Ammonoosuc Community Health Services

25 Mount Eustis Road Littleton, NH 03561
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$3710%$371 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$350%$35 Medium
Blood Test - Cholesterol Test, Lipid Panel$1180%$118 Medium
Blood Test - Clotting Time$150%$15 Medium
Destruction of Lesion (outpatient)$5600%$560 Medium
Office Visit - Basic$760%$76 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$2660%$266 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2660%$266 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$2890%$289 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2190%$219 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2140%$214 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$1980%$198 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2170%$217 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2190%$219 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2370%$237 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$1980%$198 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$1910%$191 Medium
Office Visit - Established Patient, High Complexity$2600%$260 Medium
Office Visit - Established Patient, Low Complexity$1220%$122 Medium
Office Visit - Established Patient, Moderate Complexity$1850%$185 Medium
Office Visit - New Patient, Low Complexity$1880%$188 Medium
Office Visit - New Patient, Minor$1330%$133 Medium
Pap Test$1580%$158 Medium
Psychiatric Diagnostic Evaluation$1580%$158 Medium
Psychotherapy - 30 Minutes$810%$81 Medium
Psychotherapy - 45 Minutes$1040%$104 Medium
Psychotherapy - 60 Minutes$1580%$158 Medium
Psychotherapy - Family Session$1310%$131 Medium
Strep Test (Streptococcus, group A)$420%$42 Medium
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$1190%$119 Medium
Urine Test - Automated without Microscope$330%$33 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$2240%$224 Medium
Urine Test - Pregnancy$250%$25 Medium