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Androscoggin Valley Hospital

59 Page Hill Road, Berlin, NH 03570  Hospital  ***** CMS quality 2 of 5

37%Self-pay discount
37% off list
A typical self-pay discount. Median across the 843 prices this hospital publishes, comparing its cash price with its list price for the same item.
Overall cost rating
Not rated
Type
Small hospital (under 100 beds)
Beds
25
Ownership
Nonprofit
Health system
North Country Healthcare
Medicare ID
301310
Cost report
FY ending 09/30/2024
CMS quality
***** 2 of 5
Emergency dept
Yes
This hospital did not report enough detail by service line to rate individual categories.

What this hospital charges a cash payer

Real published prices from this hospital's own federal price transparency file. We list only services coded in HCPCS Level II, which CMS owns, so nothing here is AMA-licensed. Compare these across hospitals.

ServiceCashList price
PSA prostate cancer screening blood test
HCPCS G0103
$93.24
cash price
$148
37% off
Hospital observation care, per hour
HCPCS G0378
$73.08
cash price
$116
37% off
Cefazolin (Ancef) antibiotic injection, 500 mg
HCPCS J0690
$27.09
cash price
$43.00
37% off
Ceftriaxone (Rocephin) antibiotic injection, 250 mg
HCPCS J0696
$54.18
cash price
$86.00
37% off
Dexamethasone steroid injection, 1 mg
HCPCS J1100
$31.50
cash price
$50.00
37% off
Diphenhydramine (Benadryl) injection, 50 mg
HCPCS J1200
$5.67
cash price
$9.00
37% off
Gentamicin antibiotic injection, 80 mg
HCPCS J1580
$25.83
cash price
$41.00
37% off
Heparin blood thinner injection, 1000 units
HCPCS J1644
$17.64
cash price
$28.00
37% off
Ketorolac (Toradol) pain injection, 15 mg
HCPCS J1885
$31.50
cash price
$50.00
37% off
Ondansetron (Zofran) anti-nausea injection, 1 mg
HCPCS J2405
$1.26
cash price
$2.00
37% off
Fentanyl citrate injection, 0.1 mg
HCPCS J3010
$3.15
cash price
$5.00
37% off
One unit of red blood cells for transfusion
HCPCS P9016
$976
cash price
$1,550
37% off
Insurance. This facility holds Medicare certification number 301310, so it is Medicare-certified and bills Medicare. Commercial insurer network lists are not yet part of this dataset. Confirm your specific plan with the facility before you book.

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Something wrong here? This is generated from federal filings, and those filings contain errors. Tell us at krishan@thinkscoopinc.com.