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 $5,229 N/A $5,229
Biopsy of Skin Lesion $1,968 N/A $1,968
Blood Count (Hemoglobin) $53 N/A $53
Blood Glucose Control (Hemoglobin A1C) $61 N/A $61
Bone Density Scan $1,049 N/A $1,049
Brain MRI $10,243 N/A $10,243
CT Scan of Abdomen and Pelvis, With Contrast $3,714 N/A $3,714
CT Scan of Chest, With Contrast $3,129 N/A $3,129
Detection for Strep (Streptococcus, group A) $152 N/A $152
Developmental Screening $104 N/A $104
Diagnostic Mammogram of Both Breasts $795 N/A $795
Diagnostic Mammogram of One Breast $654 N/A $654
Hepatitis A Vaccine for Children, Injected into Muscle $707 N/A $707
Human Papilloma Virus Vaccine, Injected into Muscle $84 N/A $84
Knee MRI $4,858 N/A $4,858
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $679 N/A $679
New Patient Preventive Care Visit for Adult, 40-64 $769 N/A $769
New Patient Preventive Care Visit for Adult, Ages 18-39 $679 N/A $679
New Patient Preventive Care Visit for Child, Ages 5-11 $576 N/A $576
New Patient Preventive Care Visit for Child, Under Age 1 $552 N/A $552
Office Visit for Established Patient, Basic $238 N/A $238
Office Visit for Established Patient, High Complexity $702 N/A $702
Office Visit for Established Patient, Low Complexity $331 N/A $331
Office Visit for Established Patient, Minimal Presenting Problem $144 N/A $144
Office Visit for Established Patient, Moderate Complexity $509 N/A $509
Office Visit for New Patient, High Complexity $1,000 N/A $1,000
Office Visit for New Patient, Low Complexity $510 N/A $510
Office Visit for New Patient, Moderate Complexity $753 N/A $753
Pregnancy Test $89 N/A $89
Preventive Care Visit for Adolescent, Under Ages 12-17 $545 N/A $545
Preventive Care Visit for Adult, 40-64 $632 N/A $632
Preventive Care Visit for Adult, Ages 18-39 $545 N/A $545
Preventive Care Visit for Child, Under Age 1 $464 N/A $464
Preventive Care Visit for Child, Under Ages 1-4 $519 N/A $519
Preventive Care Visit for Child, Under Ages 5-11 $519 N/A $519
Screening Mammogram of Both Breasts $820 N/A $820
Skin Growth Removal, Premalignant or Precancerous $926 N/A $926
Skin Growth Removal, Up to 14, Benign or Noncancerous $1,021 N/A $1,021
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $84 N/A $84
Transvaginal Ultrasound (Non-Maternity) $1,015 N/A $1,015
Ultrasound of Breast $526 N/A $526
Urinalysis, Manual Test $60 N/A $60
X-Ray of Chest, 2 Views $368 N/A $368
X-Ray of Fingers, 2 Views $222 N/A $222
X-Ray of Hand, 2 Views $586 N/A $586
X-Ray of Knee, 4 Views $355 N/A $355
X-Ray of Lower Leg, 2 Views $316 N/A $316
X-Ray of Neck, 4 to 5 Views $545 N/A $545