Coos County Family Health Services

33 Pleasant Street Berlin, NH 03570
http://www.coosfamilyhealth.org/
(603) 752-2040
243 Elm Street Colebrook, NH 03743
(603) 752-2040

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%
Bacterial Culture, Quantitative Colony Count $44 N/A $44
Blood Count (Hemoglobin) $20 N/A $20
Blood Glucose (Sugar) Level $24 N/A $24
Blood Glucose Control (Hemoglobin A1C) $47 N/A $47
Detection for Strep (Streptococcus, group A) $44 N/A $44
Developmental Screening $38 N/A $38
Electrocardiogram (ECG or EKG) With Report and Interpretation $80 N/A $80
Electrocardiogram (ECG or EKG) With Tracing $53 N/A $53
Electrocardiogram (ECG or EKG), Report and Interpretation Only $44 N/A $44
Family Psychotherapy with Patient $168 Near Average
State Average: 3
 $168
Family Psychotherapy without Patient $168 Above Average
State Average: 1
 $168
Group Psychotherapy $61 Above Average
State Average: 4
 $61
Hepatitis A Vaccine for Adults, Injected into Muscle $174 N/A $174
Hepatitis A Vaccine for Children, Injected into Muscle $340 N/A $340
Human Papilloma Virus Vaccine, Injected into Muscle $50 N/A $50
Influenza Vaccine, Injected into Muscle $81 N/A $81
Lab Test to Detect Influenza Virus $42 N/A $42
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $248 N/A $248
New Patient Preventive Care Visit for Adult, 40-64 $309 N/A $309
New Patient Preventive Care Visit for Adult, Ages 18-39 $281 N/A $281
New Patient Preventive Care Visit for Child, Ages 5-11 $232 N/A $232
New Patient Preventive Care Visit for Child, Under Age 1 $221 N/A $221
Office Visit for Established Patient, Basic $100 N/A $100
Office Visit for Established Patient, High Complexity $315 N/A $315
Office Visit for Established Patient, Low Complexity $163 N/A $163
Office Visit for Established Patient, Minimal Presenting Problem $58 N/A $58
Office Visit for Established Patient, Moderate Complexity $236 N/A $236
Office Visit for New Patient, High Complexity $375 N/A $375
Office Visit for New Patient, Low Complexity $226 N/A $226
Office Visit for New Patient, Minor Complexity $168 N/A $168
Office Visit for New Patient, Moderate Complexity $331 N/A $331
Pap Test Screening, Automated with Manual Review $236 N/A $236
Pneumococcal Vaccine for Children, Injected into Muscle $149 N/A $149
Pregnancy Test $33 N/A $33
Preventive Care Visit for Adolescent, Under Ages 12-17 $232 N/A $232
Preventive Care Visit for Adult, 40-64 $270 N/A $270
Preventive Care Visit for Adult, Ages 18-39 $254 N/A $254
Preventive Care Visit for Child, Under Age 1 $198 N/A $198
Preventive Care Visit for Child, Under Ages 1-4 $215 N/A $215
Preventive Care Visit for Child, Under Ages 5-11 $215 N/A $215
Prostate Cancer Screening $139 N/A $139
Psychiatric Diagnostic Evaluation $242 Near Average
State Average: 1
 $242
Psychotherapy, 30 Minutes with Patient $116 Above Average
State Average: 1
 $116
Psychotherapy, 45 Minutes with Patient $147 Below Average
State Average: 3
 $147
Psychotherapy, 60 Minutes with Patient $173 Below Average
State Average: 6
 $173
Rotovirus Vaccine, Oral Administration $198 N/A $198
Skin Growth Removal, Premalignant or Precancerous $317 N/A $317
Telehealth Visit for Established Patient, 11-20 minutes $84 N/A $84
Telehealth Visit for Established Patient, 21-30 minutes $121 N/A $121
Telehealth Visit for Established Patient, 5-10 minutes $34 N/A $34
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $49 N/A $49
Urinalysis, Automated without Microscope $18 N/A $18
Urinalysis, Manual Test $18 N/A $18