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
Arthrocentesis (outpatient)$1,0010%$1,001
Bacterial Culture - Aerobic Isolates$280%$28
Bacterial Culture - Swab$460%$46
Biopsy - Breast$3,4940%$3,494
Biopsy - Endometrial (Uterus)$1,0710%$1,071
Blood Test - Basic Metabolic Panel$300%$30
Blood Test - Blood Glucose Control (Hemoglobin A1C)$340%$34
Blood Test - Cholesterol Test, Lipid Panel$820%$82
Blood Test - Clotting Time$170%$17
Blood Test - Coagulation Assessment$470%$47
Blood Test - Complete Blood Cell Count and Automated WBC$490%$49
Blood Test - Comprehensive Metabolic Panel$370%$37
Blood Test - Electrolytes Panel$470%$47
Blood Test - Ferritin (Blood Protein) Level$850%$85
Blood Test - Folic Acid Level$1110%$111
Blood Test - General Health Panel$1980%$198
Blood Test - Hepatic (Liver) Function Panel$650%$65
Blood Test - Hepatitis C Antibody Level$760%$76
Blood Test - Iron Level$440%$44
Blood Test - LDL Cholesterol Level$570%$57
Blood Test - Lipase (fat enzyme) Level$240%$24
Blood Test - Prostate Specific Antigen (PSA) Level$1140%$114
Blood Test - Renal (Kidney) Function Panel$970%$97
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1120%$112
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$620%$62
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$970%$97
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$570%$57
Blood Test - Vitamin D-3 Level$1510%$151
Bone Density Scan (outpatient)$4520%$452
Chiropractic Manipulative Treatment - Spinal, 1-2 Regions$470%$47
Chiropractic Manipulative Treatment - Spinal, 3-4 Regions$530%$53
Colonoscopy - Diagnostic (outpatient)$4,4950%$4,495
Colonoscopy - With Biopsy (outpatient)$5,5340%$5,534
Colonoscopy - With Polyp Removal (outpatient)$5,3880%$5,388
CT Scan - Abdomen and Pelvis, with Contrast$2,1440%$2,144
CT Scan - Chest, with Contrast (outpatient)$1,7500%$1,750
CT Scan - Head/Brain, without Contrast$8520%$852
Emergency Department Visit - Low Complexity (outpatient)$2190%$219
Emergency Department Visit - Minor (outpatient)$2050%$205
Emergency Department Visit - Moderate Complexity (outpatient)$3240%$324
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$390%$39
Fetal Non-Stress Test$7340%$734
Gall Bladder Surgery (outpatient)$11,5240%$11,524
Lab Test - Detection test for Hepatitis B Surface Antigen$640%$64
Lab Test - Detection test for HIV-1 and HIV-2$710%$71
Lab Test - Detection test for Influenza Virus$470%$47
Lab Test - Smear for Microorganism$230%$23
Mammogram (outpatient)$7670%$767
Office Visit - Basic$1390%$139
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$3680%$368
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$4240%$424
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2840%$284
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3100%$310
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3410%$341
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$3700%$370
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2840%$284
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2730%$273
Office Visit - Established Patient, High Complexity$4730%$473
Office Visit - Established Patient, Low Complexity$2210%$221
Office Visit - Established Patient, Moderate Complexity$3330%$333
Office Visit - New Patient, Low Complexity$3050%$305
Office Visit - New Patient, Minor$1970%$197
Physical Therapy - Low Complexity Evaluation$2890%$289
Physical Therapy - Manual Therapy$1160%$116
Physical Therapy - Moderate Complexity Evaluation$2890%$289
Physical Therapy - Neuromuscular Reeducation$420%$42
Physical Therapy - Therapeutic Activities$1370%$137
Physical Therapy - Therapeutic Exercises$1240%$124
Physical Therapy - Ultrasound Therapy$490%$49
Strep Test (Streptococcus, group A)$420%$42
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$450%$45
Ultrasound - Abdominal, Complete$6950%$695
Ultrasound - Abdominal, Limited$5280%$528
Ultrasound - Breast (outpatient)$8750%$875
Ultrasound - Head and Neck$5110%$511
Ultrasound - Pregnancy (outpatient)$5770%$577
Ultrasound - Pregnancy Follow-Up$5240%$524
Ultrasound - Transvaginal (non-maternity)$7410%$741
Upper Gastrointestinal Endoscopy - With Biopsy$4,4950%$4,495
Urine Capacity Measurement$7210%$721
Urine Test - Automated with Microscope Examination$330%$33
Urine Test - Automated without Microscope$250%$25
Urine Test - Bacterial Culture$530%$53
Urine Test - Bacterial Culture, Quantitative Colony Count$320%$32
Urine Test - Chlamydia$830%$83
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$950%$95
Urine Test - Microalbumin (Protein) Level$460%$46
Urine Test - Pregnancy$300%$30
Urine Test - Urinalysis, Manual Test$170%$17
Vaccine - Pneumococcal Conjugate for Injection into Muscle$2470%$247
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$790%$79
X-Ray - Abdomen$4180%$418
X-Ray - Ankle (outpatient)$5580%$558
X-Ray - Chest (outpatient)$5760%$576
X-Ray - Foot (outpatient)$5030%$503
X-Ray - Hand$6470%$647
X-Ray - Hip$6380%$638
X-Ray - Knee (outpatient)$5620%$562
X-Ray - Middle Back, Thoracic Spine$9900%$990
X-Ray - Shoulder (outpatient)$5730%$573
X-Ray - Spine (outpatient)$7540%$754
X-Ray - Wrist (outpatient)$4580%$458