Alliance Health Services
25 South River Road Bedford, NH 03110(603) 695-2500
All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.
Methodology| Procedure |
Estimate of Procedure Cost
Estimate of Procedure Cost This is an estimate of the total charge for the health care service before any discounts provided to the uninsured. |
Number of Visits
Number of Visits When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits. - Above Average: Expect to visit the provider more than the average number of visits. - Near Average: Expect the visit the provider close to the average number of visits. - Below Average: Expect to visit the provider less than the average number of visits. |
What You Will Pay
What You Will Pay The estimated charge amount minus the uninsured discount (when available). Uninsured Discount: 0% |
|---|---|---|---|
| Back MRI | $4,526 | N/A | $4,526 |
| Blood Count (Hemoglobin) | $51 | N/A | $51 |
| Bone Density Scan | $907 | N/A | $907 |
| Brain MRI | $8,865 | N/A | $8,865 |
| CT Scan of Abdomen and Pelvis, With Contrast | $3,215 | N/A | $3,215 |
| CT Scan of Chest, With Contrast | $2,708 | N/A | $2,708 |
| Developmental Screening | $89 | N/A | $89 |
| Diagnostic Mammogram of Both Breasts | $688 | N/A | $688 |
| Diagnostic Mammogram of One Breast | $565 | N/A | $565 |
| Knee MRI | $4,205 | N/A | $4,205 |
| Low Back MRI, Before and After Contrast | $8,822 | N/A | $8,822 |
| New Patient Preventive Care Visit for Adolescent, Ages 12-17 | $588 | N/A | $588 |
| New Patient Preventive Care Visit for Child, Ages 1-4 | $499 | N/A | $499 |
| New Patient Preventive Care Visit for Child, Ages 5-11 | $499 | N/A | $499 |
| New Patient Preventive Care Visit for Child, Under Age 1 | $478 | N/A | $478 |
| Office Visit for Established Patient, High Complexity | $608 | N/A | $608 |
| Office Visit for Established Patient, Low Complexity | $286 | N/A | $286 |
| Office Visit for Established Patient, Moderate Complexity | $440 | N/A | $440 |
| Office Visit for New Patient, Moderate Complexity | $691 | N/A | $691 |
| Pneumococcal Vaccine for Children, Injected into Muscle | $71 | N/A | $71 |
| Preventive Care Visit for Adolescent, Under Ages 12-17 | $471 | N/A | $471 |
| Preventive Care Visit for Adult, Ages 18-39 | $471 | N/A | $471 |
| Preventive Care Visit for Child, Under Age 1 | $401 | N/A | $401 |
| Preventive Care Visit for Child, Under Ages 1-4 | $449 | N/A | $449 |
| Preventive Care Visit for Child, Under Ages 5-11 | $449 | N/A | $449 |
| Screening Mammogram of Both Breasts | $700 | N/A | $700 |
| Telehealth Visit for Established Patient, 21-30 minutes | $244 | N/A | $244 |
| Ultrasound of Breast | $455 | N/A | $455 |
| X-Ray of Chest, 2 Views | $318 | N/A | $318 |
| X-Ray of Fingers, 2 Views | $191 | N/A | $191 |
| X-Ray of Knee, 4 Views | $308 | N/A | $308 |
| X-Ray of Neck, 4 to 5 Views | $437 | N/A | $437 |
Before seeking care, contact your health or dental insurance company to confirm if a provider is covered by your plan.