Appledore Medical Group

155 Borthwick Avenue, Suite 101 East Portsmouth, NH 03801
http://appledoremedicalgroup.com/
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Mammogram (outpatient)$6620%$662 High

Outpatient Tests and Procedures

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$3290%$329 High
Destruction of Lesion (outpatient)$3310%$331 High
Diagnostic Laryngoscopy$4990%$499 Medium
Nasal endoscopy, diagnostic$6670%$667 Medium

Laboratory Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for basic metabolic panel$280%$28 Medium
Blood test for blood glucose control (Hemoglobin A1C)$330%$33 Medium
Blood test for clotting time$130%$13 Medium
Blood test for complete blood cell count and automated WBC$260%$26 Medium
Blood test for complete blood cell count (hemoglobin)$220%$22 Medium
Blood test for PSA (prostate specific antigen) level$610%$61 Medium
Blood test for thyroxine (thyroid chemical) level, free$290%$29 Medium
Blood test for TSH (thyroid stimulating hormone) level$560%$56 Medium
Blood test for vitamin B-12 (cyanocobalamin) level$490%$49 Medium
Chlamydia test$1170%$117 Medium
Gonorrhoeae test (Neisseria gonorrhoeae bacteria)$1170%$117 Medium
Health Screening - General Health Panel$1040%$104 Medium
Hepatic (Liver) Function Panel$270%$27 Medium
Lipid Panel - Cholesterol Test$600%$60 Medium
Urinalysis test automated with microscope examination$110%$11 Medium
Metabolic Panel - Comprehensive$350%$35 Medium
Pregnancy test, urine$280%$28 Medium
Renal (Kidney) Function Panel$440%$44 Medium
Test for disease-causing (pathogenic) organisms, not limited to a specific condition$680%$68 Medium
Strep Test (Streptococcus, group A)$400%$40 Medium
Test for vitamin D-3 level$990%$99 Medium
Urinalysis test automated without microscope$80%$8 Medium

Office Visits

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Basic Office Visit$890%$89 Medium
Office Visit, Established Pt$1470%$147 Medium
Office Visit of Moderate Complexity$2170%$217 Medium
Office Visit of Moderate to High Complexity$2920%$292 Medium
Office Visit, New Pt, Minor$1770%$177 Medium
Office Visit, New Pt, Low$2210%$221 Medium
Comp Preventive Medicine younger than 1 yrs old$1690%$169 Medium
Comp Preventive Medicine 1-4 yrs old$1910%$191 Medium
Comp Preventive Medicine 5-11 yrs old$1870%$187 Medium
Comp Preventive Medicine 12-17 yrs old$2050%$205 Medium
Comp Preventive Medicine 18-39 yrs old$2050%$205 Medium
Comp Preventive Medicine 40-64 yrs old$2240%$224 Medium
New Patient, Comp Prevent Medicine younger than 1 yrs old$2010%$201 Medium
New Patient, Comp Prevent Medicine 1-4 yrs old$2710%$271 Medium
New Patient, Comp Prevent Medicine 5-11 yrs old$2260%$226 Medium
New Patient, Comp Prevent Medicine 12-17 yrs old$2480%$248 Medium
New Patient, Comp Prevent Medicine 18-39 yrs old$2550%$255 Medium
New Patient, Comp Prevent Medicine 40-64 yrs old$3410%$341 Medium