Elliot Physician Network

25 South River Road Bedford, NH 03110
http://elliothospital.org/website/physicians-network.php
(603) 626-4392

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%
Antinuclear Antibodies (ANA) Level $105 N/A $105
Arthrocentesis $416 N/A $416
Back MRI $3,983 N/A $3,983
Bacterial Culture $38 N/A $38
Bacterial Culture Swab $102 N/A $102
Bacterial Culture, Quantitative Colony Count $77 N/A $77
Basic Metabolic Panel $46 N/A $46
Bilirubin Level $82 N/A $82
Biopsy of Skin Lesion $957 N/A $957
Blood Count (Hemoglobin) $8 N/A $8
Blood Glucose (Sugar) Level $23 N/A $23
Blood Glucose Control (Hemoglobin A1C) $35 N/A $35
Borrelia Burgdorferi (Lyme disease) Antibody Level $146 N/A $146
Brain MRI $6,432 N/A $6,432
C-reactive Protein (CRP) Level $97 N/A $97
Chlamydia Test $352 N/A $352
Cholesterol Test, Lipid Panel $156 N/A $156
Clotting Time $74 N/A $74
Coagulation Assessment $113 N/A $113
Complete Blood Cell Count (Hemoglobin) $55 N/A $55
Complete Blood Cell Count and Automated White Blood Cells $44 N/A $44
Comprehensive Metabolic Panel $92 N/A $92
CT Scan of Abdomen and Pelvis, With Contrast $559 N/A $559
Detection for Strep (Streptococcus, group A) $44 N/A $44
Detection Test for Human Papillomavirus (HPV) $137 N/A $137
Developmental Screening $28 N/A $28
Diagnostic Mammogram of Both Breasts $439 N/A $439
Diagnostic Mammogram of One Breast $351 N/A $351
Electrocardiogram (ECG or EKG) With Report and Interpretation $63 N/A $63
Electrocardiogram (ECG or EKG), Report and Interpretation Only $49 N/A $49
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $88 N/A $88
Family Psychotherapy with Patient $168 Above Average
State Average: 2
 $168
Ferritin (Blood Protein) Level $87 N/A $87
Folic Acid Level $104 N/A $104
General Health Panel $238 N/A $238
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $352 N/A $352
Group Psychotherapy $53 Below Average
State Average: 5
 $53
Hepatitis A Vaccine for Adults, Injected into Muscle $208 N/A $208
Hepatitis A Vaccine for Children, Injected into Muscle $301 N/A $301
Hepatitis C Antibody Level $188 N/A $188
Human Papilloma Virus Vaccine, Injected into Muscle $66 N/A $66
Influenza Vaccine, Injected into Muscle $112 N/A $112
Injection of Substance for Pain Management, Lower Back or Tailbone $1,092 N/A $1,092
Iron Binding Capacity $47 N/A $47
Iron Level $35 N/A $35
Knee MRI $2,967 N/A $2,967
Lab Test to Detect Coronavirus (COVID-19) $131 N/A $131
Lab Test to Detect Coronavirus (COVID-19) Antigen $105 N/A $105
Lab Test to Detect HIV-1 and HIV-2 $168 N/A $168
Lab Test to Detect Influenza Virus $37 N/A $37
Lab Test to Measure Creatinine Level $67 N/A $67
Lead Level $42 N/A $42
Low Complexity Physical Therapy Evaluation $489 Near Average
State Average: 1
 $489
Magnesium Level $41 N/A $41
Manual Electrical Stimulation Therapy, 15 minutes $57 Below Average
State Average: 3
 $57
Manual Physical Therapy $158 Below Average
State Average: 4
 $158
Microalbumin (Protein) Level $75 N/A $75
Moderate Complexity Physical Therapy Evaluation $489 Near Average
State Average: 1
 $489
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $280 N/A $280
New Patient Preventive Care Visit for Adult, 40-64 $341 N/A $341
New Patient Preventive Care Visit for Adult, Ages 18-39 $287 N/A $287
New Patient Preventive Care Visit for Child, Ages 1-4 $239 N/A $239
New Patient Preventive Care Visit for Child, Ages 5-11 $242 N/A $242
