Amoskeag Health

145 Hollis Street Manchester, NH 03101
http://www.mchc-nh.org/
(603) 626-9500

All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.

Methodology
Procedure Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured. 		Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
 		What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
Uninsured Discount: 0%
Bacterial Culture Swab $165 N/A $165
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
Cholesterol Test, Lipid Panel $129 N/A $129
Clotting Time $19 N/A $19
Complete Blood Cell Count (Hemoglobin) $56 N/A $56
Comprehensive Eye Exam $210 N/A $210
Comprehensive Metabolic Panel $70 N/A $70
Detection for Strep (Streptococcus, group A) $37 N/A $37
Developmental Screening $42 N/A $42
Diagnostic Imaging of Optic Nerve in Eye $95 N/A $95
Electrocardiogram (ECG or EKG) With Report and Interpretation $84 N/A $84
Family Psychotherapy with Patient $176 Above Average
State Average: 2
 $176
Family Psychotherapy without Patient $126 Above Average
State Average: 1
 $126
General Health Panel $190 N/A $190
Group Psychotherapy $74 Above Average
State Average: 5
 $74
Hepatitis A Vaccine for Children, Injected into Muscle $240 N/A $240
Human Papilloma Virus Vaccine, Injected into Muscle $50 N/A $50
Influenza Vaccine, Injected into Muscle $104 N/A $104
Lab Test to Detect Coronavirus (COVID-19) Antigen $74 N/A $74
Lab Test to Detect Influenza Virus $37 N/A $37
Magnesium Level $39 N/A $39
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $310 N/A $310
New Patient Preventive Care Visit for Adult, 40-64 $357 N/A $357
New Patient Preventive Care Visit for Adult, Ages 18-39 $315 N/A $315
New Patient Preventive Care Visit for Child, Ages 1-4 $263 N/A $263
New Patient Preventive Care Visit for Child, Ages 5-11 $326 N/A $326
Office Visit for Established Patient, Basic $119 N/A $119
Office Visit for Established Patient, High Complexity $368 N/A $368
Office Visit for Established Patient, Low Complexity $196 N/A $196
Office Visit for Established Patient, Minimal Presenting Problem $55 N/A $55
Office Visit for Established Patient, Moderate Complexity $294 N/A $294
Office Visit for New Patient, High Complexity $420 N/A $420
Office Visit for New Patient, Low Complexity $293 N/A $293
Office Visit for New Patient, Minor Complexity $203 N/A $203
Office Visit for New Patient, Moderate Complexity $341 N/A $341
Pap Test Screening, Automated with Manual Review $202 N/A $202
Pathology Examination of Tissue, Intermediate Complexity $467 N/A $467
Phosphate Level $39 N/A $39
Pneumococcal Vaccine for Children, Injected into Muscle $110 N/A $110
Pregnancy Test $26 N/A $26
Preventive Care Visit for Adolescent, Under Ages 12-17 $314 N/A $314
Preventive Care Visit for Adult, 40-64 $315 N/A $315
Preventive Care Visit for Adult, Ages 18-39 $321 N/A $321
Preventive Care Visit for Child, Under Age 1 $269 N/A $269
Preventive Care Visit for Child, Under Ages 1-4 $263 N/A $263
Preventive Care Visit for Child, Under Ages 5-11 $286 N/A $286
Prostate Specific Antigen (PSA) Level, Total $118 N/A $118
Psychiatric Diagnostic Evaluation $310 Near Average
State Average: 1
 $310
Psychotherapy, 30 Minutes with Patient $151 Near Average
State Average: 1
 $151
Psychotherapy, 45 Minutes with Patient $242 Below Average
State Average: 4
 $242
Psychotherapy, 60 Minutes with Patient $383 Below Average
State Average: 6
 $383
Screening Mammogram of Both Breasts $998 N/A $998
Skin Growth Removal, Premalignant or Precancerous $494 N/A $494
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $117 N/A $117
Thyroid Stimulating Hormone (TSH) Level $137 N/A $137
Thyroxine (Thyroid Chemical) Level, Free $154 N/A $154
Urinalysis, Automated without Microscope $48 N/A $48
Urinalysis, Manual Test $6 N/A $6
Urine Test with Examination $17 N/A $17