Coos County Family Health Services

33 Pleasant Street Berlin, NH 03570
http://www.coosfamilyhealth.org/
(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%
Automated Pap Test Screening and Manual Rescreening $275 N/A $275
Automated without Microscope $18 N/A $18
Bacterial Culture Swab for Aerobic Isolates $124 N/A $124
Bacterial Culture, Quantitative Colony Count $72 N/A $72
Blood Count (Hemoglobin) $19 N/A $19
Blood Glucose (Sugar) Level $24 N/A $24
Blood Glucose Control (Hemoglobin A1C) $47 N/A $47
Cholesterol Test, Lipid Panel $118 N/A $118
Clotting Time $55 N/A $55
Complete Blood Cell Count and Automated White Blood Cells $66 N/A $66
Comprehensive Metabolic Panel $88 N/A $88
Detection for Strep (Streptococcus, group A) $42 N/A $42
Detection Test for Human Papillomavirus (HPV) $355 N/A $355
Developmental Screening $38 N/A $38
Electrocardiogram (ECG or EKG) With Report and Interpretation $337 N/A $337
Group Psychotherapy $58 Above Average
State Average: 5
 $58
Influenza Vaccine, Injected into Muscle $34 N/A $34
Lab Test to Detect Influenza Virus $42 N/A $42
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $236 N/A $236
New Patient Preventive Care Visit for Adult, 40-64 $294 N/A $294
New Patient Preventive Care Visit for Adult, Ages 18-39 $268 N/A $268
New Patient Preventive Care Visit for Child, Ages 5-11 $221 N/A $221
New Patient Preventive Care Visit for Child, Under Age 1 $210 N/A $210
Office Visit for Established Patient, Basic $95 N/A $95
Office Visit for Established Patient, High Complexity $289 N/A $289
Office Visit for Established Patient, Low Complexity $155 N/A $155
Office Visit for Established Patient, Minimal Presenting Problem $55 N/A $55
Office Visit for Established Patient, Moderate Complexity $201 N/A $201
Office Visit for New Patient, Low Complexity $215 N/A $215
Office Visit for New Patient, Minor Complexity $147 N/A $147
Office Visit for New Patient, Moderate Complexity $315 N/A $315
Pathology Examination of Tissue, Intermediate Complexity $265 N/A $265
Pregnancy Test $33 N/A $33
Preventive Care Visit for Adolescent, Under Ages 12-17 $221 N/A $221
Preventive Care Visit for Adult, 40-64 $257 N/A $257
Preventive Care Visit for Adult, Ages 18-39 $242 N/A $242
Preventive Care Visit for Child, Under Age 1 $189 N/A $189
Preventive Care Visit for Child, Under Ages 1-4 $205 N/A $205
Preventive Care Visit for Child, Under Ages 5-11 $205 N/A $205
Psychiatric Diagnostic Evaluation $168 Near Average
State Average: 1
 $168
Psychotherapy, 30 Minutes with Patient $116 Above Average
State Average: 1
 $116
Psychotherapy, 45 Minutes with Patient $147 Below Average
State Average: 4
 $147
Psychotherapy, 60 Minutes with Patient $158 Below Average
State Average: 6
 $158
Skin Growth Removal, Premalignant or Precancerous $285 N/A $285
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $62 N/A $62
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $79 N/A $79
Urinalysis, Manual Test $17 N/A $17