Goodwin Community Health

311 NH-108 Somersworth, NH 03878
http://goodwinch.org/
(603) 749-2346

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 Glucose (Sugar) Level $6 N/A $6
Electrocardiogram (ECG or EKG) With Report and Interpretation $242 N/A $242
Influenza Vaccine, Injected into Muscle $21 N/A $21
Lead Level $18 N/A $18
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $240 N/A $240
New Patient Preventive Care Visit for Adult, 40-64 $270 N/A $270
New Patient Preventive Care Visit for Adult, Ages 18-39 $234 N/A $234
New Patient Preventive Care Visit for Child, Ages 5-11 $213 N/A $213
New Patient Preventive Care Visit for Child, Under Age 1 $196 N/A $196
Office Visit for Established Patient, Basic $80 N/A $80
Office Visit for Established Patient, High Complexity $261 N/A $261
Office Visit for Established Patient, Low Complexity $131 N/A $131
Office Visit for Established Patient, Moderate Complexity $194 N/A $194
Office Visit for New Patient, High Complexity $373 N/A $373
Office Visit for New Patient, Low Complexity $195 N/A $195
Office Visit for New Patient, Minor Complexity $128 N/A $128
Office Visit for New Patient, Moderate Complexity $296 N/A $296
Pneumococcal Conjugate Vaccine, Injected into Muscle $210 N/A $210
Preventive Care Visit for Adolescent, Under Ages 12-17 $206 N/A $206
Preventive Care Visit for Adult, 40-64 $224 N/A $224
Preventive Care Visit for Adult, Ages 18-39 $210 N/A $210
Preventive Care Visit for Child, Under Age 1 $176 N/A $176
Preventive Care Visit for Child, Under Ages 1-4 $189 N/A $189
Preventive Care Visit for Child, Under Ages 5-11 $188 N/A $188
Psychiatric Diagnostic Evaluation $286 Near Average
State Average: 1
 $286
Psychotherapy, 30 Minutes with Patient $116 Above Average
State Average: 1
 $116
Psychotherapy, 45 Minutes with Patient $154 Below Average
State Average: 4
 $154
Psychotherapy, 60 Minutes with Patient $232 Below Average
State Average: 6
 $232
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $47 N/A $47
Urinalysis, Manual Test $4 N/A $4