Amoskeag Health

145 Hollis Street Manchester, NH 03101
http://www.mchc-nh.org/
(603) 626-9500
184 Tarrytown Road Manchester, NH 03103
(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%
Arthrocentesis $441 N/A $441
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
C-reactive Protein (CRP) Level $97 N/A $97
Cholesterol Test, Lipid Panel $161 N/A $161
Complete Blood Cell Count and Automated White Blood Cells $123 N/A $123
Comprehensive Eye Exam $229 N/A $229
Comprehensive Metabolic Panel $98 N/A $98
Detection for Strep (Streptococcus, group A) $27 N/A $27
Developmental Screening $16 N/A $16
Diagnostic Imaging of Optic Nerve in Eye $69 N/A $69
Electrocardiogram (ECG or EKG) With Report and Interpretation $84 N/A $84
Family Psychotherapy with Patient $176 Below Average
State Average: 3
 $176
Family Psychotherapy without Patient $147 Near Average
State Average: 1
 $147
Ferritin (Blood Protein) Level $225 N/A $225
Hepatitis A Vaccine for Children, Injected into Muscle $198 N/A $198
Hepatitis C Antibody Level $320 N/A $320
Lab Test to Detect Influenza Virus $37 N/A $37
Magnesium Level $145 N/A $145
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $420 N/A $420
New Patient Preventive Care Visit for Adult, 40-64 $383 N/A $383
New Patient Preventive Care Visit for Adult, Ages 18-39 $336 N/A $336
New Patient Preventive Care Visit for Child, Under Age 1 $263 N/A $263
Office Visit for Established Patient, Basic $102 N/A $102
Office Visit for Established Patient, High Complexity $394 N/A $394
Office Visit for Established Patient, Low Complexity $162 N/A $162
Office Visit for Established Patient, Minimal Presenting Problem $42 N/A $42
Office Visit for Established Patient, Moderate Complexity $315 N/A $315
Office Visit for New Patient, High Complexity $410 N/A $410
Office Visit for New Patient, Low Complexity $202 N/A $202
Office Visit for New Patient, Minor Complexity $130 N/A $130
Office Visit for New Patient, Moderate Complexity $341 N/A $341
Pregnancy Test $16 N/A $16
Preventive Care Visit for Adolescent, Under Ages 12-17 $305 N/A $305
Preventive Care Visit for Adult, 40-64 $368 N/A $368
Preventive Care Visit for Adult, Ages 18-39 $310 N/A $310
Preventive Care Visit for Child, Under Age 1 $247 N/A $247
Preventive Care Visit for Child, Under Ages 1-4 $263 N/A $263
Preventive Care Visit for Child, Under Ages 5-11 $257 N/A $257
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
 $158
Psychotherapy, 30 Minutes with Patient $134 Above Average
State Average: 1
 $134
Psychotherapy, 45 Minutes with Patient $242 Below Average
State Average: 3
 $242
Psychotherapy, 60 Minutes with Patient $132 Below Average
State Average: 6
 $132
Rotovirus Vaccine, Oral Administration $21 N/A $21
Skin Growth Removal, Premalignant or Precancerous $499 N/A $499
Telehealth Visit for Established Patient, 11-20 minutes $189 N/A $189
Telehealth Visit for Established Patient, 5-10 minutes $126 N/A $126
Thyroid Stimulating Hormone (TSH) Level $206 N/A $206
Urinalysis, Automated without Microscope $21 N/A $21
Urinalysis, Manual Test $6 N/A $6
Vitamin B-12 (Cyanocobalamin) Level $225 N/A $225
Vitamin D-3 Level $315 N/A $315