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Manchester Memorial Hospital

71 Haynes St, Manchester, CT 06040 · (860) 647-4780

Acute Care HospitalsProprietaryCMS rating 4/5Website ↗

Price file

Prices published

File dated 2026-04-01

1,959 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines

$289
cash
$3,897
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$1,832
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$2,079
cash
—
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines

$151
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$4,494
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$4,494
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$4,494
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$74
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines

$362
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$401
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines

$315
cash
$482
cash
$852
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines

$839
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines

$151
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines

$349
cash
—
cash
—
cash
—
cash
—
cash
—
cash
Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 2 lines

$1,995
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$97
cash
$198
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines

$3,118
cash
$2,182
cash
$2,182
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$2,182
cash
—
cash
$3,046
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 10 lines

$170
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines

$462
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines

$530
cash
PSA test (prostate)

CPT 84153 · lowest of 5 lines

$67
cash
$43
cash
$112
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$599
cash
—
cash
—
cash
—
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines

$39
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines

$742
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$815
cash
$953
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$347
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$5,708
cash
$3,183
cash
$2,375
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$100
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$412
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$719
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$3,583
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$4,494
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$45
cash
—
cash
—
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$386
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.