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