Crystal Eaton, LCMHC

200 Zachary Road Manchester, NH 03109
(603) 335-2401

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%
Bilirubin Level $30 N/A $30
Blood Count (Hemoglobin) $11 N/A $11
Blood Glucose Control (Hemoglobin A1C) $78 N/A $78
C-reactive Protein (CRP) Level $33 N/A $33
Chlamydia Test $196 N/A $196
Cholesterol Test, Lipid Panel $123 N/A $123
Complete Blood Cell Count (Hemoglobin) $64 N/A $64
Complete Blood Cell Count and Automated White Blood Cells $48 N/A $48
Comprehensive Metabolic Panel $65 N/A $65
Developmental Screening $43 N/A $43
Electrocardiogram (ECG or EKG) With Report and Interpretation $97 N/A $97
Family Psychotherapy with Patient $105 Below Average
State Average: 2
 $105
Ferritin (Blood Protein) Level $84 N/A $84
Folic Acid Level $91 N/A $91
General Health Panel $209 N/A $209
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $196 N/A $196
Hepatitis C Antibody Level $80 N/A $80
Iron Binding Capacity $54 N/A $54
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect HIV-1 and HIV-2 $134 N/A $134
Lab Test to Detect Influenza Virus $96 N/A $96
New Patient Preventive Care Visit for Adult, 40-64 $272 N/A $272
Office Visit for Established Patient, High Complexity $459 N/A $459
Office Visit for Established Patient, Low Complexity $147 N/A $147
Office Visit for Established Patient, Minimal Presenting Problem $74 N/A $74
Office Visit for Established Patient, Moderate Complexity $217 N/A $217
Office Visit for New Patient, Low Complexity $218 N/A $218
Office Visit for New Patient, Moderate Complexity $334 N/A $334
Pregnancy Test $46 N/A $46
Preventive Care Visit for Adolescent, Under Ages 12-17 $352 N/A $352
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 Ages 1-4 $320 N/A $320
Preventive Care Visit for Child, Under Ages 5-11 $320 N/A $320
Psychiatric Diagnostic Evaluation $210 Near Average
State Average: 1
 $210
Psychotherapy, 30 Minutes with Patient $105 Above Average
State Average: 1
 $105
Psychotherapy, 45 Minutes with Patient $105 Above Average
State Average: 4
 $105
Telehealth Visit for Established Patient, 11-20 minutes $160 N/A $160
Thyroid Stimulating Hormone (TSH) Level $104 N/A $104
Thyroxine (Thyroid Chemical) Level, Free $56 N/A $56
Urinalysis, Automated with Microscope Examination $25 N/A $25
Vitamin B-12 (Cyanocobalamin) Level $95 N/A $95
Vitamin D-3 Level $184 N/A $184