Appledore Medical Group

155 Borthwick Avenue, Suite 101 East Portsmouth, NH 03801
http://appledoremedicalgroup.com/
(603) 294-1231

All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.

Methodology
Procedure Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured. 		Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
 		What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
Uninsured Discount: 0%
Antinuclear Antibodies (ANA) Level $38 N/A $38
Arthrocentesis $488 N/A $488
Bacterial Culture $25 N/A $25
Bacterial Culture Swab $22 N/A $22
Bacterial Culture Swab for Aerobic Isolates $21 N/A $21
Bacterial Culture, Quantitative Colony Count $26 N/A $26
Basic Metabolic Panel $28 N/A $28
Bilirubin Level $17 N/A $17
Biopsy of Skin Lesion $1,012 N/A $1,012
Blood Count (Hemoglobin) $11 N/A $11
Blood Glucose Control (Hemoglobin A1C) $33 N/A $33
Borrelia Burgdorferi (Lyme disease) Antibody Level $57 N/A $57
C-reactive Protein (CRP) Level $18 N/A $18
Chlamydia Test $124 N/A $124
Cholesterol Test, Lipid Panel $60 N/A $60
Clotting Time $13 N/A $13
Coagulation Assessment $41 N/A $41
Complete Blood Cell Count (Hemoglobin) $22 N/A $22
Complete Blood Cell Count and Automated White Blood Cells $26 N/A $26
Comprehensive Metabolic Panel $35 N/A $35
Creatinine Level $18 N/A $18
Detection for Strep (Streptococcus, group A) $37 N/A $37
Detection Test for Hepatitis B Surface Antigen $27 N/A $27
Detection Test for Human Papillomavirus (HPV) $183 N/A $183
Developmental Screening $42 N/A $42
Electrocardiogram (ECG or EKG) With Report and Interpretation $64 N/A $64
Electrocardiogram (ECG or EKG) With Tracing $35 N/A $35
Electrocardiogram (ECG or EKG), Report and Interpretation Only $28 N/A $28
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $23 N/A $23
Family Psychotherapy with Patient $197 Above Average
State Average: 2
 $197
Family Psychotherapy without Patient $164 Near Average
State Average: 1
 $164
Ferritin (Blood Protein) Level $45 N/A $45
Folic Acid Level $49 N/A $49
General Health Panel $117 N/A $117
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $124 N/A $124
Group Psychotherapy $340 Near Average
State Average: 4
 $340
Hepatic (Liver) Function Panel $35 N/A $35
Hepatitis A Vaccine for Adults, Injected into Muscle $228 N/A $228
Hepatitis A Vaccine for Children, Injected into Muscle $313 N/A $313
Hepatitis B Core Antibody Level $32 N/A $32
Hepatitis B Surface Antibody Level $28 N/A $28
Hepatitis C Antibody Level $36 N/A $36
Human Papilloma Virus Vaccine, Injected into Muscle $76 N/A $76
Influenza Vaccine, Injected into Muscle $138 N/A $138
Iron Binding Capacity $29 N/A $29
Iron Level $22 N/A $22
Lab Test to Detect Coronavirus (COVID-19) Antigen $74 N/A $74
Lab Test to Detect Influenza Virus $37 N/A $37
Lab Test to Measure Creatinine Level $62 N/A $62
Lead Level $55 N/A $55
Lipase (Fat Enzyme) Level $60 N/A $60
Liver Enzyme (ALT or SGPT) Level $18 N/A $18
Liver Enzyme (AST or SGOT) Level $18 N/A $18
Magnesium Level $23 N/A $23
Manual Physical Therapy $141 Above Average
State Average: 4
 $141
Microalbumin (Protein) Level $19 N/A $19
Moderate Complexity Physical Therapy Evaluation $137 Near Average
State Average: 1
 $137
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $310 N/A $310
