Ammonoosuc Community Health Services
25 Mount Eustis Road Littleton, NH 03561
Medical Procedures
Outpatient Tests and Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Arthrocentesis (outpatient) | $368 | 0% | $368 | Medium |
| Destruction of Lesion (outpatient) | $444 | 0% | $444 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for blood glucose control (Hemoglobin A1C) | $35 | 0% | $35 | Medium |
| Blood test for clotting time | $15 | 0% | $15 | Medium |
| Hepatic (Liver) Function Panel | $201 | 0% | $201 | Medium |
| Lipid Panel - Cholesterol Test | $118 | 0% | $118 | Medium |
| Pap Test | $158 | 0% | $158 | Medium |
| Pregnancy test, urine | $25 | 0% | $25 | Medium |
| Test for disease-causing (pathogenic) organisms, not limited to a specific condition | $119 | 0% | $119 | Medium |
| Strep Test (Streptococcus, group A) | $42 | 0% | $42 | Medium |
| Urinalysis test automated without microscope | $33 | 0% | $33 | Medium |
Behavioral Health Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| 30 Minute - Psychotherapy | $81 | 0% | $81 | Medium |
| 45 Minute - Psychotherapy | $104 | 0% | $104 | Medium |
| 60 Minute - Psychotherapy | $158 | 0% | $158 | Medium |
| Diagnostic Evaluation - Psychiatric | $158 | 0% | $158 | Medium |
| Family Session - Psychotherapy | $131 | 0% | $131 | Medium |