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%
Basic Metabolic Panel $92 N/A $92
Cholesterol Test, Lipid Panel $146 N/A $146
Clotting Time $58 N/A $58
Complete Blood Cell Count and Automated White Blood Cells $83 N/A $83
Comprehensive Metabolic Panel $116 N/A $116
Detection for Strep (Streptococcus, group A) $40 N/A $40
Electrocardiogram (ECG or EKG) With Report and Interpretation $118 N/A $118
Electrocardiogram (ECG or EKG) With Tracing $228 N/A $228
Family Psychotherapy with Patient $141 Below Average
State Average: 2
$141
Family Psychotherapy without Patient $141 Near Average
State Average: 1
$141
Ferritin (Blood Protein) Level $166 N/A $166
Folic Acid Level $123 N/A $123
General Health Panel $379 N/A $379
Influenza Vaccine, Injected into Muscle $76 N/A $76
Iron Binding Capacity $74 N/A $74
Iron Level $93 N/A $93
Lab Test to Detect Influenza Virus $40 N/A $40
Magnesium Level $78 N/A $78
New Patient Preventive Care Visit for Adult, 40-64 $413 N/A $413
New Patient Preventive Care Visit for Adult, Ages 18-39 $355 N/A $355
New Patient Preventive Care Visit for Child, Under Age 1 $302 N/A $302
Office Visit for Established Patient, Basic $95 N/A $95
Office Visit for Established Patient, High Complexity $465 N/A $465
Office Visit for Established Patient, Low Complexity $153 N/A $153
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 $225 N/A $225
Office Visit for New Patient, Minor Complexity $159 N/A $159
Office Visit for New Patient, Moderate Complexity $339 N/A $339
Parathyroid Hormone (PTH) Level $344 N/A $344
Phosphate Level $40 N/A $40
Pregnancy Test $47 N/A $47
Preventive Care Visit for Adolescent, Under Ages 12-17 $309 N/A $309
Preventive Care Visit for Adult, 40-64 $339 N/A $339
Preventive Care Visit for Adult, Ages 18-39 $310 N/A $310
Preventive Care Visit for Child, Under Age 1 $256 N/A $256
Preventive Care Visit for Child, Under Ages 1-4 $285 N/A $285
Preventive Care Visit for Child, Under Ages 5-11 $284 N/A $284
Psychiatric Diagnostic Evaluation $211 Near Average
State Average: 1
$211
Psychotherapy, 30 Minutes with Patient $83 Near Average
State Average: 1
$83
Psychotherapy, 45 Minutes with Patient $130 Below Average
State Average: 4
$130
Psychotherapy, 60 Minutes with Patient $187 Below Average
State Average: 6
$187
Urinalysis, Automated with Microscope Examination $63 N/A $63
Urinalysis, Automated without Microscope $34 N/A $34
Vitamin B-12 (Cyanocobalamin) Level $131 N/A $131
Vitamin D-3 Level $306 N/A $306