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 without Microscope $41 N/A $41
Blood Count (Hemoglobin) $5 N/A $5
Cholesterol Test, Lipid Panel $118 N/A $118
Complete Blood Cell Count and Automated White Blood Cells $66 N/A $66
Comprehensive Metabolic Panel $88 N/A $88
General Health Panel $306 N/A $306
Influenza Vaccine, Injected into Muscle $39 N/A $39
Lab Test to Detect Coronavirus (COVID-19) $100 N/A $100
Magnesium Level $64 N/A $64
Office Visit for Established Patient, Basic $105 N/A $105
Office Visit for Established Patient, High Complexity $465 N/A $465
Office Visit for Established Patient, Low Complexity $131 N/A $131
Office Visit for Established Patient, Minimal Presenting Problem $110 N/A $110
Office Visit for Established Patient, Moderate Complexity $290 N/A $290
Pregnancy Test $47 N/A $47
Preventive Care Visit for Adult, 40-64 $364 N/A $364
Preventive Care Visit for Adult, Ages 18-39 $363 N/A $363
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 $276 Near Average
State Average: 1
$276
Psychotherapy, 30 Minutes with Patient $134 Near Average
State Average: 1
$134
Psychotherapy, 45 Minutes with Patient $180 Below Average
State Average: 4
$180
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $79 N/A $79
Thyroid Stimulating Hormone (TSH) Level $185 N/A $185
Thyroxine (Thyroid Chemical) Level, Free $100 N/A $100
Vitamin D-3 Level $306 N/A $306