MID-STATE Health Center

859 Lake Street Bristol, NH 03222
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$2950%$295 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$340%$34 Medium
Blood Test - Cholesterol Test, Lipid Panel$370%$37 Medium
Blood Test - Clotting Time$210%$21 Medium
Destruction of Lesion (outpatient)$3140%$314 High
Mammogram (outpatient)$1,0280%$1,028 High
Office Visit - Basic$890%$89 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2650%$265 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$3020%$302 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$3020%$302 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3340%$334 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2650%$265 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2460%$246 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2330%$233 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2520%$252 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2580%$258 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2770%$277 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2330%$233 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2080%$208 Medium
Office Visit - Established Patient, High Complexity$2890%$289 Medium
Office Visit - Established Patient, Low Complexity$1470%$147 Medium
Office Visit - Established Patient, Moderate Complexity$2150%$215 Medium
Office Visit - New Patient, Low Complexity$2360%$236 Medium
Office Visit - New Patient, Minor$1680%$168 Medium
Psychiatric Diagnostic Evaluation$2820%$282 Medium
Psychotherapy - 30 Minutes$1210%$121 Medium
Psychotherapy - 45 Minutes$1820%$182 Medium
Psychotherapy - Family Session$2140%$214 Medium
Strep Test (Streptococcus, group A)$400%$40 Medium
Urine Test - Pregnancy$260%$26 Medium