Monadnock OBGYN Associates
454 Old Street Road, #302 Peerborough, NH 03458
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mammogram (outpatient) | $751 | 0% | $751 | Medium |
| Ultrasound - Pregnancy (outpatient) | $305 | 0% | $305 | Medium |
| Ultrasound - Pregnancy follow-up | $446 | 0% | $446 | Medium |
| Ultrasound - Transvaginal (non-maternity) | $1339 | 0% | $1339 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for basic metabolic panel | $91 | 0% | $91 | Medium |
| Blood test for clotting time | $58 | 0% | $58 | Medium |
| Blood test for complete blood cell count and automated WBC | $85 | 0% | $85 | Medium |
| Blood test for complete blood cell count (hemoglobin) | $39 | 0% | $39 | Medium |
| Blood test for thyroxine (thyroid chemical) level, free | $126 | 0% | $126 | Medium |
| Blood test for TSH (thyroid stimulating hormone) level | $187 | 0% | $187 | Medium |
| Pregnancy test, urine | $26 | 0% | $26 | Medium |
| Test for disease-causing (pathogenic) organisms, not limited to a specific condition | $32 | 0% | $32 | Medium |
| Urinalysis test automated without microscope | $29 | 0% | $29 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $90 | 0% | $90 | Medium |
| Office Visit, Established Pt | $158 | 0% | $158 | Medium |
| Office Visit of Moderate Complexity | $210 | 0% | $210 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $247 | 0% | $247 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $263 | 0% | $263 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $249 | 0% | $249 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $298 | 0% | $298 | Medium |