Dover Women's Health
700 Central Avenue Dover, NH 03820
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mammogram (outpatient) | $1036 | 0% | $1036 | High |
| Ultrasound - Pelvic (outpatient) | $532 | 0% | $532 | Medium |
| Ultrasound - Pregnancy (outpatient) | $418 | 0% | $418 | Medium |
| Ultrasound - Pregnancy follow-up | $341 | 0% | $341 | Medium |
| Ultrasound - Transvaginal (non-maternity) | $566 | 0% | $566 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for complete blood cell count and automated WBC | $104 | 0% | $104 | Medium |
| Pregnancy test, urine | $26 | 0% | $26 | Medium |
| Urine test for bacterial culture | $76 | 0% | $76 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $120 | 0% | $120 | Medium |
| Office Visit, Established Pt | $209 | 0% | $209 | Medium |
| Office Visit of Moderate Complexity | $308 | 0% | $308 | Medium |
| Office Visit of Moderate to High Complexity | $414 | 0% | $414 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $299 | 0% | $299 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $342 | 0% | $342 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $336 | 0% | $336 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $389 | 0% | $389 | Medium |