Family Health Matters of Salem

23 Stiles Road, Suite 210 Salem, NH 03079
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Bacterial Culture - Swab$370%$37
Blood Test - Clotting Time$170%$17
Blood Test - Coagulation Assessment$250%$25
Blood Test - Complete Blood Cell Count and Automated WBC$330%$33
Blood Test - Comprehensive Metabolic Panel$450%$45
Blood Test - Electrolytes Panel$290%$29
Blood Test - Thyroid Stimulating Hormone (TSH) Level$710%$71
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$370%$37
Lab Test - Detection test for Influenza Virus$510%$51
Lab Test - Smear for Microorganism$180%$18
Office Visit - Basic$1470%$147
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2320%$232
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$2700%$270
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$3050%$305
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3260%$326
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3360%$336
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$3680%$368
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$3100%$310
Office Visit - Established Patient, High Complexity$4830%$483
Office Visit - Established Patient, Low Complexity$1860%$186
Office Visit - Established Patient, Moderate Complexity$3570%$357
Office Visit - New Patient, Low Complexity$3000%$300
Office Visit - New Patient, Moderate Complexity$4000%$400
Strep Test (Streptococcus, group A)$390%$39
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$530%$53