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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Upper Connecticut Valley Hospital

181 CORLISS LN, Colebrook, NH 03576

CMS Overall Rating No CMS Rating
Factual Overview

Upper Connecticut Valley Hospital is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Colebrook, NH. Mapped commercial insurance prices across 78 procedures average 6.83x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 16 Beds Teaching Status: Non-Teaching Annual Discharges: 227

Patient Experience

Recommendation Rate: 90% High Patient Rating: 90% ER Wait Time (Med): 85 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 78 codes Avg Markup vs Medicare: 6.83x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $765 Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $2,266 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $1,836 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,296 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,467 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,638 Calc
CT scan, sinuses
CPT Code: 70486
 $1,296 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $2,261 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,360 Calc
X-ray, chest (single view)
CPT Code: 71045
 $154 Calc
X-ray, chest (two views)
CPT Code: 71046
 $210 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,296 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $236 Calc
X-ray, lower back
CPT Code: 72110
 $355 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,296 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,296 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $2,426 Calc
X-ray, shoulder
CPT Code: 73030
 $229 Calc
X-ray, hand
CPT Code: 73130
 $248 Calc
X-ray, hip
CPT Code: 73502
 $324 Calc
X-ray, ankle
CPT Code: 73610
 $245 Calc
X-ray, foot
CPT Code: 73630
 $278 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,987 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,463 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,633 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $476 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $556 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $421 Calc
Ultrasound, pelvis
CPT Code: 76856
 $450 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $569 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $501 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $48 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $85 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $121 Calc
Blood test, liver function panel
CPT Code: 80076
 $54 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $38 Calc
Blood test, amylase
CPT Code: 82150
 $21 Calc
Blood test, vitamin D
CPT Code: 82306
 $185 Calc
Blood test, calcium
CPT Code: 82310
 $17 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $17 Calc
Blood test, vitamin B12
CPT Code: 82607
 $79 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $100 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $13 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $54 Calc
Blood test, lipase
CPT Code: 83690
 $51 Calc
Blood test, magnesium
CPT Code: 83735
 $47 Calc
Blood test, potassium
CPT Code: 84132
 $16 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $59 Calc
Blood test, sodium
CPT Code: 84295
 $16 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $109 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $28 Calc
Blood test, hemoglobin
CPT Code: 85018
 $8 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $39 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $36 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $20 Calc
Hepatitis C antibody test
CPT Code: 86803
 $46 Calc
Blood antibody screen
CPT Code: 86850
 $109 Calc
Culture, blood
CPT Code: 87040
 $83 Calc
Culture, bacterial
CPT Code: 87070
 $28 Calc
Flu vaccine (high dose)
HCPCS Code: 90656
 $41 Calc
Tdap vaccine (tetanus, diphtheria, pertussis)
HCPCS Code: 90715
 $72 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $198 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $183 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,523 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $998 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $102 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $98 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $92 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $96 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $90 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $115 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $94 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $159 Calc
Flu vaccine injection
HCPCS Code: G0008
 $29 Calc
Prostate cancer screening (blood test)
HCPCS Code: G0103
 $82 Calc
Diagnostic procedure preparation
HCPCS Code: G0279
 $427 Calc
Hospital observation (per hour)
HCPCS Code: G0378
 $64 Calc
Drug screening test
HCPCS Code: G0480
 $421 Calc