MID-STATE Health Center

859 Lake Street Bristol, NH 03222
Medical Procedures
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Mammogram (outpatient)$8930%$893 High

Outpatient Tests and Procedures

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$2500%$250 Medium
Destruction of Lesion (outpatient)$3560%$356 High

Laboratory Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for blood glucose control (Hemoglobin A1C)$340%$34 Medium
Blood test for clotting time$210%$21 Medium
Blood test for TSH (thyroid stimulating hormone) level$330%$33 Medium
Lipid Panel - Cholesterol Test$370%$37 Medium
Pregnancy test, urine$260%$26 Medium
Strep Test (Streptococcus, group A)$400%$40 Medium

Behavioral Health Care

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
30 Minute - Psychotherapy$1210%$121 Medium
Diagnostic Evaluation - Psychiatric$2820%$282 Medium
Family Session - Psychotherapy$2140%$214 Medium