Garrison Women's Health Center
770 Central Ave Dover, NH 03820
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mammogram (outpatient) | $836 | 0% | $836 | Medium |
| Ultrasound - Pregnancy (outpatient) | $357 | 0% | $357 | Medium |
| Ultrasound - Pregnancy follow-up | $306 | 0% | $306 | Medium |
| Ultrasound - Transvaginal (non-maternity) | $368 | 0% | $368 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for complete blood cell count (hemoglobin) | $44 | 0% | $44 | Medium |
| Blood test for TSH (thyroid stimulating hormone) level | $137 | 0% | $137 | Medium |
| Chlamydia test | $84 | 0% | $84 | Medium |
| Gonorrhoeae test (Neisseria gonorrhoeae bacteria) | $84 | 0% | $84 | Medium |
| Pregnancy test, urine | $23 | 0% | $23 | Medium |
| Test for vitamin D-3 level | $181 | 0% | $181 | Medium |
| Urinalysis test automated without microscope | $8 | 0% | $8 | Medium |
| Urine test for bacterial culture | $48 | 0% | $48 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $103 | 0% | $103 | Medium |
| Office Visit, Established Pt | $173 | 0% | $173 | Medium |
| Office Visit of Moderate Complexity | $252 | 0% | $252 | Medium |
| Office Visit of Moderate to High Complexity | $326 | 0% | $326 | Medium |
| Office Visit, New Pt, Minor | $168 | 0% | $168 | Medium |
| Office Visit, New Pt, Low | $247 | 0% | $247 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $284 | 0% | $284 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $294 | 0% | $294 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $310 | 0% | $310 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $357 | 0% | $357 | Medium |