Manchester Obstetrical Associates
150 Tarrytown Road Manchester, NH 03103
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mammogram (outpatient) | $1057 | 0% | $1057 | Medium |
| Ultrasound - Pelvic (outpatient) | $231 | 0% | $231 | Medium |
| Ultrasound - Pregnancy (outpatient) | $273 | 0% | $273 | Medium |
| Ultrasound - Pregnancy follow-up | $313 | 0% | $313 | High |
| Ultrasound - Transvaginal (non-maternity) | $236 | 0% | $236 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for complete blood cell count and automated WBC | $80 | 0% | $80 | Medium |
| Blood test for complete blood cell count (hemoglobin) | $51 | 0% | $51 | Medium |
| Pap Test | $202 | 0% | $202 | Medium |
| Pregnancy test, urine | $19 | 0% | $19 | Medium |
| Test for disease-causing (pathogenic) organisms, not limited to a specific condition | $68 | 0% | $68 | Medium |
| Urine test for bacterial culture | $68 | 0% | $68 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $80 | 0% | $80 | Medium |
| Office Visit, Established Pt | $158 | 0% | $158 | Medium |
| Office Visit of Moderate Complexity | $195 | 0% | $195 | Medium |
| Office Visit of Moderate to High Complexity | $263 | 0% | $263 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $247 | 0% | $247 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $236 | 0% | $236 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $247 | 0% | $247 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $289 | 0% | $289 | Medium |