Elliot Hospital
Elliot Hospital in Manchester, NH publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
1 Elliot Way, Manchester, NH 03103 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Hc Ct Abdomen & Pelvis With Contrast | $1,787.84 | $4,832.00 | 63% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Hc Ct Abdomen & Pelvis With Contrast | $1,787.84 | $4,832.00 | 63% |
| CT scan of the head or brain, no contrast dye CPT 70450 Hc Ct Head Wo Contrast | $650.46 | $1,758.00 | 63% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Hc Ct Head Wo Contrast | $650.46 | $1,758.00 | 63% |
| CT scan of the pelvis, with contrast dye CPT 72193 Hc Ct Pelvis With Contrast | $1,132.57 | $3,061.00 | 63% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Hc Ct Pelvis With Contrast | $1,132.57 | $3,061.00 | 63% |
| Diagnostic mammogram, both breasts CPT 77066 Hc Bil Mammo Dx Incl Cad | $347.43 | $939.00 | 63% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 Hc Bil Mammo Dx Incl Cad | $347.43 | $939.00 | 63% |
| Diagnostic mammogram, one breast one side CPT 77065 Hc Mammogram Diagnostic Unilateral Incl Cad | $276.76 | $748.00 | 63% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Hc Mammogram Diagnostic Unilateral Incl Cad | $276.76 | $748.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Ext Lwr Jt W/O Cont | $1,608.39 | $4,347.00 | 63% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Ext Lwr Jt W/O Cont | $1,608.39 | $4,347.00 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Ext Lwr Jt Wo/W Cont | $2,398.34 | $6,482.00 | 63% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Ext Lwr Jt Wo/W Cont | $2,398.34 | $6,482.00 | 63% |
| MRI of the brain, no contrast dye CPT 70551 Hc Mr Brain Wo Contrast | $1,670.55 | $4,515.00 | 63% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Hc Mr Brain Wo Contrast | $1,670.55 | $4,515.00 | 63% |
| MRI of the brain, with and without contrast dye CPT 70553 Hc Mr Brain Wo&W Contrast | $2,140.82 | $5,786.00 | 63% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Hc Mr Brain Wo&W Contrast | $2,140.82 | $5,786.00 | 63% |
| MRI of the lower back, no contrast dye CPT 72148 Hc Mr Spine Lumbar Wo Contrast | $1,582.49 | $4,277.00 | 63% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Hc Mr Spine Lumbar Wo Contrast | $1,582.49 | $4,277.00 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Hc Us Ob 2Nd/3Rd Trimester >14 Wks | $450.29 | $1,217.00 | 63% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Hc Us Ob 2Nd/3Rd Trimester >14 Wks | $450.29 | $1,217.00 | 63% |
| Screening mammogram, both breasts both sides CPT 77067 Hc Bi Mammogram Screening Bilat | $314.50 | $850.00 | 63% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Hc Bi Mammogram Screening Bilat | $314.50 | $850.00 | 63% |
| Sleep study in a lab (polysomnography) CPT 95810 Hc Polysomnography 4+ Add'l Param (6 Or Older) | $2,602.21 | $7,033.00 | 63% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Hc Polysomnography 4+ Add'l Param (6 Or Older) | $2,602.21 | $7,033.00 | 63% |
| Transvaginal pelvic ultrasound CPT 76830 Hc Us Transvaginal Non-Ob | $374.44 | $1,012.00 | 63% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Hc Us Transvaginal Non-Ob | $374.44 | $1,012.00 | 63% |
| Ultrasound of the abdomen, complete CPT 76700 Hc Us Abdomen Complete | $523.18 | $1,414.00 | 63% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Hc Us Abdomen Complete | $523.18 | $1,414.00 | 63% |
| X-ray of the lower back, 4 or more views CPT 72110 Hc Xr Spine Lumbar 4+ Views | $377.77 | $1,021.00 | 63% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Hc Xr Spine Lumbar 4+ Views | $377.77 | $1,021.00 | 63% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Hc Basic Metabolic Panel Calcium Total | $36.26 | $98.00 | 63% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Hc Basic Metabolic Panel Calcium Total | $36.26 | $98.00 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Hc Lipid Panel | $56.24 | $152.00 | 63% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Hc Lipid Panel | $56.24 | $152.00 | 63% |
