Granite State Pain Associates

24 Bridge Street, Suite 9 Concord, NH 03301
https://www.painmd.com/
(603) 415-0090

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 $167 N/A $167
Back MRI $3,990 N/A $3,990
Bacterial Culture Swab $214 N/A $214
Bacterial Culture Swab for Aerobic Isolates $141 N/A $141
Bacterial Culture, Quantitative Colony Count $156 N/A $156
Bilirubin Level $105 N/A $105
Blood Count (Hemoglobin) $65 N/A $65
Blood Glucose Control (Hemoglobin A1C) $135 N/A $135
Blood Typing (Rh (D)) $123 N/A $123
Brain MRI $7,552 N/A $7,552
C-reactive Protein (CRP) Level $119 N/A $119
Chlamydia Test $243 N/A $243
Clotting Time $73 N/A $73
Coagulation Assessment $159 N/A $159
Colonoscopy With Biopsy for Noncancerous Growth $13,122 N/A $13,122
Colonoscopy With Polyp Removal $14,251 N/A $14,251
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $8,093 N/A $8,093
Complete Blood Cell Count (Hemoglobin) $154 N/A $154
Creatinine Level $60 N/A $60
CT Scan of Abdomen and Pelvis, With Contrast $5,550 N/A $5,550
CT Scan of Chest, With Contrast $4,020 N/A $4,020
CT Scan of Head/Brain, Without Contrast $3,746 N/A $3,746
Detection for Strep (Streptococcus, group A) $103 N/A $103
Detection Test for Hepatitis B Surface Antigen $113 N/A $113
Electrolytes Panel $166 N/A $166
Emergency Transport, Advanced Life Support $1,476 N/A $1,476
Emergency Transport, Basic Life Support $1,354 N/A $1,354
Eye Cataract Removal, Simple $16,355 N/A $16,355
Ferritin (Blood Protein) Level $247 N/A $247
Folic Acid Level $151 N/A $151
Follow-Up Pregnancy Ultrasound $901 N/A $901
Gall Bladder Surgery $46,356 N/A $46,356
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $243 N/A $243
Hepatic (Liver) Function Panel $119 N/A $119
Hepatitis B Surface Antibody Level $400 N/A $400
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 $109 N/A $109
Iron Level $94 N/A $94
Knee MRI $4,645 N/A $4,645
Lab Test to Detect Coronavirus (COVID-19) $82 N/A $82
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 Detect Influenza Virus $150 N/A $150
Lab Test to Measure Creatinine Level $97 N/A $97
Lead Level $89 N/A $89
Lipase (Fat Enzyme) Level $132 N/A $132
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 $288 Near Average
State Average: 1
$288
Magnesium Level $122 N/A $122
Manual Physical Therapy $152 Below Average
State Average: 4
$152
Microalbumin (Protein) Level $109 N/A $109
Mileage Rate for Ambulance Transport $33 N/A $33
Minor (Outpatient) Emergency Department Visit $330 N/A $330
Moderate Complexity (Outpatient) Emergency Department Visit $945 N/A $945
Moderate Complexity Physical Therapy Evaluation $446 Near Average
State Average: 1
$446
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 Ultrasound (Outpatient) $1,240 N/A $1,240
Presence of Drug $317 N/A $317
Prostate Cancer Screening $175 N/A $175
Prostate Specific Antigen (PSA) Level, Free $172 N/A $172
Prostate Specific Antigen (PSA) Level, Total $211 N/A $211
Psychiatric Diagnostic Evaluation $205 Near Average
State Average: 1
$205
Psychotherapy, 45 Minutes with Patient $137 Near Average
State Average: 4
$137
Renal (Kidney) Function Panel $159 N/A $159
Screening Mammogram of Both Breasts $1,257 N/A $1,257
Self-Care or Home Management Training $114 Below Average
State Average: 2
$114
Shoulder, Elbow, or Wrist MRI $4,998 N/A $4,998
Single-Level Injection for Pain Management, Lower Back or Tailbone $2,546 N/A $2,546
Smear for Microorganism $99 N/A $99
Telehealth Visit for Established Patient, 11-20 minutes $126 N/A $126
Telehealth Visit for Established Patient, 21-30 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 $228 N/A $228
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 $1,652 N/A $1,652
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
Ultrasound of Pelvis $1,333 N/A $1,333
Upper Gastrointestinal (GI) Endoscopy With Biopsy $13,103 N/A $13,103
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $9,012 N/A $9,012
Urea Nitrogen Level $39 N/A $39
Urinalysis, Automated with Microscope Examination $80 N/A $80
Urinalysis, Automated without Microscope $62 N/A $62
Vitamin B-12 (Cyanocobalamin) Level $188 N/A $188
Vitamin D-3 Level $355 N/A $355
Walking Training, 15 minutes $114 Near Average
State Average: 1
$114
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 $651 N/A $651
X-Ray of Fingers, 2 Views $519 N/A $519
X-Ray of Foot, 3 Views $605 N/A $605
X-Ray of Hand, 3 Views $658 N/A $658
X-Ray of Hip, 2 or 3 Views $275 N/A $275
X-Ray of Knee, 3 Views $661 N/A $661
X-Ray of Knee, 4 Views $735 N/A $735
X-Ray of Low Back, 2 or 3 Views $677 N/A $677
X-Ray of Neck, 4 to 5 Views $789 N/A $789
X-Ray of Shoulder, 2 Views $816 N/A $816