New Patient Preventive Care Visit for Child, Under Age 1 $235 N/A $235
Office Visit for Established Patient, Basic $119 N/A $119
Office Visit for Established Patient, High Complexity $348 N/A $348
Office Visit for Established Patient, Low Complexity $189 N/A $189
Office Visit for Established Patient, Minimal Presenting Problem $53 N/A $53
Office Visit for Established Patient, Moderate Complexity $269 N/A $269
Office Visit for New Patient, High Complexity $459 N/A $459
Office Visit for New Patient, Low Complexity $235 N/A $235
Office Visit for New Patient, Minor Complexity $167 N/A $167
Office Visit for New Patient, Moderate Complexity $356 N/A $356
Pap Test Screening, Automated with Manual Review $202 N/A $202
Pap Test Screening, Manual $100 N/A $100
Pathology Examination of Tissue, Intermediate Complexity $427 N/A $427
Phosphate Level $41 N/A $41
Pneumococcal Vaccine for Children, Injected into Muscle $151 N/A $151
Pregnancy Test $18 N/A $18
Pregnancy Ultrasound (Outpatient) $968 N/A $968
Presence of Drug $84 N/A $84
Preventive Care Visit for Adolescent, Under Ages 12-17 $254 N/A $254
Preventive Care Visit for Adult, 40-64 $277 N/A $277
Preventive Care Visit for Adult, Ages 18-39 $252 N/A $252
Preventive Care Visit for Child, Under Age 1 $223 N/A $223
Preventive Care Visit for Child, Under Ages 1-4 $223 N/A $223
Preventive Care Visit for Child, Under Ages 5-11 $223 N/A $223
Prostate Cancer Screening $205 N/A $205
Prostate Specific Antigen (PSA) Level, Total $137 N/A $137
Psychiatric Diagnostic Evaluation $210 Near Average
State Average: 1
 $210
Psychotherapy, 30 Minutes with Patient $137 Near Average
State Average: 1
 $137
Psychotherapy, 45 Minutes with Patient $158 Below Average
State Average: 4
 $158
Psychotherapy, 60 Minutes with Patient $210 Below Average
State Average: 6
 $210
Rotovirus Vaccine, Oral Administration $151 N/A $151
Screening Mammogram of Both Breasts $1,079 N/A $1,079
Single-Level Injection for Pain Management, Lower Back or Tailbone $2,102 N/A $2,102
Skin Growth Removal, Premalignant or Precancerous $471 N/A $471
Skin Growth Removal, Up to 14, Benign or Noncancerous $553 N/A $553
Telehealth Visit for Established Patient, 11-20 minutes $222 N/A $222
Telehealth Visit for Established Patient, 21-30 minutes $276 N/A $276
Telehealth Visit for Established Patient, 5-10 minutes $63 N/A $63
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $125 N/A $125
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $83 N/A $83
Therapeutic Exercises $172 Below Average
State Average: 4
 $172
Thyroid Stimulating Hormone (TSH) Level $137 N/A $137
Thyroxine (Thyroid Chemical) Level, Free $156 N/A $156
Ultrasound of Breast $218 N/A $218
Ultrasound of Heart (Echocardiogram) $2,546 N/A $2,546
Urinalysis, Automated with Microscope Examination $97 N/A $97
Urinalysis, Automated without Microscope $17 N/A $17
Urinalysis, Manual Test $7 N/A $7
Urine Capacity Measurement $100 N/A $100
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $117 N/A $117
Vitamin D-3 Level $254 N/A $254
X-Ray of Chest, 2 Views $76 N/A $76
X-Ray of Fingers, 2 Views $53 N/A $53
X-Ray of Hand, 2 Views $915 N/A $915
X-Ray of Knee, 1 or 2 Views $55 N/A $55
X-Ray of Knee, 3 Views $384 N/A $384
X-Ray of Knee, 4 Views $92 N/A $92
X-Ray of Low Back, 4 Views $142 N/A $142
X-Ray of Lower Leg, 2 Views $85 N/A $85
X-Ray of Neck, 4 to 5 Views $454 N/A $454