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 - Head/Brain, without dye$9070%$907 Medium
Mammogram (outpatient)$7010%$701 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)$9440%$944 Medium
Ultrasound - Pregnancy (outpatient)$6440%$644 Medium
Ultrasound - Pregnancy follow-up$5190%$519 High
Ultrasound - Transvaginal (non-maternity)$7060%$706 Medium
X-Ray - Abdomen$4120%$412 Medium
X-Ray - Chest (outpatient)$4970%$497 Medium
X-Ray - Foot (outpatient)$4900%$490 Medium
X-Ray - Hand$5830%$583 Medium
X-Ray - Hip$6350%$635 Medium
X-Ray - Knee (outpatient)$5060%$506 Medium
X-Ray - Middle Back (Spine, Thoracic)$9580%$958 Medium
X-Ray - Shoulder (outpatient)$5230%$523 Medium
X-Ray - Spine (outpatient)$6900%$690 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)$14170%$1417 Medium
Biopsy, endometrial (uterus)$7990%$799 Medium
Breast Biopsy$30390%$3039 High
Colonoscopy with biopsy (outpatient)$52640%$5264 Medium
Colonoscopy with polyp removal (outpatient)$51570%$5157 Medium
Diagnostic colonoscopy (outpatient)$43760%$4376 Medium
Fetal Non-Stress Test$5890%$589 Medium
Upper Gastrointestinal Endoscopy, with biopsy$43310%$4331 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$4410%$441 Medium
Office Visit, New Pt, Minor$1970%$197 Medium
Office Visit, New Pt, Low$2890%$289 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$3260%$326 Medium
Comp Preventive Medicine 40-64 yrs old$3700%$370 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 Room Visit - Very Minor (outpatient)$1890%$189 Medium
Emergency Department Visit - Low Complexity (outpatient)$2030%$203 Medium
Emergency Room Visit - Medium (outpatient)$3000%$300 Medium