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%
Automated Pap Test Screening and Manual Rescreening $100 N/A $100
Automated with Microscope Examination $11 N/A $11
Automated without Microscope $8 N/A $8
Bacterial Culture $38 N/A $38
Bacterial Culture Swab $44 N/A $44
Bacterial Culture Swab for Aerobic Isolates $20 N/A $20
Bacterial Culture, Quantitative Colony Count $26 N/A $26
Basic Metabolic Panel $28 N/A $28
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 $83 N/A $83
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
Creatinine Level $18 N/A $18
Detection for Strep (Streptococcus, group A) $42 N/A $42
Detection Test for Hepatitis B Surface Antigen $25 N/A $25
Detection Test for Human Papillomavirus (HPV) $87 N/A $87
Developmental Screening $42 N/A $42
Electrocardiogram (ECG or EKG) With Report and Interpretation $349 N/A $349
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $21 N/A $21
Ferritin (Blood Protein) Level $45 N/A $45
Folic Acid Level $49 N/A $49
General Health Panel $104 N/A $104
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $117 N/A $117
Hepatic (Liver) Function Panel $36 N/A $36
Hepatitis C Antibody Level $185 N/A $185
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 Influenza Virus $37 N/A $37
Lipase (Fat Enzyme) Level $34 N/A $34
Magnesium Level $23 N/A $23
Microalbumin (Protein) Level $19 N/A $19
Nasal Endoscopy $667 N/A $667
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $243 N/A $243
New Patient Preventive Care Visit for Adult, 40-64 $341 N/A $341
New Patient Preventive Care Visit for Adult, Ages 18-39 $234 N/A $234
New Patient Preventive Care Visit for Child, Ages 5-11 $247 N/A $247
New Patient Preventive Care Visit for Child, Under Age 1 $257 N/A $257
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 $43 N/A $43
Office Visit for Established Patient, Moderate Complexity $263 N/A $263
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 $186 N/A $186
Office Visit for New Patient, Moderate Complexity $334 N/A $334
Pathology Examination of Tissue, Intermediate Complexity $187 N/A $187
Pneumococcal Conjugate Vaccine, Injected into Muscle $407 N/A $407
Pregnancy Test $26 N/A $26
Presence of Drug $143 N/A $143
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 $184 N/A $184
Preventive Care Visit for Child, Under Ages 1-4 $247 N/A $247
Preventive Care Visit for Child, Under Ages 5-11 $187 N/A $187
Prostate Specific Antigen (PSA) Level $61 N/A $61
Psychotherapy, 30 Minutes with Patient $92 Above Average
State Average: 1
$92
Psychotherapy, 45 Minutes with Patient $116 Near Average
State Average: 4
$116
Screening Mammogram of Both Breasts $998 N/A $998
Skin Growth Removal, Premalignant or Precancerous $373 N/A $373
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $75 N/A $75
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $130 N/A $130
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
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