Amoskeag Women's Health

445 Cypress Street Suite, Suite 1 Manchester, NH 03103
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Blood Test - Complete Blood Cell Count and Automated WBC$520%$52
Blood Test - Thyroid Stimulating Hormone (TSH) Level$500%$50
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$270%$27
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$510%$51
Blood Test - Vitamin D-3 Level$890%$89
Lab Test - Detection test for HIV-1 and HIV-2$410%$41
Office Visit - Basic$960%$96
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2920%$292
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3370%$337
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2620%$262
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2790%$279
Office Visit - Established Patient, High Complexity$3180%$318
Office Visit - Established Patient, Low Complexity$1610%$161
Office Visit - Established Patient, Moderate Complexity$2380%$238
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$850%$85
Ultrasound - Pregnancy (outpatient)$2160%$216
Ultrasound - Pregnancy Follow-Up$2600%$260
Ultrasound - Transvaginal (non-maternity)$5190%$519
Urine Test - Automated with Microscope Examination$100%$10
Urine Test - Bacterial Culture, Quantitative Colony Count$850%$85
Urine Test - Chlamydia$1050%$105
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1050%$105
Urine Test - Pregnancy$190%$19
Urine Test - Urinalysis, Manual Test$80%$8
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$780%$78