Wentworth-Douglass Hospital
Dover, NH
Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $2,158.80 | $3,598 | 2.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $3,006.60 | $5,011 | 3.1× |
| Diagnostic colonoscopy (45378) | $3,206.40 | $5,344 | 3.2× |
| Colonoscopy with biopsy (45380) | $3,464.40 | $5,774 | 2.7× |
| Colonoscopy with lesion removal (45385) | $4,255.20 | $7,092 | 3.3× |
| Colonoscopy with endoscopic ultrasound (45391) | $4,312.20 | $7,187 | 3.4× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $3,273 | $5,455 | 3.5× |
| CT head/brain without contrast (70450) | $2,305.80 | $3,843 | 20.7× |
| MRI brain without contrast (70551) | $2,804.40 | $4,674 | 11.0× |
| MRI brain with contrast (70552) | $4,149.60 | $6,916 | 11.1× |
| MRI brain without and with contrast (70553) | $4,727.40 | $7,879 | 12.7× |
| X-ray lower spine, 4+ views (72110) | $596.40 | $994 | 5.3× |
| MRI lumbar spine without contrast (72148) | $2,699.40 | $4,499 | 10.6× |
| CT pelvis with contrast (72193) | $3,663.60 | $6,106 | 19.6× |
| MRI lower-extremity joint without contrast (73721) | $3,040.80 | $5,068 | 11.9× |
| CT abdomen and pelvis with contrast (74177) | $4,747.80 | $7,913 | 12.7× |
| Ultrasound, abdomen complete (76700) | $671.40 | $1,119 | 6.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $748.80 | $1,248 | 6.7× |
| Ultrasound, transvaginal (76830) | $722.40 | $1,204 | 6.5× |
| Mammography, one breast (diagnostic) (77065) | $638.40 | $1,064 | 7.4× |
| Mammography, both breasts (diagnostic) (77066) | $811.80 | $1,353 | 7.3× |
| Mammography, screening (bilateral) (77067) | $673.80 | $1,123 | 7.4× |
| Basic metabolic panel (80048) | $72 | $120 | 8.5× |
| Comprehensive metabolic panel (80053) | $89.40 | $149 | 8.5× |
| Lipid panel (80061) | $113.40 | $189 | 8.5× |
| Renal function panel (80069) | $73.80 | $123 | 8.5× |
| Hepatic function panel (80076) | $69.60 | $116 | 8.5× |
| PSA, total (84153) | $156.60 | $261 | 8.5× |
| Thyroid stimulating hormone (TSH) (84443) | $143.40 | $239 | 8.5× |
| CBC with automated differential (85025) | $70.20 | $117 | 9.0× |
| CBC, automated (85027) | $58.80 | $98 | 9.1× |
| Prothrombin time (PT) (85610) | $35.40 | $59 | 8.3× |
| Partial thromboplastin time (PTT) (85730) | $55.20 | $92 | 9.2× |
| Left heart catheterization (93452) | $7,661.40 | $12,769 | 2.2× |
| Sleep study (attended polysomnography) (95810) | $4,702.80 | $7,838 | 5.1× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $109.20 | $182 | 3.8× |
More prices at this hospital
- Imaging: 222 codes with posted prices and Medicare benchmarks
- Lab & pathology: 498 codes with posted prices and Medicare benchmarks
- Visits & medical services: 163 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 270 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 22 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 852.2 KB) ↓ — captured 2026-08-28
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