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 $4,933 N/A $4,933
Biopsy of Skin Lesion $1,861 N/A $1,861
Blood Count (Hemoglobin) $51 N/A $51
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Bone Density Scan $989 N/A $989
Brain MRI $9,662 N/A $9,662
CT Scan of Abdomen and Pelvis, With Contrast $3,504 N/A $3,504
CT Scan of Chest, With Contrast $2,952 N/A $2,952
Detection for Strep (Streptococcus, group A) $143 N/A $143
Detection Test for Human Papillomavirus (HPV) $188 N/A $188
Developmental Screening $98 N/A $98
Diagnostic Mammogram of Both Breasts $749 N/A $749
Diagnostic Mammogram of One Breast $616 N/A $616
Hepatitis A Vaccine for Children, Injected into Muscle $466 N/A $466
Human Papilloma Virus Vaccine, Injected into Muscle $79 N/A $79
Influenza Vaccine, Injected into Muscle $112 N/A $112
Knee MRI $4,584 N/A $4,584
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $641 N/A $641
New Patient Preventive Care Visit for Adult, 40-64 $725 N/A $725
New Patient Preventive Care Visit for Adult, Ages 18-39 $641 N/A $641
New Patient Preventive Care Visit for Child, Ages 1-4 $544 N/A $544
New Patient Preventive Care Visit for Child, Ages 5-11 $544 N/A $544
New Patient Preventive Care Visit for Child, Under Age 1 $521 N/A $521
Office Visit for Established Patient, Basic $225 N/A $225
Office Visit for Established Patient, High Complexity $663 N/A $663
Office Visit for Established Patient, Low Complexity $312 N/A $312
Office Visit for Established Patient, Minimal Presenting Problem $135 N/A $135
Office Visit for Established Patient, Moderate Complexity $480 N/A $480
Office Visit for New Patient, High Complexity $943 N/A $943
Office Visit for New Patient, Moderate Complexity $753 N/A $753
Pneumococcal Vaccine for Children, Injected into Muscle $79 N/A $79
Pregnancy Test $84 N/A $84
Preventive Care Visit for Adolescent, Under Ages 12-17 $513 N/A $513
Preventive Care Visit for Adult, 40-64 $596 N/A $596
Preventive Care Visit for Adult, Ages 18-39 $513 N/A $513
Preventive Care Visit for Child, Under Age 1 $437 N/A $437
Preventive Care Visit for Child, Under Ages 1-4 $489 N/A $489
Preventive Care Visit for Child, Under Ages 5-11 $489 N/A $489
Screening Mammogram of Both Breasts $773 N/A $773
Skin Growth Removal, Premalignant or Precancerous $873 N/A $873
Skin Growth Removal, Up to 14, Benign or Noncancerous $1,002 N/A $1,002
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $79 N/A $79
Ultrasound of Breast $496 N/A $496
Ultrasound of Pelvis $826 N/A $826
Urinalysis, Manual Test $57 N/A $57
X-Ray of Chest, 2 Views $347 N/A $347
X-Ray of Fingers, 2 Views $209 N/A $209
X-Ray of Hand, 2 Views $552 N/A $552
X-Ray of Knee, 4 Views $335 N/A $335
X-Ray of Lower Leg, 2 Views $298 N/A $298
X-Ray of Neck, 4 to 5 Views $515 N/A $515