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Elliot Hospital prices. From its own published file.

Elliot Hospital in Manchester, NH publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

10,838prices published
Apr 2026file last updated
$1,788cash price for ct abdomen and pelvis with contrast (list $4,832)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$532$1,439$291–$1,667
Emergency visit, high (level 4)
99284
$911$2,461$446–$2,548
Emergency visit, highest (level 5)
99285
$1,298$3,509$636–$3,637
Comprehensive metabolic panel
80053
$45.14$122$10.56–$108
Basic metabolic panel
80048
$36.26$98.00$8.46–$86.73
Complete blood count (CBC)
85025
$40.70$110$7.77–$71.69
Blood draw (venipuncture)
36415
$13.69$37.00$9.34–$53.42
Urinalysis
81001
$42.55$115$3.17–$29.24
Troponin (heart test)
84484
$89.54$242$12.47–$104
EKG tracing
93005
$117$315$62.99–$360
Chest X-ray, 2 views
71046
$189$510$92.92–$531
CT head without contrast
70450
$650$1,758$112–$638
CT abdomen and pelvis with contrast
74177
$1,788$4,832$373–$2,131
MRI lower back without contrast
72148
$1,582$4,277$255–$1,457
Ultrasound, abdomen
76700
$523$1,414$112–$638
IV push, single drug
96374
$174$469$227–$1,299
IV fluids, first hour
96360
$269$728$227–$1,299
Ketorolac injection, 15 mg
J1885
$0.76$3.64$0.30–$1.73
Ondansetron injection
J2405
$0.33$1.48$1.77–$1.77
Colonoscopy, diagnostic
45378
$1,407$3,803$993–$5,679
Upper GI endoscopy with biopsy
43239
$1,517$4,101$968–$5,539
Knee arthroscopy
29881
——$3,494–$19,982

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Elliot Hospital price transparency page.

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