Anna Jaques Hospital

25 Highland Avenue Newburyport, MA 01950
Medical Procedures
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Bone Density Scan (outpatient)$4210%$421 Medium
CT - Abdomen & Pelvis, with contrast$20180%$2018 Medium
CT - Chest (outpatient)$16420%$1642 Medium
CT - Head/Brain, without dye$8010%$801 Medium
Mammogram (outpatient)$6960%$696 Medium
Myocardial Imaging (outpatient)$53320%$5332 Medium
Ultrasound - Abdominal, Complete$6550%$655 Medium
Ultrasound - Abdominal, Limited$4980%$498 Medium
Ultrasound - Breast (outpatient)$3970%$397 Medium
Ultrasound - Head and Neck$4820%$482 Medium
Ultrasound - Pelvic (outpatient)$10210%$1021 Medium
Ultrasound - Pregnancy (outpatient)$6440%$644 Medium
Ultrasound - Pregnancy follow-up$5450%$545 Medium
Ultrasound - Transvaginal (non-maternity)$7060%$706 Medium
X-Ray - Abdomen$4010%$401 High
X-Ray - Chest (outpatient)$5150%$515 Medium
X-Ray - Foot (outpatient)$4850%$485 Medium
X-Ray - Hand$5530%$553 Medium
X-Ray - Hip$5320%$532 Medium
X-Ray - Knee (outpatient)$4880%$488 Medium
X-Ray - Middle Back (Spine, Thoracic)$8880%$888 Medium
X-Ray - Neck (Spine, Cervical)$8480%$848 High
X-Ray - Shoulder (outpatient)$5920%$592 Medium
X-Ray - Spine (outpatient)$6950%$695 Medium
X-Ray - Wrist (outpatient)$6210%$621 Medium

Outpatient Tests and Procedures

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$12280%$1228 Medium
Arthroscopic Knee Surgery (outpatient)$105270%$10527 High
Biopsy, endometrial (uterus)$10130%$1013 Medium
Biopsy, Skin lesion$5670%$567 Medium
Breast Biopsy$30230%$3023 High
Colonoscopy with biopsy (outpatient)$53480%$5348 Medium
Colonoscopy with polyp removal (outpatient)$51530%$5153 Medium
Destruction of Lesion (outpatient)$2150%$215 Medium
Diagnostic colonoscopy (outpatient)$43620%$4362 Medium
Fetal Non-Stress Test$4760%$476 Medium
Upper Gastrointestinal Endoscopy, with biopsy$40810%$4081 Medium

Physical Therapy

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Low Complexity Evaluation - PT$2670%$267 Medium
Moderate Complexity Evaluation - PT$2670%$267 Medium
High Complexity Evaluation - PT$2670%$267 Medium
Manual Therapy - PT$1070%$107 Medium
Therapeutic Activities - PT$1260%$126 Medium
Therapeutic Exercises - PT$1160%$116 Medium
Electrical Stimulation Therapy - PT$330%$33 Medium
Neuromuscular Reeducation - PT$420%$42 Medium
Ultrasound Therapy - PT$450%$45 Medium

Behavioral Health Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
45 Minute - Psychotherapy$1470%$147 Medium
Diagnostic Evaluation - Psychiatric$1790%$179 Medium

Chiropractic Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
3-4 Region Manipulation - Chiropractic$530%$53 Medium

Office Visits

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Basic Office Visit$1390%$139 Medium
Office Visit, Established Pt$2100%$210 Medium
Office Visit of Moderate Complexity$3100%$310 Medium
Office Visit of Moderate to High Complexity$3940%$394 Medium
Office Visit, New Pt, Minor$1970%$197 Medium
Office Visit, New Pt, Low$2860%$286 Medium
Comp Preventive Medicine younger than 1 yrs old$1890%$189 Medium
Comp Preventive Medicine 1-4 yrs old$2840%$284 Medium
Comp Preventive Medicine 5-11 yrs old$2840%$284 Medium
Comp Preventive Medicine 12-17 yrs old$3100%$310 Medium
Comp Preventive Medicine 18-39 yrs old$3170%$317 Medium
Comp Preventive Medicine 40-64 yrs old$3700%$370 Medium
New Patient, Comp Prevent Medicine younger than 1 yrs old$2630%$263 Medium
New Patient, Comp Prevent Medicine 18-39 yrs old$3610%$361 Medium
New Patient, Comp Prevent Medicine 40-64 yrs old$4240%$424 Medium

Emergency Visits

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Emergency Department Visit - Low Complexity (outpatient)$2030%$203 Medium
Emergency Room Visit - Medium (outpatient)$3000%$300 Medium