Gilchrist & Sevigny Pediatrics

4 Meeting House Road Chelmsford, MA 01824
http://www.childdocs.com/
(978) 250-4081

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%
Blood Count (Hemoglobin) $32 N/A $32
Developmental Screening $47 N/A $47
Influenza Vaccine, Injected into Muscle $1 N/A $1
Office Visit for Established Patient, High Complexity $320 N/A $320
Office Visit for Established Patient, Minimal Presenting Problem $84 N/A $84
Preventive Care Visit for Adolescent, Under Ages 12-17 $336 N/A $336
Preventive Care Visit for Adult, Ages 18-39 $341 N/A $341
Preventive Care Visit for Child, Under Age 1 $268 N/A $268
Preventive Care Visit for Child, Under Ages 1-4 $278 N/A $278
Preventive Care Visit for Child, Under Ages 5-11 $305 N/A $305