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)$1,0050%$1,005 Medium
Bacterial Culture Swab$460%$46 Medium
Biopsy - Breast$3,5190%$3,519 Medium
Biopsy - Endometrial (Uterus)$9770%$977 Medium
Blood Test - Basic Metabolic Panel$300%$30 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$340%$34 Medium
Blood Test - Cholesterol Test, Lipid Panel$820%$82 Medium
Blood Test - Clotting Time$170%$17 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$490%$49 Medium
Blood Test - Comprehensive Metabolic Panel$370%$37 Medium
Blood Test - Electrolytes Panel$470%$47 Medium
Blood Test - Folic Acid Level$1030%$103 Medium
Blood Test - General Health Panel$1980%$198 Medium
Blood Test - Hepatic (Liver) Function Panel$650%$65 Medium
Blood Test - Hepatitis C Antibody Level$760%$76 Medium
Blood Test - LDL Cholesterol Level$550%$55 Medium
Blood Test - Lipase (fat enzyme) Level$220%$22 Medium
Blood Test - Prostate Specific Antigen (PSA) Level$1140%$114 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1120%$112 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$620%$62 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$570%$57 Medium
Blood Test - Vitamin D-3 Level$1510%$151 Medium
Bone Density Scan (outpatient)$4210%$421 Medium
Chiropractic Manipulative Treatment - Spinal, 3-4 Regions$530%$53 Medium
Colonoscopy - Diagnostic (outpatient)$4,4110%$4,411 Medium
Colonoscopy - With Biopsy (outpatient)$5,3530%$5,353 High
Colonoscopy - With Polyp Removal (outpatient)$5,2740%$5,274 Medium
CT Scan - Abdomen and Pelvis, with Contrast$2,0760%$2,076 Medium
CT Scan - Chest, with Contrast (outpatient)$1,6970%$1,697 Medium
CT Scan - Head/Brain, without Contrast$8520%$852 Medium
Emergency Department Visit - Low Complexity (outpatient)$2190%$219 Medium
Emergency Department Visit - Minor (outpatient)$1970%$197 Medium
Emergency Department Visit - Moderate Complexity (outpatient)$3000%$300 Medium
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$390%$39 Medium
Fetal Non-Stress Test$7540%$754 Medium
Gall Bladder Surgery (outpatient)$13,0970%$13,097 Medium
Mammogram (outpatient)$7670%$767 Medium
Office Visit - Basic$1390%$139 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$3650%$365 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, 1-4 Years Old$2840%$284 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 - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2730%$273 Medium
Office Visit - Established Patient, High Complexity$4410%$441 Medium
Office Visit - Established Patient, Low Complexity$2230%$223 Medium
Office Visit - Established Patient, Moderate Complexity$3330%$333 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 - Low Complexity Evaluation$2890%$289 Medium
Physical Therapy - Manual Therapy$1160%$116 Medium
Physical Therapy - Moderate Complexity Evaluation$2890%$289 Medium
Physical Therapy - Neuromuscular Reeducation$420%$42 Medium
Physical Therapy - Therapeutic Activities$1310%$131 Medium
Physical Therapy - Therapeutic Exercises$1240%$124 Medium
Physical Therapy - Ultrasound Therapy$490%$49 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$6970%$697 Medium
Ultrasound - Abdominal, Limited$5280%$528 Medium
Ultrasound - Breast (outpatient)$6780%$678 High
Ultrasound - Head and Neck$5110%$511 Medium
Ultrasound - Pregnancy (outpatient)$6440%$644 Medium
Ultrasound - Pregnancy Follow-Up$6480%$648 Medium
Ultrasound - Transvaginal (non-maternity)$7410%$741 Medium
Upper Gastrointestinal Endoscopy - With Biopsy$4,4290%$4,429 Medium
Urine Capacity Measurement$7470%$747 High
Urine Test - Automated with Microscope Examination$330%$33 Medium
Urine Test - Automated without Microscope$250%$25 Medium
Urine Test - Bacterial Culture$500%$50 Medium
Urine Test - Bacterial Culture, Quantitative Colony Count$320%$32 Medium
Urine Test - Chlamydia$830%$83 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$950%$95 Medium
Urine Test - Pregnancy$270%$27 Medium
X-Ray - Abdomen$4230%$423 Medium
X-Ray - Ankle (outpatient)$5050%$505 High
X-Ray - Chest (outpatient)$5700%$570 Medium
X-Ray - Foot (outpatient)$4990%$499 Medium
X-Ray - Hand$5800%$580 Medium
X-Ray - Hip$6130%$613 Medium
X-Ray - Knee (outpatient)$5250%$525 High
X-Ray - Middle Back, Thoracic Spine$7070%$707 Medium
X-Ray - Shoulder (outpatient)$5590%$559 Medium
X-Ray - Spine (outpatient)$7600%$760 Medium
X-Ray - Wrist (outpatient)$4890%$489 Medium