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) $47 N/A $47
Bone Density Scan $777 N/A $777
Brain MRI $7,589 N/A $7,589
CT Scan of Abdomen and Pelvis, With Contrast $2,752 N/A $2,752
CT Scan of Chest, With Contrast $2,318 N/A $2,318
Developmental Screening $77 N/A $77
Diagnostic Mammogram of Both Breasts $688 N/A $688
Diagnostic Mammogram of One Breast $565 N/A $565
Hepatitis A Vaccine for Children, Injected into Muscle $232 N/A $232
Human Papilloma Virus Vaccine, Injected into Muscle $67 N/A $67
Influenza Vaccine, Injected into Muscle $60 N/A $60
Knee MRI $4,205 N/A $4,205
Low Back MRI, Before and After Contrast $7,553 N/A $7,553
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $525 N/A $525
New Patient Preventive Care Visit for Child, Ages 1-4 $445 N/A $445
New Patient Preventive Care Visit for Child, Ages 5-11 $465 N/A $465
New Patient Preventive Care Visit for Child, Under Age 1 $450 N/A $450
Office Visit for Established Patient, High Complexity $557 N/A $557
Office Visit for Established Patient, Moderate Complexity $393 N/A $393
Office Visit for New Patient, Moderate Complexity $595 N/A $595
Pneumococcal Vaccine for Children, Injected into Muscle $71 N/A $71
Preventive Care Visit for Adolescent, Under Ages 12-17 $421 N/A $421
Preventive Care Visit for Adult, Ages 18-39 $460 N/A $460
Preventive Care Visit for Child, Under Age 1 $329 N/A $329
Preventive Care Visit for Child, Under Ages 1-4 $355 N/A $355
Preventive Care Visit for Child, Under Ages 5-11 $353 N/A $353
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 $272 N/A $272
X-Ray of Fingers, 2 Views $164 N/A $164
X-Ray of Knee, 4 Views $308 N/A $308
X-Ray of Lower Leg, 2 Views $233 N/A $233
X-Ray of Neck, 4 to 5 Views $403 N/A $403