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
Arthrocentesis (outpatient)$3010%$301
Biopsy - Tangential Biopsy of Skin$9140%$914
Blood Test - Blood Glucose Control (Hemoglobin A1C)$350%$35
Blood Test - Cholesterol Test, Lipid Panel$1410%$141
Blood Test - Clotting Time$150%$15
Blood Test - Comprehensive Metabolic Panel$940%$94
Blood Test - Prostate Specific Antigen (PSA) Level$1560%$156
Lab Test - Detection test for Influenza Virus$320%$32
Office Visit - Basic$760%$76
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$2660%$266
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2660%$266
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$2890%$289
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2190%$219
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$1980%$198
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2170%$217
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2190%$219
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2370%$237
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$1980%$198
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$1910%$191
Office Visit - Established Patient, High Complexity$2600%$260
Office Visit - Established Patient, Low Complexity$1220%$122
Office Visit - Established Patient, Moderate Complexity$1850%$185
Office Visit - New Patient, Low Complexity$1880%$188
Office Visit - New Patient, Minor$1330%$133
Office Visit - New Patient, Moderate Complexity$2770%$277
Psychiatric Diagnostic Evaluation$1960%$196
Psychotherapy - 30 Minutes$810%$81
Psychotherapy - 45 Minutes$1040%$104
Psychotherapy - 60 Minutes$1520%$152
Psychotherapy - Family Session$1580%$158
Strep Test (Streptococcus, group A)$420%$42
Urine Test - Pregnancy$250%$25
Urine Test - Urinalysis, Manual Test$110%$11
Vaccine - Pneumococcal Conjugate for Injection into Muscle$2280%$228
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$690%$69