Supplies, drugs & other prices at Upper Connecticut Valley Hospital

Colebrook, NH · every code in this section with a posted price and a Medicare benchmark.

11 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $29.42 $53 0.6×
Colon ca scrn not hi rsk ind (G0121) $2,067.38 $3,725 2.1×
Colorectal scrn; hi risk ind (G0105) $2,787.21 $5,022 2.8×
Diab manage trn per indiv (G0108) $44.12 $79.50 0.8×
Diab manage trn ind/group (G0109) $33.30 $60 2.1×
Drug test def 1-7 classes (G0480) $420.69 $758 3.7×
Drug test def 22+ classes (G0483) $375.18 $676 1.5×
Drug test def 8-14 classes (G0481) $189.26 $341 1.2×
Hep c screen high risk/other (G0472) $133.76 $241 2.9×
Psa screening (G0103) $82.14 $148 4.3×
Tomosynthesis, mammo (G0279) $427.35 $770 33.7×