Martin's Point Health Care
161 Corporate Drive Portsmouth, NH 03801
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mammogram (outpatient) | $777 | 0% | $777 | Medium |
Outpatient Tests and Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Destruction of Lesion (outpatient) | $647 | 0% | $647 | Medium |
Laboratory Services
Physical Therapy
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Low Complexity Evaluation - PT | $126 | 0% | $126 | Medium |
| Moderate Complexity Evaluation - PT | $210 | 0% | $210 | Medium |
| High Complexity Evaluation - PT | $175 | 0% | $175 | Medium |
| Manual Therapy - PT | $74 | 0% | $74 | Medium |
| Therapeutic Activities - PT | $79 | 0% | $79 | Medium |
| Therapeutic Exercises - PT | $91 | 0% | $91 | Medium |
| Electrical Stimulation Therapy - PT | $53 | 0% | $53 | Medium |
| Neuromuscular Reeducation - PT | $89 | 0% | $89 | Medium |
| Ultrasound Therapy - PT | $21 | 0% | $21 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $113 | 0% | $113 | Medium |
| Office Visit, Established Pt | $191 | 0% | $191 | Medium |
| Office Visit of Moderate Complexity | $281 | 0% | $281 | Medium |
| Office Visit of Moderate to High Complexity | $379 | 0% | $379 | Medium |
| Office Visit, New Pt, Minor | $195 | 0% | $195 | Medium |
| Office Visit, New Pt, Low | $281 | 0% | $281 | Medium |
| Comp Preventive Medicine younger than 1 yrs old | $260 | 0% | $260 | Medium |
| Comp Preventive Medicine 1-4 yrs old | $278 | 0% | $278 | Medium |
| Comp Preventive Medicine 5-11 yrs old | $277 | 0% | $277 | Medium |
| Comp Preventive Medicine 12-17 yrs old | $305 | 0% | $305 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $311 | 0% | $311 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $331 | 0% | $331 | Medium |
| New Patient, Comp Prevent Medicine 12-17 yrs old | $356 | 0% | $356 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $344 | 0% | $344 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $400 | 0% | $400 | Medium |