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%
Blood Glucose Control (Hemoglobin A1C) $21 N/A $21
Chlamydia Test $129 N/A $129
Cholesterol Test, Lipid Panel $103 N/A $103
Clotting Time $11 N/A $11
Detection for Strep (Streptococcus, group A) $26 N/A $26
Detection Test for Human Papillomavirus (HPV) $357 N/A $357
Developmental Screening $42 N/A $42
Electrocardiogram (ECG or EKG) With Report and Interpretation $326 N/A $326
General Health Panel $190 N/A $190
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $129 N/A $129
Hepatic (Liver) Function Panel $113 N/A $113
Influenza Vaccine, Injected into Muscle $34 N/A $34
Lab Test to Detect Influenza Virus $37 N/A $37
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $310 N/A $310
New Patient Preventive Care Visit for Adult, 40-64 $341 N/A $341
New Patient Preventive Care Visit for Adult, Ages 18-39 $294 N/A $294
New Patient Preventive Care Visit for Child, Ages 5-11 $268 N/A $268
New Patient Preventive Care Visit for Child, Under Age 1 $257 N/A $257
Office Visit for Established Patient, Basic $119 N/A $119
Office Visit for Established Patient, High Complexity $289 N/A $289
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 $263 N/A $263
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
Pneumococcal Conjugate Vaccine, Injected into Muscle $350 N/A $350
Pregnancy Test $21 N/A $21
Preventive Care Visit for Adolescent, Under Ages 12-17 $314 N/A $314
Preventive Care Visit for Adult, 40-64 $158 N/A $158
Preventive Care Visit for Adult, Ages 18-39 $321 N/A $321
Preventive Care Visit for Child, Under Age 1 $231 N/A $231
Preventive Care Visit for Child, Under Ages 1-4 $287 N/A $287
Preventive Care Visit for Child, Under Ages 5-11 $286 N/A $286
Prostate Specific Antigen (PSA) Level $61 N/A $61
Psychiatric Diagnostic Evaluation $347 Near Average
State Average: 1
$347
Psychotherapy, 30 Minutes with Patient $169 Near Average
State Average: 1
$169
Psychotherapy, 45 Minutes with Patient $126 Below Average
State Average: 4
$126
Psychotherapy, 60 Minutes with Patient $126 Below Average
State Average: 6
$126
Skin Growth Removal, Premalignant or Precancerous $446 N/A $446
Tangential Biopsy of Skin $323 N/A $323
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $93 N/A $93
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $95 N/A $95
Thyroxine (Thyroid Chemical) Level, Free $123 N/A $123
Urinalysis, Manual Test $5 N/A $5