Appledore Medical Group

155 Borthwick Avenue, Suite 101 East Portsmouth, NH 03801
http://appledoremedicalgroup.com/
(603) 294-1231
11 Whitehall Road Rochester, NH 03867
(603) 522-6163
17A Tatro Drive, Suite 201 Goffstown, NH 03045
(603) 314-4500
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

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 $486 N/A $486
Bacterial Culture, Quantitative Colony Count $79 N/A $79
Basic Metabolic Panel $46 N/A $46
Blood Count (Hemoglobin) $11 N/A $11
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
C-reactive Protein (CRP) Level $18 N/A $18
Cholesterol Test, Lipid Panel $108 N/A $108
Clotting Time $19 N/A $19
Coagulation Assessment $53 N/A $53
Complete Blood Cell Count (Hemoglobin) $34 N/A $34
Complete Blood Cell Count and Automated White Blood Cells $34 N/A $34
Comprehensive Metabolic Panel $51 N/A $51
Detection for Strep (Streptococcus, group A) $37 N/A $37
Detection Test for Human Papillomavirus (HPV) $192 N/A $192
Developmental Screening $21 N/A $21
Electrocardiogram (ECG or EKG) With Report and Interpretation $64 N/A $64
Electrocardiogram (ECG or EKG) With Tracing $33 N/A $33
Electrocardiogram (ECG or EKG), Report and Interpretation Only $28 N/A $28
Family Psychotherapy with Patient $197 Above Average
State Average: 3
 $197
Family Psychotherapy without Patient $164 Above Average
State Average: 1
 $164
Ferritin (Blood Protein) Level $87 N/A $87
General Health Panel $200 N/A $200
Group Psychotherapy $85 Above Average
State Average: 4
 $85
Hepatitis A Vaccine for Adults, Injected into Muscle $228 N/A $228
Hepatitis A Vaccine for Children, Injected into Muscle $161 N/A $161
Human Papilloma Virus Vaccine, Injected into Muscle $76 N/A $76
Influenza Vaccine, Injected into Muscle $124 N/A $124
Iron Binding Capacity $47 N/A $47
Iron Level $35 N/A $35
Lab Test to Detect Coronavirus (COVID-19) Antigen $100 N/A $100
Lab Test to Detect Influenza Virus $37 N/A $37
Lab Test to Measure Creatinine Level $67 N/A $67
Lead Level $55 N/A $55
Magnesium Level $58 N/A $58
Manual Physical Therapy $17 Above Average
State Average: 4
 $17
Meningococcus Vaccine, Injected into Muscle $76 N/A $76
Microalbumin (Protein) Level $75 N/A $75
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $285 N/A $285
New Patient Preventive Care Visit for Adult, 40-64 $297 N/A $297
New Patient Preventive Care Visit for Adult, Ages 18-39 $315 N/A $315
New Patient Preventive Care Visit for Child, Ages 1-4 $217 N/A $217
New Patient Preventive Care Visit for Child, Ages 5-11 $216 N/A $216
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 $318 N/A $318
Office Visit for Established Patient, Low Complexity $194 N/A $194
Office Visit for Established Patient, Minimal Presenting Problem $50 N/A $50
Office Visit for Established Patient, Moderate Complexity $237 N/A $237
Office Visit for New Patient, High Complexity $721 N/A $721
Office Visit for New Patient, Low Complexity $263 N/A $263
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 $136 N/A $136
Phosphate Level $29 N/A $29
Pneumococcal Vaccine for Children, Injected into Muscle $76 N/A $76
Pregnancy Test $26 N/A $26
Presence of Drug $84 N/A $84
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 $273 N/A $273
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 $77 N/A $77
Prostate Specific Antigen (PSA) Level, Total $118 N/A $118
Psychiatric Diagnostic Evaluation $188 Near Average
State Average: 1
 $188
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: 3
 $158
Psychotherapy, 60 Minutes with Patient $184 Above Average
State Average: 6
 $184
Red Blood Cell Sedimentation Rate, Non-Automated $13 N/A $13
Rotovirus Vaccine, Oral Administration $35 N/A $35
Screening Mammogram of Both Breasts $998 N/A $998
Telehealth Visit for Established Patient, 11-20 minutes $160 N/A $160
Telehealth Visit for Established Patient, 21-30 minutes $281 N/A $281
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 $159 Below Average
State Average: 4
 $159
Thyroid Stimulating Hormone (TSH) Level $113 N/A $113
Thyroxine (Thyroid Chemical) Level, Free $85 N/A $85
Ultrasound of Heart (Echocardiogram) $3,405 N/A $3,405
Urinalysis, Automated with Microscope Examination $40 N/A $40
Urinalysis, Automated without Microscope $21 N/A $21
Urinalysis, Manual Test $13 N/A $13
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $49 N/A $49
Vitamin D-3 Level $301 N/A $301
X-Ray of Shoulder, 2 Views $551 N/A $551