MID-STATE Health Center

859 Lake Street Bristol, NH 03222
Medical Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have medical insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Blood Test - Blood Glucose Control (Hemoglobin A1C)$340%$34
Blood Test - Cholesterol Test, Lipid Panel$370%$37
Blood Test - Clotting Time$210%$21
Blood Test - Complete Blood Cell Count and Automated WBC$420%$42
Blood Test - Prostate Specific Antigen (PSA) Level$1840%$184
Destruction of Lesion (outpatient)$2810%$281
Electrocardiogram (ECG or EKG)$2400%$240
Lab Test - Detection test for Influenza Virus$400%$40
Mammogram (outpatient)$1,0220%$1,022
Office Visit - Basic$890%$89
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2650%$265
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$3020%$302
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$3020%$302
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3340%$334
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2650%$265
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2460%$246
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2330%$233
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2520%$252
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2580%$258
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2770%$277
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2330%$233
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2080%$208
Office Visit - Established Patient, High Complexity$2890%$289
Office Visit - Established Patient, Low Complexity$1470%$147
Office Visit - Established Patient, Moderate Complexity$2150%$215
Office Visit - New Patient, Low Complexity$2360%$236
Office Visit - New Patient, Minor$1680%$168
Office Visit - New Patient, Moderate Complexity$3520%$352
Psychotherapy - 30 Minutes$1210%$121
Psychotherapy - 45 Minutes$1820%$182
Psychotherapy - Family Session$2140%$214
Strep Test (Streptococcus, group A)$400%$40
Urine Test - Pregnancy$260%$26
Urine Test - Urinalysis, Manual Test$180%$18
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$680%$68