Ammonoosuc Community Health Services

25 Mount Eustis Road Littleton, NH 03561
Medical Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Biopsy - Tangential Biopsy of Skin$914N/A$914
Blood Test - Blood Glucose Control (Hemoglobin A1C)$35N/A$35
Blood Test - Cholesterol Test, Lipid Panel$141N/A$141
Blood Test - Clotting Time$15N/A$15
Blood Test - Comprehensive Metabolic Panel$94N/A$94
Blood Test - Lead Level$39N/A$39
Blood Test - Prostate Specific Antigen (PSA) Level$156N/A$156
Destruction of Lesion (outpatient)$256N/A$256
Developmental Screening$26N/A$26
Electrocardiogram (ECG or EKG), with Report and Interpretation$301N/A$301
Lab Test - Detection for Strep (Streptococcus, group A)$42N/A$42
Lab Test - Detection test for Influenza Virus$32N/A$32
Office Visit - Basic$76N/A$76
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$266N/A$266
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$266N/A$266
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$289N/A$289
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$219N/A$219
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$198N/A$198
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$217N/A$217
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$219N/A$219
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$237N/A$237
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$198N/A$198
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$191N/A$191
Office Visit - Established Patient, High Complexity$260N/A$260
Office Visit - Established Patient, Low Complexity$122N/A$122
Office Visit - Established Patient, Moderate Complexity$185N/A$185
Office Visit - New Patient, Low Complexity$188N/A$188
Office Visit - New Patient, Minor$133N/A$133
Office Visit - New Patient, Moderate Complexity$277N/A$277
Psychiatric Diagnostic Evaluation$196 Near Average
State Average: 1
$196
Psychotherapy - 30 Minutes$81 Above Average
State Average: 1
$81
Psychotherapy - 45 Minutes$104 Below Average
State Average: 4
$104
Psychotherapy - 60 Minutes$152 Below Average
State Average: 5
$152
Psychotherapy - Family Session$135 Below Average
State Average: 3
$135
Urine Test - Pregnancy$25N/A$25
Urine Test - Urinalysis, Manual Test$11N/A$11
Vaccine - Influenza for Injection into Muscle$24N/A$24
Vaccine - Pneumococcal Conjugate for Injection into Muscle$236N/A$236
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$69N/A$69