Anna Jaques Hospital

25 Highland Avenue Newburyport, MA 01950
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$1,2640%$1,264 Medium
Biopsy - Breast$3,3570%$3,357 Medium
Biopsy - Endometrial (Uterus)$8140%$814 Medium
Blood Test - Basic Metabolic Panel$280%$28 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$300%$30 Medium
Blood Test - Cholesterol Test, Lipid Panel$770%$77 Medium
Blood Test - Clotting Time$150%$15 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$460%$46 Medium
Blood Test - Comprehensive Metabolic Panel$350%$35 Medium
Blood Test - Electrolytes Panel$430%$43 Medium
Blood Test - General Health Panel$1860%$186 Medium
Blood Test - Hepatic (Liver) Function Panel$610%$61 Medium
Blood Test - Pregnancy (Obstetric) Panel$4330%$433 Medium
Blood Test - Prostate Specific Antigen (PSA) Level$1060%$106 Medium
Blood Test - Renal (Kidney) Function Panel$890%$89 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1050%$105 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$570%$57 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$530%$53 Medium
Blood Test - Vitamin D-3 Level$1410%$141 Medium
Bone Density Scan (outpatient)$4210%$421 Medium
Chiropractic Manipulative Treatment - Spinal, 3-4 Regions$530%$53 Medium
Colonoscopy - Diagnostic (outpatient)$4,1940%$4,194 Medium
Colonoscopy - With Biopsy (outpatient)$5,2060%$5,206 Medium
Colonoscopy - With Polyp Removal (outpatient)$5,1620%$5,162 Medium
CT Scan - Abdomen and Pelvis, with Contrast$2,0180%$2,018 Medium
CT Scan - Chest, with Contrast (outpatient)$1,6420%$1,642 Low
CT Scan - Head/Brain, without Contrast$8050%$805 Medium
Emergency Department Visit - Low Complexity (outpatient)$2030%$203 Medium
Emergency Department Visit - Minor (outpatient)$1890%$189 Medium
Emergency Department Visit - Moderate Complexity (outpatient)$3000%$300 Medium
Fetal Non-Stress Test$6690%$669 Medium
Mammogram (outpatient)$7290%$729 Medium
Myocardial Imaging (outpatient)$5,4890%$5,489 Medium
Office Visit - Basic$1390%$139 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$3610%$361 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$4240%$424 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3100%$310 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3410%$341 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$3700%$370 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2840%$284 Medium
Office Visit - Established Patient, High Complexity$4410%$441 Medium
Office Visit - Established Patient, Low Complexity$2100%$210 Medium
Office Visit - Established Patient, Moderate Complexity$3100%$310 Medium
Office Visit - New Patient, Low Complexity$3050%$305 Medium
Pap Test$840%$84 Medium
Physical Therapy - Electrical Stimulation Therapy$330%$33 Medium
Physical Therapy - High Complexity Evaluation$2670%$267 Medium
Physical Therapy - Low Complexity Evaluation$2670%$267 Medium
Physical Therapy - Manual Therapy$1070%$107 Medium
Physical Therapy - Moderate Complexity Evaluation$2670%$267 Medium
Physical Therapy - Neuromuscular Reeducation$420%$42 Medium
Physical Therapy - Therapeutic Activities$1260%$126 Medium
Physical Therapy - Therapeutic Exercises$1160%$116 Medium
Physical Therapy - Ultrasound Therapy$450%$45 Medium
Psychiatric Diagnostic Evaluation$1790%$179 Medium
Psychotherapy - 45 Minutes$1470%$147 Medium
Strep Test (Streptococcus, group A)$410%$41 Medium
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$410%$41 Medium
Ultrasound - Abdominal, Complete$6550%$655 Medium
Ultrasound - Abdominal, Limited$4980%$498 Medium
Ultrasound - Breast (outpatient)$6590%$659 High
Ultrasound - Head and Neck$4820%$482 Medium
Ultrasound - Pelvic (outpatient)$7570%$757 Medium
Ultrasound - Pregnancy (outpatient)$6440%$644 Medium
Ultrasound - Pregnancy Follow-Up$5820%$582 Medium
Ultrasound - Transvaginal (non-maternity)$8390%$839 Medium
Upper Gastrointestinal Endoscopy - With Biopsy$4,2970%$4,297 Medium
Urine Test - Automated with Microscope Examination$580%$58 Medium
Urine Test - Automated without Microscope$230%$23 Medium
Urine Test - Bacterial Culture$280%$28 Medium
Urine Test - Chlamydia$400%$40 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$870%$87 Medium
Urine Test - Pregnancy$250%$25 Medium
X-Ray - Abdomen$4460%$446 Medium
X-Ray - Chest (outpatient)$5500%$550 Medium
X-Ray - Foot (outpatient)$4850%$485 Medium
X-Ray - Hand$5550%$555 Medium
X-Ray - Hip$5440%$544 Medium
X-Ray - Knee (outpatient)$5840%$584 Medium
X-Ray - Middle Back, Thoracic Spine$9650%$965 Medium
X-Ray - Shoulder (outpatient)$4880%$488 Medium
X-Ray - Spine (outpatient)$7330%$733 Medium
X-Ray - Wrist (outpatient)$5060%$506 Medium