New Patient Preventive Care Visit for Adult, 40-64 $272 N/A $272
New Patient Preventive Care Visit for Adult, Ages 18-39 $234 N/A $234
New Patient Preventive Care Visit for Child, Ages 1-4 $226 N/A $226
New Patient Preventive Care Visit for Child, Ages 5-11 $273 N/A $273
New Patient Preventive Care Visit for Child, Under Age 1 $201 N/A $201
Office Visit for Established Patient, Basic $89 N/A $89
Office Visit for Established Patient, High Complexity $292 N/A $292
Office Visit for Established Patient, Low Complexity $147 N/A $147
Office Visit for Established Patient, Minimal Presenting Problem $58 N/A $58
Office Visit for Established Patient, Moderate Complexity $231 N/A $231
Office Visit for New Patient, High Complexity $416 N/A $416
Office Visit for New Patient, Low Complexity $241 N/A $241
Office Visit for New Patient, Minor Complexity $151 N/A $151
Office Visit for New Patient, Moderate Complexity $334 N/A $334
Pap Test Screening, Automated with Manual Review $130 N/A $130
Pap Test Screening, Manual $84 N/A $84
Phosphate Level $16 N/A $16
Pneumococcal Vaccine for Children, Injected into Muscle $76 N/A $76
Pregnancy Test $28 N/A $28
Presence of Drug $144 N/A $144
Preventive Care Visit for Adolescent, Under Ages 12-17 $205 N/A $205
Preventive Care Visit for Adult, 40-64 $224 N/A $224
Preventive Care Visit for Adult, Ages 18-39 $205 N/A $205
Preventive Care Visit for Child, Under Age 1 $169 N/A $169
Preventive Care Visit for Child, Under Ages 1-4 $188 N/A $188
Preventive Care Visit for Child, Under Ages 5-11 $187 N/A $187
Prostate Cancer Screening $240 N/A $240
Prostate Specific Antigen (PSA) Level, Total $61 N/A $61
Psychiatric Diagnostic Evaluation $184 Near Average
State Average: 1
 $184
Psychotherapy with Evaluation and Management, 45 Minutes with Patient $131 Below Average
State Average: 2
 $131
Psychotherapy, 30 Minutes with Patient $90 Near Average
State Average: 1
 $90
Psychotherapy, 45 Minutes with Patient $158 Near Average
State Average: 4
 $158
Psychotherapy, 60 Minutes with Patient $161 Near Average
State Average: 6
 $161
Red Blood Cell Sedimentation Rate, Non-Automated $13 N/A $13
Screening Mammogram of Both Breasts $975 N/A $975
Telehealth Visit for Established Patient, 11-20 minutes $198 N/A $198
Telehealth Visit for Established Patient, 21-30 minutes $288 N/A $288
Telehealth Visit for Established Patient, 5-10 minutes $121 N/A $121
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $26 N/A $26
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $76 N/A $76
Therapeutic Activities $43 Below Average
State Average: 3
 $43
Thyroglobulin (Thyroid Protein) Antibody Level $40 N/A $40
Thyroid Stimulating Hormone (TSH) Level $56 N/A $56
Thyroxine (Thyroid Chemical) Level, Free $29 N/A $29
Triiodothyronine (T3) Thyroid Hormone Measurement $44 N/A $44
Ultrasound of Heart (Echocardiogram) $2,316 N/A $2,316
Urea Nitrogen Level $13 N/A $13
Urinalysis, Automated with Microscope Examination $11 N/A $11
Urinalysis, Automated without Microscope $8 N/A $8
Urinalysis, Manual Test $5 N/A $5
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $49 N/A $49
Vitamin D-3 Level $99 N/A $99
X-Ray of Ankle, 3 Views $106 N/A $106
X-Ray of Knee, 3 Views $120 N/A $120
X-Ray of Knee, 4 Views $138 N/A $138
X-Ray of Shoulder, 2 Views $101 N/A $101