Elliot Physician Network

25 South River Road Bedford, NH 03110
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Arthrocentesis (outpatient)$3810%$381
Biopsy - Punch Biopsy of Skin$1,0000%$1,000
Biopsy - Tangential Biopsy of Skin$7880%$788
Blood Test - Basic Metabolic Panel$550%$55
Blood Test - Blood Glucose Control (Hemoglobin A1C)$350%$35
Blood Test - Cholesterol Test, Lipid Panel$1470%$147
Blood Test - Clotting Time$150%$15
Blood Test - Complete Blood Cell Count (Hemoglobin)$430%$43
Blood Test - Complete Blood Cell Count and Automated WBC$440%$44
Blood Test - Comprehensive Metabolic Panel$920%$92
Blood Test - Ferritin (Blood Protein) Level$1010%$101
Blood Test - Folic Acid Level$1520%$152
Blood Test - General Health Panel$2770%$277
Blood Test - Hepatic (Liver) Function Panel$1060%$106
Blood Test - Hepatitis C Antibody Level$1240%$124
Blood Test - Iron Level$470%$47
Blood Test - Lipase (fat enzyme) Level$650%$65
Blood Test - Prostate Specific Antigen (PSA) Level$1150%$115
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1090%$109
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1380%$138
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$1110%$111
Blood Test - Vitamin D-3 Level$2890%$289
Destruction of Lesion (outpatient)$4040%$404
Destruction of Lesions, up to 14$4110%$411
Electrocardiogram (ECG or EKG)$4700%$470
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$1110%$111
Lab Test - Detection test for HIV-1 and HIV-2$1140%$114
Lab Test - Detection test for Influenza Virus$350%$35
Mammogram (outpatient)$1,1980%$1,198
Office Visit - Basic$920%$92
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2280%$228
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$2560%$256
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2750%$275
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3070%$307
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2270%$227
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2240%$224
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2000%$200
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2390%$239
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2400%$240
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2630%$263
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$1950%$195
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$1950%$195
Office Visit - Established Patient, High Complexity$3070%$307
Office Visit - Established Patient, Low Complexity$1530%$153
Office Visit - Established Patient, Moderate Complexity$2280%$228
Office Visit - New Patient, Low Complexity$2280%$228
Office Visit - New Patient, Minor$1590%$159
Office Visit - New Patient, Moderate Complexity$3490%$349
Pap Test$2540%$254
Physical Therapy - Low Complexity Evaluation$2430%$243
Physical Therapy - Manual Therapy$970%$97
Physical Therapy - Therapeutic Exercises$1330%$133
Psychiatric Diagnostic Evaluation$2550%$255
Psychotherapy - 30 Minutes$1370%$137
Psychotherapy - 45 Minutes$1580%$158
Psychotherapy - 60 Minutes$1580%$158
Psychotherapy - Group Session$630%$63
Strep Test (Streptococcus, group A)$440%$44
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$930%$93
Ultrasound - Breast (outpatient)$1,6040%$1,604
Urine Capacity Measurement$3520%$352
Urine Test - Automated with Microscope Examination$1130%$113
Urine Test - Automated without Microscope$170%$17
Urine Test - Bacterial Culture$310%$31
Urine Test - Bacterial Culture, Quantitative Colony Count$850%$85
Urine Test - Chlamydia$1200%$120
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1740%$174
Urine Test - Microalbumin (Protein) Level$770%$77
Urine Test - Pregnancy$180%$18
Urine Test - Urinalysis, Manual Test$50%$5
Vaccine - Pneumococcal Conjugate for Injection into Muscle$3410%$341
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$1120%$112
X-Ray - Foot (outpatient)$6910%$691
X-Ray - Hand$8850%$885
X-Ray - Shoulder (outpatient)$7230%$723