| Complete blood count (CBC) with differential CPT 85025 Hc Blood Count Complete Auto&Amp;Auto Difrntl Wbc | $40.70 | $110.00 | 63% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Hc Blood Count Complete Auto&Amp;Auto Difrntl Wbc | $40.70 | $110.00 | 63% |
| Complete blood count (CBC), no differential CPT 85027 Hc Blood Count Complete Automated | $29.97 | $81.00 | 63% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Hc Blood Count Complete Automated | $29.97 | $81.00 | 63% |
| Comprehensive metabolic panel (blood test) CPT 80053 Hc Comprehensive Metabolic Panel | $45.14 | $122.00 | 63% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Hc Comprehensive Metabolic Panel | $45.14 | $122.00 | 63% |
| Kidney function blood test panel CPT 80069 Hc Renal Function Panel | $45.14 | $122.00 | 63% |
| Kidney function blood test panel inpatient CPT 80069 Hc Renal Function Panel | $45.14 | $122.00 | 63% |
| Liver function blood test panel CPT 80076 Hc Hepatic Function Panel | $39.22 | $106.00 | 63% |
| Liver function blood test panel inpatient CPT 80076 Hc Hepatic Function Panel | $39.22 | $106.00 | 63% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Psa Free | $81.40 | $220.00 | 63% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Hc Assay Of Prostate Specific Antigen Free | $81.40 | $220.00 | 63% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Hc Assay Of Prostate Specific Antigen Free | $81.40 | $220.00 | 63% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa Free | $81.40 | $220.00 | 63% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Hc Assay Of Prostate Specific Antigen Total | $85.10 | $230.00 | 63% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Hc Assay Of Prostate Specific Antigen Total | $85.10 | $230.00 | 63% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Hc Thromboplastin Time Partial Plasma/Whole Blood | $43.66 | $118.00 | 63% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hc Thromboplastin Time Partial Plasma/Whole Blood | $43.66 | $118.00 | 63% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Hc Prothrombin Time | $35.52 | $96.00 | 63% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hc Prothrombin Time | $35.52 | $96.00 | 63% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Hc Assay Of Thyroid Stimulating Hormone Tsh | $72.89 | $197.00 | 63% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Hc Assay Of Thyroid Stimulating Hormone Tsh | $72.89 | $197.00 | 63% |
| Urinalysis with microscope exam, automated CPT 81001 Hc Urnls Dip Stick/Tablet Reagent Auto Microscopy | $42.55 | $115.00 | 63% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Hc Urnls Dip Stick/Tablet Reagent Auto Microscopy | $42.55 | $115.00 | 63% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Non Auto W/Micro | $18.50 | $50.00 | 63% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Non Auto W/Micro | $18.50 | $50.00 | 63% |
| Urinalysis without microscope exam, automated CPT 81003 Hc Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $22.57 | $61.00 | 63% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Hc Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy | $22.57 | $61.00 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 Poc Urine Dip Non Auto W/O Micro | $18.87 | $51.00 | 63% |
| Urinalysis without microscope exam, manual CPT 81002 Hc Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $18.87 | $51.00 | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Poc Urine Dip Non Auto W/O Micro | $18.87 | $51.00 | 63% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Hc Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp | $18.87 | $51.00 | 63% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 Hc Colonoscopy W/Endoscope Us | $1,678.32 | $4,536.00 | 63% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Hc Colonoscopy W/Endoscope Us | $1,678.32 | $4,536.00 | 63% |
