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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Androscoggin Valley Hospital

59 PAGE HILL RD, Berlin, NH 03570

CMS Overall Rating ★★☆☆☆
Factual Overview

Androscoggin Valley Hospital is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Berlin, NH. Mapped commercial insurance prices across 89 procedures average 6.20x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 62%.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 698

Patient Experience

Recommendation Rate: 62% High Patient Rating: 69% ER Wait Time (Med): 113 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 89 codes Avg Markup vs Medicare: 6.20x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $868 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $605 Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $486 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,389 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,472 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,666 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,860 Calc
CT scan, sinuses
CPT Code: 70486
 $1,472 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,566 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,814 Calc
X-ray, chest (single view)
CPT Code: 71045
 $175 Calc
X-ray, chest (two views)
CPT Code: 71046
 $238 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,472 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $268 Calc
X-ray, lower back
CPT Code: 72110
 $403 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,472 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,472 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,754 Calc
X-ray, pelvis
CPT Code: 72170
 $282 Calc
CT scan, pelvis
CPT Code: 72192
 $1,472 Calc
X-ray, shoulder
CPT Code: 73030
 $260 Calc
X-ray, hand
CPT Code: 73130
 $282 Calc
X-ray, hip
CPT Code: 73502
 $368 Calc
X-ray, ankle
CPT Code: 73610
 $278 Calc
X-ray, foot
CPT Code: 73630
 $315 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $2,256 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,795 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,989 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $540 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $631 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $478 Calc
Ultrasound, pelvis
CPT Code: 76856
 $511 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $646 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $568 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $54 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $96 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $137 Calc
Blood test, liver function panel
CPT Code: 80076
 $61 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $43 Calc
Blood test, amylase
CPT Code: 82150
 $24 Calc
Blood test, vitamin D
CPT Code: 82306
 $210 Calc
Blood test, calcium
CPT Code: 82310
 $19 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $19 Calc
Blood test, vitamin B12
CPT Code: 82607
 $90 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $114 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $14 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $62 Calc
Blood test, lipase
CPT Code: 83690
 $58 Calc
Blood test, magnesium
CPT Code: 83735
 $54 Calc
Blood test, potassium
CPT Code: 84132
 $18 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $67 Calc
Blood test, sodium
CPT Code: 84295
 $18 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $124 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $32 Calc
Blood test, hemoglobin
CPT Code: 85018
 $13 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $44 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $40 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $23 Calc
Hepatitis C antibody test
CPT Code: 86803
 $52 Calc
Blood antibody screen
CPT Code: 86850
 $124 Calc
Culture, blood
CPT Code: 87040
 $94 Calc
Culture, bacterial
CPT Code: 87070
 $32 Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $69 Calc
Typhoid vaccine
HCPCS Code: 90675
 $825 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $88 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $225 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $207 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,729 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,133 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $122 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $2,117 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $116 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $108 Calc
Physical therapy (gait training)
CPT Code: 97116
 $97 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $105 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $109 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $99 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $96 Calc
Orthotic fitting and training
CPT Code: 97760
 $83 Calc
Prosthetic fitting and training
CPT Code: 97761
 $94 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $138 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $107 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $158 Calc
Flu vaccine injection
HCPCS Code: G0008
 $33 Calc
Pneumonia vaccine injection
HCPCS Code: G0009
 $36 Calc
Prostate cancer screening (blood test)
HCPCS Code: G0103
 $93 Calc
Diagnostic procedure preparation
HCPCS Code: G0279
 $135 Calc
Hospital observation (per hour)
HCPCS Code: G0378
 $71 Calc
Drug screening test
HCPCS Code: G0480
 $358 Calc