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 $389 N/A $389
Automated Pap Test Screening and Manual Rescreening $118 N/A $118
Automated with Microscope Examination $11 N/A $11
Automated without Microscope $8 N/A $8
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
Blood Count (Hemoglobin) $7 N/A $7
Blood Glucose (Sugar) Level $13 N/A $13
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 $117 N/A $117
Cholesterol Test, Lipid Panel $60 N/A $60
Clotting Time $13 N/A $13
Coagulation Assessment $32 N/A $32
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
Coronavirus (COVID-19) Antibody Level $96 N/A $96
Detection for Strep (Streptococcus, group A) $51 N/A $51
Detection Test for Hepatitis B Surface Antigen $53 N/A $53
Detection Test for Human Papillomavirus (HPV) $135 N/A $135
Developmental Screening $42 N/A $42
Electrocardiogram (ECG or EKG) With Report and Interpretation $336 N/A $336
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 $105 N/A $105
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $117 N/A $117
Hepatic (Liver) Function Panel $27 N/A $27
Hepatitis B Surface Antibody Level $61 N/A $61
Hepatitis C Antibody Level $113 N/A $113
High Complexity Physical Therapy Evaluation $137 Near Average
State Average: 1
$137
Influenza Vaccine, Injected into Muscle $62 N/A $62
Iron Binding Capacity $29 N/A $29
Iron Level $22 N/A $22
Lab Test to Detect Coronavirus (COVID-19) $106 N/A $106
Lab Test to Detect Coronavirus (COVID-19) Antigen $63 N/A $63
Lab Test to Detect Influenza Virus $51 N/A $51
Lab Test to Measure Creatinine Level $64 N/A $64
LDL Cholesterol Level $65 N/A $65
Lead Level $55 N/A $55
Lipase (Fat Enzyme) Level $51 N/A $51
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 Pap Test Screening $84 N/A $84
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 $341 N/A $341
New Patient Preventive Care Visit for Adult, Ages 18-39 $275 N/A $275
New Patient Preventive Care Visit for Child, Ages 1-4 $263 N/A $263
New Patient Preventive Care Visit for Child, Ages 5-11 $268 N/A $268
New Patient Preventive Care Visit for Child, Under Age 1 $211 N/A $211
Office Visit for Established Patient, Basic $89 N/A $89
Office Visit for Established Patient, High Complexity $318 N/A $318
Office Visit for Established Patient, Low Complexity $147 N/A $147
Office Visit for Established Patient, Minimal Presenting Problem $54 N/A $54
Office Visit for Established Patient, Moderate Complexity $237 N/A $237
Office Visit for New Patient, High Complexity $416 N/A $416
Office Visit for New Patient, Low Complexity $221 N/A $221
Office Visit for New Patient, Minor Complexity $151 N/A $151
Office Visit for New Patient, Moderate Complexity $334 N/A $334
Parathyroid Hormone (PTH) Level $101 N/A $101
Pathology Examination of Tissue, Intermediate Complexity $187 N/A $187
Pneumococcal Conjugate Vaccine, Injected into Muscle $347 N/A $347
Pregnancy Test $26 N/A $26
Presence of Drug $144 N/A $144
Preventive Care Visit for Adolescent, Under Ages 12-17 $226 N/A $226
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 $231 N/A $231
Preventive Care Visit for Child, Under Ages 1-4 $247 N/A $247
Preventive Care Visit for Child, Under Ages 5-11 $236 N/A $236
Prostate Specific Antigen (PSA) Level $61 N/A $61
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
$158
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 $137 Near Average
State Average: 6
$137
Red Blood Cell Sedimentation Rate, Non-Automated $13 N/A $13
Screening Mammogram of Both Breasts $998 N/A $998
Skin Growth Removal, Premalignant or Precancerous $508 N/A $508
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $98 N/A $98
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $130 N/A $130
Therapeutic Activities $43 Above Average
State Average: 3
$43
Therapeutic Exercises $162 Below Average
State Average: 4
$162
Thyroglobulin (Thyroid Protein) Antibody Level $39 N/A $39
Thyroid Stimulating Hormone (TSH) Level $56 N/A $56
Thyroxine (Thyroid Chemical) Level, Free $29 N/A $29
Total Protein Level $39 N/A $39
Triiodothyronine (T3) Thyroid Hormone Measurement $235 N/A $235
Urinalysis, Manual Test $8 N/A $8
Vitamin B-12 (Cyanocobalamin) Level $49 N/A $49
Vitamin D-3 Level $99 N/A $99
X-Ray of Shoulder $369 N/A $369