Ammonoosuc Community Health Services

Medical Procedures
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Mammogram (outpatient)$6940%$694 Medium

Outpatient Tests and Procedures

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$3790%$379 High
Destruction of Lesion (outpatient)$4440%$444 Medium

Laboratory Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for blood glucose control (Hemoglobin A1C)$350%$35 Medium
Blood test for clotting time$150%$15 Medium
Blood test for TSH (thyroid stimulating hormone) level$1710%$171 Medium
Hepatic (Liver) Function Panel$2010%$201 Medium
Lipid Panel - Cholesterol Test$1290%$129 Medium
Pregnancy test, urine$250%$25 Medium
Test for disease-causing (pathogenic) organisms, not limited to a specific condition$1180%$118 Medium
Strep Test (Streptococcus, group A)$420%$42 Medium

Behavioral Health Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
30 Minute - Psychotherapy$810%$81 Medium
45 Minute - Psychotherapy$1040%$104 Medium
60 Minute - Psychotherapy$1580%$158 Medium
Diagnostic Evaluation - Psychiatric$2100%$210 Medium
Family Session - Psychotherapy$1310%$131 Medium