Indian Stream Health Center

141 Corliss Lane Colebrook, NH 03576
http://www.indianstream.org/
(603) 237-8336

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%
Automated with Microscope Examination $50 N/A $50
Automated without Microscope $34 N/A $34
Basic Metabolic Panel $69 N/A $69
Blood Count (Hemoglobin) $5 N/A $5
Blood Glucose Control (Hemoglobin A1C) $93 N/A $93
Blood Typing (ABO) $39 N/A $39
Cholesterol Test, Lipid Panel $122 N/A $122
Clotting Time $60 N/A $60
Complete Blood Cell Count and Automated White Blood Cells $69 N/A $69
Comprehensive Metabolic Panel $93 N/A $93
Ferritin (Blood Protein) Level $127 N/A $127
Folic Acid Level $138 N/A $138
General Health Panel $322 N/A $322
Iron Level $103 N/A $103
Lab Test to Detect Coronavirus (COVID-19) $100 N/A $100
Lab Test to Detect Influenza Virus $40 N/A $40
Lipase (Fat Enzyme) Level $65 N/A $65
Magnesium Level $66 N/A $66
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $348 N/A $348
New Patient Preventive Care Visit for Adult, 40-64 $404 N/A $404
New Patient Preventive Care Visit for Adult, Ages 18-39 $348 N/A $348
New Patient Preventive Care Visit for Child, Ages 1-4 $320 N/A $320
Office Visit for Established Patient, Basic $92 N/A $92
Office Visit for Established Patient, High Complexity $294 N/A $294
Office Visit for Established Patient, Low Complexity $150 N/A $150
Office Visit for Established Patient, Minimal Presenting Problem $110 N/A $110
Office Visit for Established Patient, Moderate Complexity $290 N/A $290
Office Visit for New Patient, Low Complexity $219 N/A $219
Office Visit for New Patient, Minor Complexity $155 N/A $155
Office Visit for New Patient, Moderate Complexity $332 N/A $332
Parathyroid Hormone (PTH) Level $399 N/A $399
Phosphate Level $45 N/A $45
Pregnancy Test $47 N/A $47
Preventive Care Visit for Adolescent, Under Ages 12-17 $302 N/A $302
Preventive Care Visit for Adult, 40-64 $396 N/A $396
Preventive Care Visit for Adult, Ages 18-39 $303 N/A $303
Preventive Care Visit for Child, Under Ages 1-4 $278 N/A $278
Preventive Care Visit for Child, Under Ages 5-11 $248 N/A $248
Prostate Specific Antigen (PSA) Level $139 N/A $139
Psychiatric Diagnostic Evaluation $163 Near Average
State Average: 1
$163
Psychotherapy, 30 Minutes with Patient $84 Near Average
State Average: 1
$84
Psychotherapy, 45 Minutes with Patient $105 Below Average
State Average: 4
$105
Red Blood Cell Sedimentation Rate, Non-Automated $36 N/A $36
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $79 N/A $79
Thyroid Stimulating Hormone (TSH) Level $160 N/A $160
Thyroxine (Thyroid Chemical) Level, Free $83 N/A $83
Vitamin B-12 (Cyanocobalamin) Level $111 N/A $111
Vitamin D-3 Level $321 N/A $321