Appledore Medical Group

155 Borthwick Avenue, Suite 101 East Portsmouth, NH 03801
http://appledoremedicalgroup.com/
(603) 294-1231
14 Maple Street Gilford, NH 03249
(603) 522-6163
195 MCGregor Street Manchester, NH 03102
(603) 663-6549
6 Tsiienneto Road Derry, NH 03038
(603) 434-7444
188 Route 100 Bedford, NH 03110
(603) 663-8052
11 Kimball Drive Hooksett, NH 03106
(603) 314-5980
7C Mill Road Plaza Durham, NH 03824
(603) 431-2516
55 High Street Hampton, NH 03842
(603) 929-2137
11 Whitehall Road Rochester, NH 03867
(603) 522-6163
17A Tatro Drive, Suite 201 Goffstown, NH 03045
(603) 314-4500

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%
Arthrocentesis $448 N/A $448
Bilirubin Level $30 N/A $30
Blood Count (Hemoglobin) $8 N/A $8
Blood Glucose (Sugar) Level $14 N/A $14
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
Blood Typing (ABO) $54 N/A $54
Blood Typing (Rh (D)) $54 N/A $54
Cholesterol Test, Lipid Panel $108 N/A $108
Complete Blood Cell Count (Hemoglobin) $40 N/A $40
Comprehensive Metabolic Panel $43 N/A $43
Detection for Strep (Streptococcus, group A) $53 N/A $53
Detection Test for Hepatitis B Surface Antigen $101 N/A $101
Developmental Screening $24 N/A $24
Electrocardiogram (ECG or EKG) With Report and Interpretation $54 N/A $54
Electrocardiogram (ECG or EKG), Report and Interpretation Only $27 N/A $27
Family Psychotherapy with Patient $197 Above Average
State Average: 3
 $197
Family Psychotherapy without Patient $164 Near Average
State Average: 1
 $164
Ferritin (Blood Protein) Level $91 N/A $91
Folic Acid Level $96 N/A $96
General Health Panel $200 N/A $200
Group Psychotherapy $28 Near Average
State Average: 4
 $28
Hepatitis A Vaccine for Adults, Injected into Muscle $287 N/A $287
Hepatitis A Vaccine for Children, Injected into Muscle $332 N/A $332
Hepatitis C Antibody Level $174 N/A $174
Human Papilloma Virus Vaccine, Injected into Muscle $63 N/A $63
Iron Binding Capacity $55 N/A $55
Iron Level $47 N/A $47
Lab Test to Detect Coronavirus (COVID-19) Antigen $40 N/A $40
Lab Test to Detect Influenza Virus $37 N/A $37
Lead Level $39 N/A $39
Lipase (Fat Enzyme) Level $78 N/A $78
Meningococcus Vaccine, Injected into Muscle $76 N/A $76
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $331 N/A $331
New Patient Preventive Care Visit for Adult, 40-64 $370 N/A $370
New Patient Preventive Care Visit for Adult, Ages 18-39 $320 N/A $320
New Patient Preventive Care Visit for Child, Ages 1-4 $280 N/A $280
New Patient Preventive Care Visit for Child, Ages 5-11 $231 N/A $231
New Patient Preventive Care Visit for Child, Under Age 1 $242 N/A $242
Office Visit for Established Patient, Basic $141 N/A $141
Office Visit for Established Patient, High Complexity $440 N/A $440
Office Visit for Established Patient, Low Complexity $223 N/A $223
Office Visit for Established Patient, Minimal Presenting Problem $58 N/A $58
Office Visit for Established Patient, Moderate Complexity $313 N/A $313
Office Visit for New Patient, High Complexity $762 N/A $762
Office Visit for New Patient, Low Complexity $275 N/A $275
Office Visit for New Patient, Minor Complexity $181 N/A $181
Office Visit for New Patient, Moderate Complexity $407 N/A $407
Pregnancy Test $27 N/A $27
Preventive Care Visit for Adolescent, Under Ages 12-17 $280 N/A $280
Preventive Care Visit for Adult, 40-64 $308 N/A $308
Preventive Care Visit for Adult, Ages 18-39 $286 N/A $286
Preventive Care Visit for Child, Under Age 1 $244 N/A $244
Preventive Care Visit for Child, Under Ages 1-4 $258 N/A $258
Preventive Care Visit for Child, Under Ages 5-11 $257 N/A $257
Prostate Specific Antigen (PSA) Level, Total $118 N/A $118
Psychiatric Diagnostic Evaluation $184 Near Average
State Average: 1
 $184
Psychotherapy with Evaluation and Management, 45 Minutes with Patient $168 Near Average
State Average: 1
 $168
Psychotherapy, 30 Minutes with Patient $137 Near Average
State Average: 1
 $137
Psychotherapy, 45 Minutes with Patient $160 Above Average
State Average: 3
 $160
Psychotherapy, 60 Minutes with Patient $184 Below Average
State Average: 6
 $184
Rotovirus Vaccine, Oral Administration $23 N/A $23
Screening Mammogram of Both Breasts $1,092 N/A $1,092
Telehealth Visit for Established Patient, 11-20 minutes $189 N/A $189
Telehealth Visit for Established Patient, 21-30 minutes $202 N/A $202
Telehealth Visit for Established Patient, 5-10 minutes $87 N/A $87
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $54 N/A $54
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $76 N/A $76
Therapeutic Exercises $17 Above Average
State Average: 4
 $17
Thyroglobulin (Thyroid Protein) Antibody Level $112 N/A $112
Thyroid Stimulating Hormone (TSH) Level $115 N/A $115
Thyroxine (Thyroid Chemical) Level, Free $129 N/A $129
Triiodothyronine (T3) Thyroid Hormone Measurement $241 N/A $241
Ultrasound of Heart (Echocardiogram) $3,405 N/A $3,405
Urinalysis, Automated with Microscope Examination $11 N/A $11
Urinalysis, Automated without Microscope $7 N/A $7
Urinalysis, Manual Test $9 N/A $9
Vitamin B-12 (Cyanocobalamin) Level $131 N/A $131
Vitamin D-3 Level $348 N/A $348
X-Ray of Shoulder, 2 Views $551 N/A $551