Atlantic Internal Medicine & Pediatrics

875 Greenland Road, Suite 12 Portsmouth, NH 03801
http://www.atlanticmedpeds.com/
(603) 373-0096

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 with Microscope Examination $43 N/A $43
Borrelia Burgdorferi (Lyme disease) Antibody Level $143 N/A $143
Cholesterol Test, Lipid Panel $103 N/A $103
Clotting Time $54 N/A $54
Coagulation Assessment $83 N/A $83
Complete Blood Cell Count and Automated White Blood Cells $33 N/A $33
Comprehensive Metabolic Panel $48 N/A $48
Coronavirus (COVID-19) Antibody Level $44 N/A $44
Detection for Strep (Streptococcus, group A) $25 N/A $25
General Health Panel $190 N/A $190
Influenza Vaccine, Injected into Muscle $21 N/A $21
Lab Test to Detect Coronavirus (COVID-19) $244 N/A $244
Lab Test to Detect Influenza Virus $23 N/A $23
Lab Test to Measure Creatinine Level $67 N/A $67
New Patient Preventive Care Visit for Adult, 40-64 $275 N/A $275
New Patient Preventive Care Visit for Adult, Ages 18-39 $245 N/A $245
Office Visit for Established Patient, Basic $72 N/A $72
Office Visit for Established Patient, Low Complexity $118 N/A $118
Office Visit for Established Patient, Minimal Presenting Problem $43 N/A $43
Office Visit for Established Patient, Moderate Complexity $177 N/A $177
Office Visit for New Patient, Low Complexity $163 N/A $163
Pneumococcal Conjugate Vaccine, Injected into Muscle $247 N/A $247
Presence of Drug $421 N/A $421
Preventive Care Visit for Adolescent, Under Ages 12-17 $218 N/A $218
Preventive Care Visit for Adult, 40-64 $235 N/A $235
Preventive Care Visit for Adult, Ages 18-39 $224 N/A $224
Preventive Care Visit for Child, Under Age 1 $188 N/A $188
Preventive Care Visit for Child, Under Ages 1-4 $205 N/A $205
Preventive Care Visit for Child, Under Ages 5-11 $201 N/A $201
Prostate Specific Antigen (PSA) Level $175 N/A $175
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $53 N/A $53
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $58 N/A $58
Thyroid Stimulating Hormone (TSH) Level $110 N/A $110
Urinalysis, Manual Test $6 N/A $6
Vitamin B-12 (Cyanocobalamin) Level $111 N/A $111
Vitamin D-3 Level $287 N/A $287