Appledore Medical Group

155 Borthwick Avenue, Suite 101 East Portsmouth, NH 03801
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Arthrocentesis (outpatient)$3320%$332
Bacterial Culture - Aerobic Isolates$190%$19
Blood Test - Basic Metabolic Panel$280%$28
Blood Test - Blood Glucose Control (Hemoglobin A1C)$330%$33
Blood Test - Cholesterol Test, Lipid Panel$600%$60
Blood Test - Clotting Time$120%$12
Blood Test - Coagulation Assessment$470%$47
Blood Test - Complete Blood Cell Count (Hemoglobin)$220%$22
Blood Test - Complete Blood Cell Count and Automated WBC$260%$26
Blood Test - Comprehensive Metabolic Panel$350%$35
Blood Test - Ferritin (Blood Protein) Level$450%$45
Blood Test - Folic Acid Level$490%$49
Blood Test - General Health Panel$1040%$104
Blood Test - Hepatic (Liver) Function Panel$360%$36
Blood Test - Hepatitis C Antibody Level$820%$82
Blood Test - Iron Level$220%$22
Blood Test - Lipase (fat enzyme) Level$510%$51
Blood Test - Prostate Specific Antigen (PSA) Level$610%$61
Blood Test - Renal (Kidney) Function Panel$300%$30
Blood Test - Thyroid Stimulating Hormone (TSH) Level$560%$56
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$290%$29
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$2300%$230
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$490%$49
Blood Test - Vitamin D-3 Level$990%$99
Destruction of Lesion (outpatient)$3730%$373
Detection test for Human Papillomavirus (HPV)$2840%$284
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$630%$63
Lab Test - Detection test for Hepatitis B Surface Antigen$780%$78
Lab Test - Detection test for HIV-1 and HIV-2$1000%$100
Lab Test - Detection test for Influenza Virus$400%$40
Laryngoscopy - Diagnostic$4990%$499
Mammogram (outpatient)$9160%$916
Nasal Endoscopy - Diagnostic$6670%$667
Office Visit - Basic$890%$89
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2790%$279
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$2550%$255
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2340%$234
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3410%$341
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2680%$268
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2050%$205
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2470%$247
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2050%$205
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2050%$205
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2240%$224
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$1870%$187
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$1840%$184
Office Visit - Established Patient, High Complexity$3180%$318
Office Visit - Established Patient, Low Complexity$1470%$147
Office Visit - Established Patient, Moderate Complexity$2630%$263
Office Visit - New Patient, Low Complexity$2190%$219
Office Visit - New Patient, Minor$1860%$186
Office Visit - New Patient, Moderate Complexity$3830%$383
Pap Test$1280%$128
Psychotherapy - 30 Minutes$890%$89
Psychotherapy - 45 Minutes$1120%$112
Strep Test (Streptococcus, group A)$420%$42
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$980%$98
Urine Test - Automated with Microscope Examination$110%$11
Urine Test - Automated without Microscope$80%$8
Urine Test - Bacterial Culture$380%$38
Urine Test - Bacterial Culture, Quantitative Colony Count$410%$41
Urine Test - Chlamydia$1170%$117
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1170%$117
Urine Test - Microalbumin (Protein) Level$190%$19
Urine Test - Pregnancy$270%$27
Urine Test - Urinalysis, Manual Test$80%$8
Vaccine - Pneumococcal Conjugate for Injection into Muscle$4070%$407
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$1300%$130