MID-STATE Health Center

859 Lake Street Bristol, NH 03222
Medical Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Biopsy - Punch Biopsy of Skin$430N/A$430
Blood Test - Blood Glucose (Sugar) Level$26N/A$26
Blood Test - Blood Glucose Control (Hemoglobin A1C)$34N/A$34
Blood Test - Cholesterol Test, Lipid Panel$37N/A$37
Blood Test - Clotting Time$21N/A$21
Blood Test - Complete Blood Cell Count and Automated WBC$42N/A$42
Blood Test - Lead Level$25N/A$25
Blood Test - Prostate Specific Antigen (PSA) Level$184N/A$184
Destruction of Lesion (outpatient)$302N/A$302
Electrocardiogram (ECG or EKG), Tracing$240N/A$240
Electrocardiogram (ECG or EKG), with Report and Interpretation$365N/A$365
Lab Test - Detection for Strep (Streptococcus, group A)$40N/A$40
Lab Test - Detection test for Influenza Virus$40N/A$40
Mammogram (outpatient)$1,022N/A$1,022
Office Visit - Basic$89N/A$89
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$265N/A$265
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$302N/A$302
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$302N/A$302
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$334N/A$334
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$265N/A$265
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$246N/A$246
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$233N/A$233
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$252N/A$252
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$258N/A$258
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$277N/A$277
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$233N/A$233
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$208N/A$208
Office Visit - Established Patient, High Complexity$289N/A$289
Office Visit - Established Patient, Low Complexity$147N/A$147
Office Visit - Established Patient, Moderate Complexity$215N/A$215
Office Visit - New Patient, Low Complexity$236N/A$236
Office Visit - New Patient, Minor$168N/A$168
Office Visit - New Patient, Moderate Complexity$352N/A$352
Psychiatric Diagnostic Evaluation$282 Near Average
State Average: 1
$282
Psychotherapy - 30 Minutes$121 Above Average
State Average: 1
$121
Psychotherapy - 45 Minutes$182 Below Average
State Average: 4
$182
Psychotherapy - Family Session$214 Below Average
State Average: 3
$214
Urine Test - Pregnancy$26N/A$26
Urine Test - Urinalysis, Manual Test$18N/A$18
Vaccine - Influenza for Injection into Muscle$44N/A$44
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$68N/A$68