Weeks Medical Center

Lancaster, NH · Critical Access Hospital

Posts prices for 36 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) $2,195.76 $3,921 2.3×
Upper GI endoscopy (EGD) with biopsy (43239) $1,402.80 $2,505 1.4×
Diagnostic colonoscopy (45378) $1,385.44 $2,474 1.4×
Colonoscopy with biopsy (45380) $1,852.48 $3,308 1.4×
Colonoscopy with lesion removal (45385) $3,978.24 $7,104 3.1×
CT head/brain without contrast (70450) $1,308.16 $2,336 11.7×
MRI brain without contrast (70551) $2,280.88 $4,073 9.0×
MRI brain without and with contrast (70553) $3,390.24 $6,054 9.1×
X-ray lower spine, 4+ views (72110) $357.84 $639 3.2×
MRI lumbar spine without contrast (72148) $2,447.76 $4,371 9.6×
CT pelvis with contrast (72193) $1,480.64 $2,644 7.9×
MRI lower-extremity joint without contrast (73721) $2,005.36 $3,581 7.9×
CT abdomen and pelvis with contrast (74177) $2,657.20 $4,745 7.1×
Ultrasound, abdomen complete (76700) $560.56 $1,001 5.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $551.04 $984 4.9×
Ultrasound, transvaginal (76830) $524.16 $936 4.7×
Mammography, one breast (diagnostic) (77065) $580.72 $1,037 6.7×
Mammography, both breasts (diagnostic) (77066) $694.96 $1,241 6.3×
Mammography, screening (bilateral) (77067) $470.96 $841 5.2×
Basic metabolic panel (80048) $48.16 $86 5.7×
Comprehensive metabolic panel (80053) $85.68 $153 8.1×
Lipid panel (80061) $122.08 $218 9.1×
Renal function panel (80069) $57.68 $103 6.6×
Hepatic function panel (80076) $54.32 $97 6.6×
Urinalysis, non-automated, without microscopy (81002) $17.92 $32 5.1×
PSA, total (84153) $59.36 $106 3.2×
Thyroid stimulating hormone (TSH) (84443) $110.32 $197 6.6×
CBC with automated differential (85025) $39.20 $70 5.0×
CBC, automated (85027) $40.88 $73 6.3×
Prothrombin time (PT) (85610) $33.88 $60.50 7.9×
Partial thromboplastin time (PTT) (85730) $20.16 $36 3.4×
Sleep study (attended polysomnography) (95810) $1,882.16 $3,361 2.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $99.68 $178 3.4×
Office visit, new patient (low complexity, ~30 min) (99203) $141.12 $252 1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $172.48 $308 1.2×
Office visit, new patient (high complexity, ~60 min) (99205) $203.84 $364 1.4×

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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