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) $231 N/A $231
Antinuclear Antibodies (ANA) Level $183 N/A $183
Arthrocentesis $1,862 N/A $1,862
Back MRI $4,611 N/A $4,611
Bacterial Culture Swab $236 N/A $236
Blood Typing (Rh (D)) $150 N/A $150
C-reactive Protein (CRP) Level $145 N/A $145
Chlamydia Test $295 N/A $295
Clotting Time $93 N/A $93
Coagulation Assessment $202 N/A $202
Colonoscopy With Biopsy for Noncancerous Growth $15,791 N/A $15,791
Colonoscopy With Polyp Removal $16,416 N/A $16,416
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $8,491 N/A $8,491
Complete Blood Cell Count (Hemoglobin) $195 N/A $195
Creatinine Level $76 N/A $76
CT Scan of Abdomen and Pelvis, With Contrast $7,601 N/A $7,601
Detection for Strep (Streptococcus, group A) $131 N/A $131
Detection Test for Hepatitis B Surface Antigen $144 N/A $144
Diagnostic Mammogram of One Breast $1,232 N/A $1,232
Emergency Transport, Advanced Life Support $1,705 N/A $1,705
Emergency Transport, Basic Life Support $1,565 N/A $1,565
Folic Acid Level $192 N/A $192
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $310 N/A $310
Hepatic (Liver) Function Panel $137 N/A $137
Hepatitis B Surface Antibody Level $440 N/A $440
Hepatitis C Antibody Level $221 N/A $221
Iron Binding Capacity $140 N/A $140
Iron Level $120 N/A $120
Lab Test to Detect Coronavirus (COVID-19) $104 N/A $104
Lab Test to Detect Coronavirus (COVID-19) Antigen $105 N/A $105
Lab Test to Measure Creatinine Level $123 N/A $123
Lipase (Fat Enzyme) Level $167 N/A $167
Low Complexity (Outpatient) Emergency Department Visit $803 N/A $803
Low Complexity Physical Therapy Evaluation $311 Near Average
State Average: 1
 $311
Magnesium Level $155 N/A $155
Microalbumin (Protein) Level $140 N/A $140
Mileage Rate for Ambulance Transport $38 N/A $38
Minor (Outpatient) Emergency Department Visit $379 N/A $379
Moderate Complexity (Outpatient) Emergency Department Visit $1,250 N/A $1,250
Moderate Complexity Physical Therapy Evaluation $481 Near Average
State Average: 1
 $481
Natriuretic Peptide Level $341 N/A $341
New Patient Preventive Care Visit for Adult, 40-64 $315 N/A $315
New Patient Preventive Care Visit for Adult, Ages 18-39 $263 N/A $263
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
Phosphate Level $72 N/A $72
Pregnancy Test $159 N/A $159
Presence of Drug $498 N/A $498
Preventive Care Visit for Adult, 40-64 $257 N/A $257
Prostate Cancer Screening $222 N/A $222
Prostate Specific Antigen (PSA) Level, Free $198 N/A $198
Prostate Specific Antigen (PSA) Level, Total $242 N/A $242
Renal (Kidney) Function Panel $183 N/A $183
Screening Mammogram of Both Breasts $1,341 N/A $1,341
Shoulder, Elbow, or Wrist MRI $5,790 N/A $5,790
Single-Level Injection for Pain Management, Lower Back or Tailbone $3,542 N/A $3,542
Smear for Microorganism $125 N/A $125
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $132 N/A $132
Therapeutic Activities $180 Below Average
State Average: 3
 $180
Thyroxine (Thyroid Chemical) Level, Free $215 N/A $215
Total Protein Level $99 N/A $99
Triiodothyronine (T3) Thyroid Hormone Measurement $347 N/A $347
Troponin (Protein) Analysis, Quantitative $361 N/A $361
Ultrasound of Abdomen, Complete $2,109 N/A $2,109
Ultrasound of Heart (Echocardiogram) $3,741 N/A $3,741
Upper Gastrointestinal (GI) Endoscopy With Biopsy $14,529 N/A $14,529
Urea Nitrogen Level $49 N/A $49
Urinalysis, Automated with Microscope Examination $168 N/A $168
Urinalysis, Automated without Microscope $79 N/A $79
Vitamin B-12 (Cyanocobalamin) Level $239 N/A $239
Walking Training, 15 minutes $133 Near Average
State Average: 1
 $133
X-Ray of Abdomen, 1 View $622 N/A $622
X-Ray of Ankle, 3 Views $764 N/A $764
X-Ray of Chest, 2 Views $835 N/A $835
X-Ray of Foot, 3 Views $779 N/A $779
X-Ray of Hip, 2 or 3 Views $345 N/A $345
X-Ray of Knee, 3 Views $727 N/A $727
X-Ray of Low Back, 2 or 3 Views $821 N/A $821
X-Ray of Shoulder, 2 Views $933 N/A $933