Manchester Community Health Center
145 Hollis Street Manchester, NH 03101
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Ultrasound - Transvaginal (non-maternity) | $465 | 0% | $465 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for blood glucose control (Hemoglobin A1C) | $84 | 0% | $84 | Medium |
| Blood test for thyroxine (thyroid chemical) level, free | $110 | 0% | $110 | Medium |
| Blood test for TSH (thyroid stimulating hormone) level | $158 | 0% | $158 | Medium |
| Urinalysis test automated with microscope examination | $63 | 0% | $63 | Medium |
| Pregnancy test, urine | $21 | 0% | $21 | Medium |
| Test for disease-causing (pathogenic) organisms, not limited to a specific condition | $68 | 0% | $68 | Medium |
| Strep Test (Streptococcus, group A) | $44 | 0% | $44 | Medium |
| Urinalysis test automated without microscope | $9 | 0% | $9 | Medium |
Behavioral Health Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| 30 Minute - Psychotherapy | $169 | 0% | $169 | Medium |
| Diagnostic Evaluation - Psychiatric | $273 | 0% | $273 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $119 | 0% | $119 | Medium |
| Office Visit, Established Pt | $196 | 0% | $196 | Medium |
| Office Visit of Moderate Complexity | $291 | 0% | $291 | Medium |
| Office Visit of Moderate to High Complexity | $379 | 0% | $379 | Medium |
| Office Visit, New Pt, Minor | $203 | 0% | $203 | Medium |
| Office Visit, New Pt, Low | $293 | 0% | $293 | Medium |
| Comp Preventive Medicine younger than 1 yrs old | $269 | 0% | $269 | Medium |
| Comp Preventive Medicine 1-4 yrs old | $287 | 0% | $287 | Medium |
| Comp Preventive Medicine 5-11 yrs old | $286 | 0% | $286 | Medium |
| Comp Preventive Medicine 12-17 yrs old | $314 | 0% | $314 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $321 | 0% | $321 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $342 | 0% | $342 | Medium |
| New Patient, Comp Prevent Medicine 5-11 yrs old | $227 | 0% | $227 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $275 | 0% | $275 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $307 | 0% | $307 | Medium |