Crossroads Family Medicine & Pediatrics

194A Pleasant Street, Suite 101 Concord, NH 03301
http://crossroadsfamilymedicine.com/41.html
(603) 856-8828

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%
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
Detection for Strep (Streptococcus, group A) $32 N/A $32
Electrocardiogram (ECG or EKG) With Report and Interpretation $42 N/A $42
Influenza Vaccine, Injected into Muscle $105 N/A $105
Lab Test to Detect Influenza Virus $32 N/A $32
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $294 N/A $294
New Patient Preventive Care Visit for Adult, 40-64 $315 N/A $315
New Patient Preventive Care Visit for Adult, Ages 18-39 $294 N/A $294
New Patient Preventive Care Visit for Child, Ages 1-4 $294 N/A $294
New Patient Preventive Care Visit for Child, Ages 5-11 $294 N/A $294
New Patient Preventive Care Visit for Child, Under Age 1 $294 N/A $294
Office Visit for Established Patient, Basic $212 N/A $212
Office Visit for Established Patient, High Complexity $460 N/A $460
Office Visit for Established Patient, Low Complexity $168 N/A $168
Office Visit for Established Patient, Minimal Presenting Problem $63 N/A $63
Office Visit for Established Patient, Moderate Complexity $252 N/A $252
Office Visit for New Patient, High Complexity $420 N/A $420
Office Visit for New Patient, Low Complexity $252 N/A $252
Office Visit for New Patient, Moderate Complexity $336 N/A $336
Pathology Examination of Tissue, Intermediate Complexity $197 N/A $197
Pregnancy Test $21 N/A $21
Preventive Care Visit for Adolescent, Under Ages 12-17 $294 N/A $294
Preventive Care Visit for Adult, 40-64 $315 N/A $315
Preventive Care Visit for Adult, Ages 18-39 $294 N/A $294
Preventive Care Visit for Child, Under Age 1 $294 N/A $294
Preventive Care Visit for Child, Under Ages 1-4 $294 N/A $294
Preventive Care Visit for Child, Under Ages 5-11 $294 N/A $294
Psychiatric Diagnostic Evaluation $147 Near Average
State Average: 1
 $147
Psychotherapy, 45 Minutes with Patient $95 Below Average
State Average: 4
 $95
Psychotherapy, 60 Minutes with Patient $126 Near Average
State Average: 6
 $126
Urinalysis, Manual Test $21 N/A $21