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, Quantitative Colony Count $75 N/A $75
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
Chlamydia Test $120 N/A $120
Cholesterol Test, Lipid Panel $171 N/A $171
Clotting Time $19 N/A $19
Comprehensive Eye Exam $229 N/A $229
Detection for Strep (Streptococcus, group A) $37 N/A $37
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 Above Average
State Average: 3
 $176
Family Psychotherapy without Patient $126 Above Average
State Average: 1
 $126
Ferritin (Blood Protein) Level $130 N/A $130
General Health Panel $305 N/A $305
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $120 N/A $120
Hepatitis A Vaccine for Children, Injected into Muscle $294 N/A $294
Influenza Vaccine, Injected into Muscle $74 N/A $74
Iron Binding Capacity $53 N/A $53
Iron Level $50 N/A $50
Lab Test to Detect Coronavirus (COVID-19) Antigen $74 N/A $74
Lab Test to Detect HIV-1 and HIV-2 $125 N/A $125
Lab Test to Detect Influenza Virus $37 N/A $37
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $326 N/A $326
New Patient Preventive Care Visit for Adult, 40-64 $357 N/A $357
New Patient Preventive Care Visit for Adult, Ages 18-39 $326 N/A $326
New Patient Preventive Care Visit for Child, Ages 5-11 $284 N/A $284
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 $294 N/A $294
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
Pathology Examination of Tissue, Intermediate Complexity $45 N/A $45
Pregnancy Test $16 N/A $16
Presence of Drug $105 N/A $105
Preventive Care Visit for Adolescent, Under Ages 12-17 $273 N/A $273
Preventive Care Visit for Adult, 40-64 $336 N/A $336
Preventive Care Visit for Adult, Ages 18-39 $310 N/A $310
Preventive Care Visit for Child, Under Age 1 $208 N/A $208
Preventive Care Visit for Child, Under Ages 1-4 $263 N/A $263
Preventive Care Visit for Child, Under Ages 5-11 $208 N/A $208
Prostate Specific Antigen (PSA) Level, Total $171 N/A $171
Psychiatric Diagnostic Evaluation $310 Near Average
State Average: 1
 $310
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 $339 Below Average
State Average: 6
 $339
Skin Growth Removal, Premalignant or Precancerous $465 N/A $465
Telehealth Visit for Established Patient, 11-20 minutes $189 N/A $189
Urinalysis, Automated with Microscope Examination $55 N/A $55
Urinalysis, Automated without Microscope $21 N/A $21
Urinalysis, Manual Test $6 N/A $6
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $139 N/A $139
Vitamin D-3 Level $279 N/A $279