Indian Stream Health Center
141 Corliss Lane Colebrook, NH 03576
Medical Procedures
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for blood glucose control (Hemoglobin A1C) | $81 | 0% | $81 | Medium |
| Blood test for complete blood cell count and automated WBC | $66 | 0% | $66 | Medium |
| Blood test for thyroxine (thyroid chemical) level, free | $76 | 0% | $76 | Medium |
| Blood test for TSH (thyroid stimulating hormone) level | $141 | 0% | $141 | Medium |
| Blood test for vitamin B-12 (cyanocobalamin) level | $101 | 0% | $101 | Medium |
| Health Screening - General Health Panel | $295 | 0% | $295 | Medium |
| Lipid Panel - Cholesterol Test | $112 | 0% | $112 | Medium |
| Urinalysis test automated with microscope examination | $23 | 0% | $23 | Medium |
| Metabolic Panel - Comprehensive | $88 | 0% | $88 | Medium |
| Pregnancy test, urine | $16 | 0% | $16 | Medium |
| Strep Test (Streptococcus, group A) | $26 | 0% | $26 | Medium |
| Test for vitamin D-3 level | $268 | 0% | $268 | Medium |
| Urine test for bacterial culture | $55 | 0% | $55 | Medium |
Behavioral Health Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| 30 Minute - Psychotherapy | $131 | 0% | $131 | Medium |
| 45 Minute - Psychotherapy | $184 | 0% | $184 | Medium |
| Diagnostic Evaluation - Psychiatric | $210 | 0% | $210 | Medium |
| Family Session - Psychotherapy | $210 | 0% | $210 | Medium |
| Group Session - Psychotherapy | $131 | 0% | $131 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $157 | 0% | $157 | Medium |
| Office Visit, Established Pt | $201 | 0% | $201 | Medium |
| Office Visit of Moderate Complexity | $315 | 0% | $315 | Medium |
| Office Visit, New Pt, Minor | $224 | 0% | $224 | Medium |
| Office Visit, New Pt, Low | $277 | 0% | $277 | Medium |
| Comp Preventive Medicine younger than 1 yrs old | $184 | 0% | $184 | Medium |
| Comp Preventive Medicine 1-4 yrs old | $184 | 0% | $184 | Medium |
| Comp Preventive Medicine 5-11 yrs old | $236 | 0% | $236 | Medium |
| Comp Preventive Medicine 12-17 yrs old | $263 | 0% | $263 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $184 | 0% | $184 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $184 | 0% | $184 | Medium |
| New Patient, Comp Prevent Medicine younger than 1 yrs old | $184 | 0% | $184 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $453 | 0% | $453 | Medium |