Granite State Pain Associates

24 Bridge Street, Suite 9 Concord, NH 03301
https://www.painmd.com/
(603) 415-0090
255 Route 108 Somersworth, NH 03878
(800) 660-4004

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%
Antibody Screen, Red Blood Cells (RBC) $190 N/A $190
Antinuclear Antibodies (ANA) Level $183 N/A $183
Back MRI $4,289 N/A $4,289
Bacterial Culture Swab $214 N/A $214
Bacterial Culture, Quantitative Colony Count $156 N/A $156
Bilirubin Level $105 N/A $105
Blood Typing (Rh (D)) $123 N/A $123
C-reactive Protein (CRP) Level $131 N/A $131
Chlamydia Test $243 N/A $243
Clotting Time $73 N/A $73
Coagulation Assessment $159 N/A $159
Colonoscopy With Biopsy for Noncancerous Growth $13,923 N/A $13,923
Colonoscopy With Polyp Removal $14,428 N/A $14,428
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $8,170 N/A $8,170
Complete Blood Cell Count (Hemoglobin) $154 N/A $154
Creatinine Level $60 N/A $60
CT Scan of Abdomen and Pelvis, With Contrast $6,382 N/A $6,382
CT Scan of Chest, With Contrast $4,235 N/A $4,235
Detection for Strep (Streptococcus, group A) $118 N/A $118
Detection Test for Hepatitis B Surface Antigen $113 N/A $113
Diagnostic Mammogram of One Breast $1,103 N/A $1,103
Electrolytes Panel $166 N/A $166
Emergency Transport, Advanced Life Support $1,624 N/A $1,624
Emergency Transport, Basic Life Support $1,354 N/A $1,354
Folic Acid Level $151 N/A $151
Follow-Up Pregnancy Ultrasound $1,036 N/A $1,036
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $243 N/A $243
Hepatic (Liver) Function Panel $137 N/A $137
Hepatitis B Surface Antibody Level $440 N/A $440
Hepatitis C Antibody Level $181 N/A $181
High Complexity Physical Therapy Evaluation $622 Near Average
State Average: 1
 $622
Hydration Infusion $139 N/A $139
Injection of Substance for Pain Management, Lower Back or Tailbone $1,111 N/A $1,111
Iron Binding Capacity $126 N/A $126
Iron Level $94 N/A $94
Knee MRI $5,378 N/A $5,378
Lab Test to Detect Coronavirus (COVID-19) $94 N/A $94
Lab Test to Detect Coronavirus (COVID-19) Antigen $83 N/A $83
Lab Test to Detect HIV-1 and HIV-2 $136 N/A $136
Lab Test to Measure Creatinine Level $97 N/A $97
Lead Level $89 N/A $89
Lipase (Fat Enzyme) Level $151 N/A $151
Liver Enzyme (ALT or SGPT) Level $39 N/A $39
Liver Enzyme (AST or SGOT) Level $26 N/A $26
Low Complexity (Outpatient) Emergency Department Visit $607 N/A $607
Low Complexity Physical Therapy Evaluation $311 Near Average
State Average: 1
 $311
Magnesium Level $122 N/A $122
Microalbumin (Protein) Level $109 N/A $109
Mileage Rate for Ambulance Transport $36 N/A $36
Minor (Outpatient) Emergency Department Visit $330 N/A $330
Moderate Complexity (Outpatient) Emergency Department Visit $945 N/A $945
Moderate Complexity Physical Therapy Evaluation $481 Near Average
State Average: 1
 $481
Myocardial Imaging $5,353 N/A $5,353
Natriuretic Peptide Level $269 N/A $269
Office Visit for Established Patient, High Complexity $273 N/A $273
Office Visit for Established Patient, Low Complexity $158 N/A $158
Office Visit for Established Patient, Minimal Presenting Problem $87 N/A $87
Office Visit for Established Patient, Moderate Complexity $231 N/A $231
Office Visit for New Patient, High Complexity $471 N/A $471
Office Visit for New Patient, Low Complexity $245 N/A $245
Office Visit for New Patient, Moderate Complexity $349 N/A $349
Parathyroid Hormone (PTH) Level $523 N/A $523
Phosphate Level $57 N/A $57
Pregnancy Test $143 N/A $143
Pregnancy Ultrasound (Outpatient) $1,249 N/A $1,249
Presence of Drug $365 N/A $365
Prostate Cancer Screening $175 N/A $175
Prostate Specific Antigen (PSA) Level, Free $185 N/A $185
Prostate Specific Antigen (PSA) Level, Total $211 N/A $211
Psychotherapy, 45 Minutes with Patient $137 Below Average
State Average: 4
 $137
Renal (Kidney) Function Panel $159 N/A $159
Screening Mammogram of Both Breasts $1,257 N/A $1,257
Shoulder, Elbow, or Wrist MRI $5,069 N/A $5,069
Single-Level Injection for Pain Management, Lower Back or Tailbone $3,530 N/A $3,530
Smear for Microorganism $99 N/A $99
Telehealth Visit for Established Patient, 11-20 minutes $126 N/A $126
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $104 N/A $104
Therapeutic Activities $167 Below Average
State Average: 3
 $167
Therapeutic Exercises $167 Above Average
State Average: 4
 $167
Thyroglobulin (Thyroid Protein) Antibody Level $262 N/A $262
Thyroxine (Thyroid Chemical) Level, Free $169 N/A $169
Total Protein Level $82 N/A $82
Triiodothyronine (T3) Thyroid Hormone Measurement $273 N/A $273
Troponin (Protein) Analysis, Quantitative $284 N/A $284
Ultrasound of Abdomen, Complete $1,766 N/A $1,766
Ultrasound of Abdomen, Limited $1,293 N/A $1,293
Ultrasound of Breast $489 N/A $489
Ultrasound of Head and Neck $1,594 N/A $1,594
Ultrasound of Heart (Echocardiogram) $3,573 N/A $3,573
Upper Gastrointestinal (GI) Endoscopy With Biopsy $13,842 N/A $13,842
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $9,675 N/A $9,675
Urea Nitrogen Level $39 N/A $39
Urinalysis, Automated with Microscope Examination $80 N/A $80
Urinalysis, Automated without Microscope $72 N/A $72
Vitamin B-12 (Cyanocobalamin) Level $188 N/A $188
Vitamin D-3 Level $355 N/A $355
Walking Training, 15 minutes $119 Near Average
State Average: 1
 $119
X-Ray of Abdomen, 1 View $515 N/A $515
X-Ray of Ankle, 3 Views $595 N/A $595
X-Ray of Chest, 2 Views $675 N/A $675
X-Ray of Foot, 3 Views $691 N/A $691
X-Ray of Hand, 3 Views $705 N/A $705
X-Ray of Hip, 2 or 3 Views $275 N/A $275
X-Ray of Knee, 3 Views $638 N/A $638
X-Ray of Knee, 4 Views $735 N/A $735
X-Ray of Low Back, 2 or 3 Views $732 N/A $732
X-Ray of Neck, 4 to 5 Views $816 N/A $816
X-Ray of Shoulder, 2 Views $779 N/A $779