Derry Medical Center

6 Tsienneto Road, Suite 100 Derry, NH 03038
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$4940%$494 High
Blood Test - Basic Metabolic Panel$310%$31 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$210%$21 Medium
Blood Test - Cholesterol Test, Lipid Panel$1030%$103 Medium
Blood Test - Clotting Time$110%$11 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$330%$33 Medium
Blood Test - Comprehensive Metabolic Panel$480%$48 Medium
Blood Test - General Health Panel$1900%$190 Medium
Blood Test - Hepatitis C Antibody Level$1120%$112 Medium
Blood Test - Prostate Specific Antigen (PSA) Level$1120%$112 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1090%$109 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1230%$123 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$1110%$111 Medium
Blood Test - Vitamin D-3 Level$680%$68 Medium
Destruction of Lesion (outpatient)$3940%$394 Medium
Detection Test for Human Papillomavirus (HPV)$950%$95 Medium
Mammogram (outpatient)$6830%$683 High
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2630%$263 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$3100%$310 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2940%$294 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3410%$341 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2680%$268 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2050%$205 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2630%$263 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2630%$263 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2890%$289 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2840%$284 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2420%$242 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2310%$231 Medium
Office Visit - Established Patient, High Complexity$2890%$289 Medium
Office Visit - Established Patient, Low Complexity$1580%$158 Medium
Office Visit - Established Patient, Moderate Complexity$2630%$263 Medium
Office Visit - New Patient, Low Complexity$2210%$221 Medium
Pap Test$820%$82 Medium
Strep Test (Streptococcus, group A)$260%$26 Medium
Urine Test - Automated with Microscope Examination$380%$38 Medium
Urine Test - Bacterial Culture, Quantitative Colony Count$760%$76 Medium
Urine Test - Chlamydia$1290%$129 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1290%$129 Medium
Urine Test - Pregnancy$210%$21 Medium