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) | $1417 | 0% | $1417 | Medium |
| Biopsy, endometrial (uterus) | $799 | 0% | $799 | Medium |
| Breast Biopsy | $3039 | 0% | $3039 | High |
| Colonoscopy with biopsy (outpatient) | $5264 | 0% | $5264 | Medium |
| Colonoscopy with polyp removal (outpatient) | $5157 | 0% | $5157 | Medium |
| Diagnostic colonoscopy (outpatient) | $4376 | 0% | $4376 | Medium |
| Fetal Non-Stress Test | $589 | 0% | $589 | Medium |
| Upper Gastrointestinal Endoscopy, with biopsy | $4331 | 0% | $4331 | 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 | $441 | 0% | $441 | Medium |
| Office Visit, New Pt, Minor | $197 | 0% | $197 | Medium |
| Office Visit, New Pt, Low | $289 | 0% | $289 | 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 | $326 | 0% | $326 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $370 | 0% | $370 | 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 Room Visit - Very Minor (outpatient) | $189 | 0% | $189 | Medium |
| Emergency Department Visit - Low Complexity (outpatient) | $203 | 0% | $203 | Medium |
| Emergency Room Visit - Medium (outpatient) | $300 | 0% | $300 | Medium |