| Colonoscopy with polyp removal CPT 45385 Hc Colonoscopy W/Rmvl Tmr/Polyp/Lsn Snare W/Cs | $1,798.20 | $4,860.00 | 63% |
| Colonoscopy with polyp removal inpatient CPT 45385 Hc Colonoscopy W/Rmvl Tmr/Polyp/Lsn Snare W/Cs | $1,798.20 | $4,860.00 | 63% |
| Colonoscopy with tissue sample CPT 45380 Hc Colonoscopy W/Biopsy Sngl/Multi W/Cs | $1,680.91 | $4,543.00 | 63% |
| Colonoscopy with tissue sample inpatient CPT 45380 Hc Colonoscopy W/Biopsy Sngl/Multi W/Cs | $1,680.91 | $4,543.00 | 63% |
| Colonoscopy, diagnostic CPT 45378 Hc Colonoscopy Diag Incl Spec Collect Brush/Washing W/Cs | $1,407.11 | $3,803.00 | 63% |
| Colonoscopy, diagnostic inpatient CPT 45378 Hc Colonoscopy Diag Incl Spec Collect Brush/Washing W/Cs | $1,407.11 | $3,803.00 | 63% |
| Left heart catheterization, diagnostic CPT 93452 Hc Lhc | $2,665.85 | $7,205.00 | 63% |
| Left heart catheterization, diagnostic inpatient CPT 93452 Hc Lhc | $2,665.85 | $7,205.00 | 63% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Hc Njx Interlaminar Lmbr/Sac W/Img Gdn | $997.15 | $2,695.00 | 63% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Hc Njx Interlaminar Lmbr/Sac W/Img Gdn | $997.15 | $2,695.00 | 63% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Injx Interlaminar Lmbr/Sac | $936.84 | $2,532.00 | 63% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Hc Njx Interlaminar Lmbr/Sac | $936.84 | $2,532.00 | 63% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Injx Interlaminar Lmbr/Sac | $936.84 | $2,532.00 | 63% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Hc Njx Interlaminar Lmbr/Sac | $936.84 | $2,532.00 | 63% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 Inj Sngl Mvr Rt L/S Transfrm Incl Fluoro | $1,804.12 | $4,876.00 | 63% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 Inj Sngl Mvr Rt L/S Transfrm Incl Fluoro | $1,804.12 | $4,876.00 | 63% |
| Removal of a breast lump, open surgery CPT 19120 Hc Rmvl Breast Lesion | $2,084.21 | $5,633.00 | 63% |
| Removal of a breast lump, open surgery inpatient CPT 19120 Hc Rmvl Breast Lesion | $2,084.21 | $5,633.00 | 63% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Hc Egd/Biopsy/Sngl/Multi W/Cs | $1,517.37 | $4,101.00 | 63% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Hc Egd/Biopsy/Sngl/Multi W/Cs | $1,517.37 | $4,101.00 | 63% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Hc Egd W/Cs | $1,227.66 | $3,318.00 | 63% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Hc Egd W/Cs | $1,227.66 | $3,318.00 | 63% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 Hc Fam Psychotherapy, W/Pt 50 Min | $84.73 | $229.00 | 63% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 Hc Fam Psychotherapy, W/Pt 50 Min | $84.73 | $229.00 | 63% |
| Family therapy without the patient, 50 minutes CPT 90846 Hc Fam Psychotherapy, W/O Pt 50 Min | $81.40 | $220.00 | 63% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 Hc Fam Psychotherapy, W/O Pt 50 Min | $81.40 | $220.00 | 63% |
| Psychotherapy session, 30 minutes CPT 90832 Hc Individual Psychotherapy, 30 Min | $79.55 | $215.00 | 63% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 Hc Individual Psychotherapy, 30 Min | $79.55 | $215.00 | 63% |
| Psychotherapy session, 45 minutes CPT 90834 Hc Individual Psychotherapy, 45 Min | $107.67 | $291.00 | 63% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 Hc Individual Psychotherapy, 45 Min | $107.67 | $291.00 | 63% |
| Psychotherapy session, 60 minutes CPT 90837 Hc Individual Psychotherapy, 60 Min | $146.52 | $396.00 | 63% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 Hc Individual Psychotherapy, 60 Min | $146.52 | $396.00 | 63% |
Source file: https://hospitalpricedisclosure.com/download.aspx?pi=f7iBAjlzov5McTIGaTxPpw*-*