86735) | $42.18 | $76 | 3.2× |
| Natriuretic peptide (83880) | $124.88 | $225 | 3.2× |
| Nuclear antigen antibody (86235) | $118.22 | $213 | 6.6× |
| Occult blood feces (82272) | $17.76 | $32 | 4.2× |
| Osmolality serum (83930) | $21.65 | $39 | 3.3× |
| Osmolality Urine (83935) | $22.76 | $41 | 3.3× |
| Ova and parasites smears (87177) | $28.31 | $51 | 3.2× |
| Ph urine (81003) | $8.33 | $15 | 3.7× |
| Phenytoin (Dilantin) (80185) | $67.71 | $122 | 5.1× |
| Phosphorus Serum (84100) | $15.54 | $28 | 3.3× |
| Procalcitonin (Pct) (84145) | $87.14 | $157 | 3.2× |
| Protein body fluid (84157) | $12.77 | $23 | 3.2× |
| Protein C Activity (85303) | $44.96 | $81 | 3.2× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $60.50 | $109 | 5.6× |
| Protein S Free (85306) | $49.40 | $89 | 3.2× |
| Protein total serum (84155) | $21.65 | $39 | 5.9× |
| Protein Total Urine (84156) | $12.21 | $22 | 3.3× |
| PSA free (84154) | $58.83 | $106 | 3.2× |
| Pth Intact (83970) | $229.22 | $413 | 5.6× |
| Quantiferon tb gold plus (86480) | $197.03 | $355 | 3.2× |
| Quantitative assay drug (80299) range across 2 matching MRF lines |
$31.08–$59.94 | $56–$108 | varies |
| Rbc antibody screen (86850) | $109.34 | $197 | 11.2× |
| Renin activity plasma (84244) | $122.66 | $221 | 5.6× |
| Rh (86901) range across 2 matching MRF lines |
$9.99–$35.52 | $18–$64 | varies |
| Rheumatoid factor quant (86431) | $18.87 | $34 | 3.3× |
| Rpr qualitative (86592) | $14.43 | $26 | 3.4× |
| Rubella Antibody (86762) | $46.07 | $83 | 3.2× |
| Rubeola antibody (86765) | $41.63 | $75 | 3.2× |
| Sars-cov-2 COVID-19 antibody (86769) | $193.14 | $348 | 4.6× |
| Sedimentation rate (85651) | $9.44 | $17 | 2.2× |
| Selenium (84255) | $141.53 | $255 | 5.5× |
| Semen Anal Sperm Detection (89321) | $38.85 | $70 | 3.2× |
| Sensitivity mic (87186) | $27.75 | $50 | 3.2× |
| Smear complex stain (87209) | $57.17 | $103 | 3.2× |
| Smear gram stain (87205) | $24.42 | $44 | 5.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) | $19.43 | $35 | 3.3× |
| Sodium Serum (84295) | $16.10 | $29 | 3.3× |
| Sodium Urine (84300) | $16.65 | $30 | 3.3× |
| Surg path level iii (88304) | $237.54 | $428 | 4.3× |
| Surgical pathology level IV (88305) | $261.96 | $472 | 4.7× |
| T3 Free (84481) | $94.35 | $170 | 5.6× |
| T3 reverse (84482) | $79.92 | $144 | 5.1× |
| T3 Total (84480) | $45.51 | $82 | 3.2× |
| T3 Uptake (84479) | $36.63 | $66 | 5.7× |
| T4 Free (84439) | $88.80 | $160 | 9.8× |
| T4 total (84436) | $35.52 | $64 | 5.2× |
| Tacrolimus (80197) | $44.40 | $80 | 3.2× |
| Testosterone total (84403) | $82.70 | $149 | 3.2× |
| Testosterone, Free (84402) | $81.59 | $147 | 3.2× |
| Thyroglobulin (84432) | $88.80 | $160 | 5.5× |
| Thyroglobulin Antibody (86800) | $51.06 | $92 | 3.2× |
| Thyroid Stimulating Immunoglobulin (84445) | $162.06 | $292 | 3.2× |
| Tiss Trnsgltmnase Ea Ig Clas (86364) | $37.19 | $67 | 3.2× |
| Toxin/Antitoxin Assay Tissue Culture (87230) | $132.65 | $239 | 6.7× |
| Transferase Aspartate Amino Ast Sgot (84450) | $16.65 | $30 | 3.2× |
| Trichomonas Vaginalis Amplif (87661) | $112.11 | $202 | 3.2× |
| Triglycerides (84478) | $18.87 | $34 | 3.3× |
| Troponin Quant (84484) | $106.56 | $192 | 8.5× |
| Tumor Immunohistochem/Manual (88360) | $638.81 | $1,151 | 3.5× |
| Urinalysis Microscopic Only (81015) | $17.21 | $31 | 5.6× |
| Urinalysis Volume Measure (81050) | $17.21 | $31 | 4.7× |
| Urine Albumin Semiquantitative (82044) | $48.29 | $87 | 7.8× |
| Urine Pregnancy Test (81025) | $27.75 | $50 | 3.2× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) | $38.30 | $69 | 12.1× |
| Valproic acid (80164) | $76.04 | $137 | 5.6× |
| Vancomycin (80202) | $43.85 | $79 | 3.2× |
| Varicella-zoster antibody (86787) | $41.63 | $75 | 3.2× |
| Virus antibody nos (86790) | $41.63 | $75 | 3.2× |
| Vit D 1 25-Dihydroxy (82652) | $236.99 | $427 | 6.2× |
| Vitamin A (84590) | $82.70 | $149 | 7.1× |
| Vitamin b-12 (82607) | $79.37 | $143 | 5.3× |
| Vitamin B6 (84207) | $89.36 | $161 | 3.2× |
| Vitamin D 25-Hydroxy (82306) | $184.82 | $333 | 6.2× |
| Vitamin E (84446) | $82.70 | $149 | 5.8× |
| Zinc (84630) | $36.63 | $66 | 3.2× |
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.