Charges for Laboratory Services
When comparing charges with other hospitals or provider practices, it is important to understand that their charges may or may not include both the hospital and the doctor or other provider services. (Southern New Hampshire Medical Center charges do not include physician services.) Average charges are estimates; your out-of-pocket expense will depend on your individual insurance coverage (such as co-pays, co-insurance, and deductibles). If you have any questions, please contact our Business Office at 603-577-7800. If you have questions about your insurance policy, please contact your insurance company directly.
VENIPUNCTURE |
36415 |
$10.71 |
CBC W/ DIFF |
85025 |
$65.20 |
BASIC METABOLIC PROFILE |
80048 |
$32.12 |
CBC W/O DIFF |
85027 |
$35.02 |
COMP METABOLIC PROFILE |
80053 |
$56.24 |
LDL-C DIRECT |
83721 |
$48.30 |
LIPID PROFILE |
80061 |
$88.15 |
TSH, 3RD GENERATION |
84443 |
$113.91 |
LIVER FUNCTION PROFILE |
80076 |
$64.89 |
UROGRAM CHEMICAL ONLY |
81003 |
$20.22 |
PROTHROMBIN TIME (PT) |
85610 |
$42.98 |
MICROSCOPIC, URINE |
81015 |
$20.22 |
CPK |
82550 |
$71.24 |
LEVEL IV, PATH SPEC PREP EA |
88305 |
$154.46 |
URINE CULTURE |
87086 |
$39.26 |
PT/INR THERAPEUTIC |
85610 |
$42.98 |
APTT |
85730 |
$72.50 |
TROPONIN I |
84484 |
$83.26 |
GLYCOHEMOGLOBIN |
83036 |
$73.62 |
MAGNESIUM, SERUM |
83735 |
$66.41 |
The services you receive from your provider are based on your individual need and medical condition. Actual charges will vary based on services delivered and medical condition. Additional tests or services not listed in the estimate may be ordered by your doctor or provider in order to treat, diagnose, or care for individual needs.These estimates of charges are valid between October 1, 2007 and September 30, 2008.
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