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 $89 N/A $89
Arthrocentesis $416 N/A $416
Bacterial Culture Swab for Aerobic Isolates $83 N/A $83
Bacterial Culture, Quantitative Colony Count $104 N/A $104
Basic Metabolic Panel $74 N/A $74
Biopsy of Skin Lesion $879 N/A $879
Blood Count (Hemoglobin) $8 N/A $8
Blood Glucose (Sugar) Level $15 N/A $15
Blood Glucose Control (Hemoglobin A1C) $35 N/A $35
C-reactive Protein (CRP) Level $79 N/A $79
Chlamydia Test $207 N/A $207
Cholesterol Test, Lipid Panel $156 N/A $156
Clotting Time $17 N/A $17
Complete Blood Cell Count (Hemoglobin) $35 N/A $35
Complete Blood Cell Count and Automated White Blood Cells $48 N/A $48
Comprehensive Metabolic Panel $96 N/A $96
Coronavirus (COVID-19) Antibody Level $184 N/A $184
Creatinine Level $58 N/A $58
Detection for Strep (Streptococcus, group A) $44 N/A $44
Detection Test for Human Papillomavirus (HPV) $250 N/A $250
Developmental Screening $28 N/A $28
Diagnostic Mammogram of One Breast $662 N/A $662
Electrocardiogram (ECG or EKG) With Report and Interpretation $332 N/A $332
Electrocardiogram (ECG or EKG), Report and Interpretation Only $49 N/A $49
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $135 N/A $135
Family Psychotherapy with Patient $236 Below Average
State Average: 2
 $236
General Health Panel $277 N/A $277
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $109 N/A $109
Group Psychotherapy $53 Below Average
State Average: 4
 $53
Hepatitis A Vaccine for Adults, Injected into Muscle $208 N/A $208
Hepatitis A Vaccine for Children, Injected into Muscle $273 N/A $273
Hepatitis C Antibody Level $193 N/A $193
Human Papilloma Virus Vaccine, Injected into Muscle $66 N/A $66
Influenza Vaccine, Injected into Muscle $105 N/A $105
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect Coronavirus (COVID-19) Antigen $105 N/A $105
Lab Test to Detect HIV-1 and HIV-2 $192 N/A $192
Lab Test to Detect Influenza Virus $35 N/A $35
Lab Test to Measure Creatinine Level $75 N/A $75
Lead Level $40 N/A $40
Low Complexity Physical Therapy Evaluation $243 Near Average
State Average: 1
 $243
Magnesium Level $39 N/A $39
Meningococcus Vaccine, Injected into Muscle $101 N/A $101
Microalbumin (Protein) Level $85 N/A $85
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $280 N/A $280
New Patient Preventive Care Visit for Adult, 40-64 $322 N/A $322
New Patient Preventive Care Visit for Adult, Ages 18-39 $275 N/A $275
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 $92 N/A $92
Office Visit for Established Patient, High Complexity $311 N/A $311
Office Visit for Established Patient, Low Complexity $156 N/A $156
Office Visit for Established Patient, Minimal Presenting Problem $58 N/A $58
Office Visit for Established Patient, Moderate Complexity $230 N/A $230
Office Visit for New Patient, High Complexity $436 N/A $436
Office Visit for New Patient, Low Complexity $228 N/A $228
Office Visit for New Patient, Minor Complexity $167 N/A $167
Office Visit for New Patient, Moderate Complexity $349 N/A $349
Pap Test Screening, Automated with Manual Review $202 N/A $202
Parathyroid Hormone (PTH) Level $63 N/A $63
Pathology Examination of Tissue, Intermediate Complexity $393 N/A $393
Pneumococcal Vaccine for Children, Injected into Muscle $151 N/A $151
Pregnancy Test $18 N/A $18
Presence of Drug $227 N/A $227
Preventive Care Visit for Adolescent, Under Ages 12-17 $239 N/A $239
Preventive Care Visit for Adult, 40-64 $263 N/A $263
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 $112 N/A $112
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 $158 Near Average
State Average: 4
 $158
Psychotherapy, 60 Minutes with Patient $184 Below Average
State Average: 6
 $184
Rotovirus Vaccine, Oral Administration $151 N/A $151
Screening Mammogram of Both Breasts $1,198 N/A $1,198
Skin Growth Removal, Premalignant or Precancerous $481 N/A $481
Skin Growth Removal, Up to 14, Benign or Noncancerous $524 N/A $524
Telehealth Visit for Established Patient, 11-20 minutes $226 N/A $226
Telehealth Visit for Established Patient, 21-30 minutes $189 N/A $189
Telehealth Visit for Established Patient, 5-10 minutes $58 N/A $58
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $108 N/A $108
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $66 N/A $66
Therapeutic Exercises $172 Near Average
State Average: 4
 $172
Thyroid Stimulating Hormone (TSH) Level $137 N/A $137
Thyroxine (Thyroid Chemical) Level, Free $132 N/A $132
Total Protein Level $185 N/A $185
Triiodothyronine (T3) Thyroid Hormone Measurement $242 N/A $242
Ultrasound of Heart (Echocardiogram) $2,546 N/A $2,546
Urinalysis, Automated with Microscope Examination $33 N/A $33
Urinalysis, Automated without Microscope $17 N/A $17
Urinalysis, Manual Test $5 N/A $5
Urine Capacity Measurement $352 N/A $352
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $184 N/A $184
Vitamin D-3 Level $285 N/A $285
X-Ray of Fingers, 2 Views $487 N/A $487
X-Ray of Hand, 3 Views $864 N/A $864
X-Ray of Hip, 2 or 3 Views $789 N/A $789
X-Ray of Knee, 3 Views $393 N/A $393
X-Ray of Knee, 4 Views $617 N/A $617
X-Ray of Low Back, 4 Views $1,055 N/A $1,055
X-Ray of Lower Leg, 2 Views $692 N/A $692
X-Ray of Neck, 4 to 5 Views $804 N/A $804
X-Ray of Shoulder, 2 Views $1,003 N/A $1,003