Anna Jaques Hospital
25 Highland Avenue Newburyport, MA 01950
Medical Procedures
Radiology Services
Outpatient Tests and Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Arthrocentesis (outpatient) | $1228 | 0% | $1228 | Medium |
| Arthroscopic Knee Surgery (outpatient) | $10527 | 0% | $10527 | High |
| Biopsy, endometrial (uterus) | $1013 | 0% | $1013 | Medium |
| Biopsy, Skin lesion | $567 | 0% | $567 | Medium |
| Breast Biopsy | $3023 | 0% | $3023 | High |
| Colonoscopy with biopsy (outpatient) | $5348 | 0% | $5348 | Medium |
| Colonoscopy with polyp removal (outpatient) | $5153 | 0% | $5153 | Medium |
| Destruction of Lesion (outpatient) | $215 | 0% | $215 | Medium |
| Diagnostic colonoscopy (outpatient) | $4362 | 0% | $4362 | Medium |
| Fetal Non-Stress Test | $476 | 0% | $476 | Medium |
| Upper Gastrointestinal Endoscopy, with biopsy | $4081 | 0% | $4081 | Medium |
Laboratory Services
Physical Therapy
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Low Complexity Evaluation - PT | $267 | 0% | $267 | Medium |
| Moderate Complexity Evaluation - PT | $267 | 0% | $267 | Medium |
| High Complexity Evaluation - PT | $267 | 0% | $267 | Medium |
| Manual Therapy - PT | $107 | 0% | $107 | Medium |
| Therapeutic Activities - PT | $126 | 0% | $126 | Medium |
| Therapeutic Exercises - PT | $116 | 0% | $116 | Medium |
| Electrical Stimulation Therapy - PT | $33 | 0% | $33 | Medium |
| Neuromuscular Reeducation - PT | $42 | 0% | $42 | Medium |
| Ultrasound Therapy - PT | $45 | 0% | $45 | Medium |
Behavioral Health Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| 45 Minute - Psychotherapy | $147 | 0% | $147 | Medium |
| Diagnostic Evaluation - Psychiatric | $179 | 0% | $179 | Medium |
Chiropractic Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| 3-4 Region Manipulation - Chiropractic | $53 | 0% | $53 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $139 | 0% | $139 | Medium |
| Office Visit, Established Pt | $210 | 0% | $210 | Medium |
| Office Visit of Moderate Complexity | $310 | 0% | $310 | Medium |
| Office Visit of Moderate to High Complexity | $394 | 0% | $394 | Medium |
| Office Visit, New Pt, Minor | $197 | 0% | $197 | Medium |
| Office Visit, New Pt, Low | $286 | 0% | $286 | Medium |
| Comp Preventive Medicine younger than 1 yrs old | $189 | 0% | $189 | Medium |
| Comp Preventive Medicine 1-4 yrs old | $284 | 0% | $284 | Medium |
| Comp Preventive Medicine 5-11 yrs old | $284 | 0% | $284 | Medium |
| Comp Preventive Medicine 12-17 yrs old | $310 | 0% | $310 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $317 | 0% | $317 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $370 | 0% | $370 | Medium |
| New Patient, Comp Prevent Medicine younger than 1 yrs old | $263 | 0% | $263 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $361 | 0% | $361 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $424 | 0% | $424 | Medium |
Emergency Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Emergency Department Visit - Low Complexity (outpatient) | $203 | 0% | $203 | Medium |
| Emergency Room Visit - Medium (outpatient) | $300 | 0% | $300 | Medium |