Monadnock OBGYN Associates

454 Old Street Road, Suite 302 Peerborough, NH 03458
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Bacterial Culture - Aerobic Isolates$540%$54
Bacterial Culture - Swab$1720%$172
Blood Test - Complete Blood Cell Count (Hemoglobin)$400%$40
Blood Test - Complete Blood Cell Count and Automated WBC$880%$88
Blood Test - Hepatitis C Antibody Level$1950%$195
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1940%$194
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1310%$131
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$2370%$237
Detection test for Human Papillomavirus (HPV)$2400%$240
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$550%$55
Lab Test - Detection test for Hepatitis B Surface Antigen$1170%$117
Lab Test - Smear for Microorganism$320%$32
Mammogram (outpatient)$8120%$812
Office Visit - Basic$1580%$158
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2890%$289
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$2980%$298
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3150%$315
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$3940%$394
Office Visit - Established Patient, High Complexity$3180%$318
Office Visit - Established Patient, Low Complexity$1580%$158
Office Visit - Established Patient, Moderate Complexity$2370%$237
Pap Test$1260%$126
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$350%$35
Ultrasound - Pelvic (outpatient)$5780%$578
Ultrasound - Pregnancy (outpatient)$3110%$311
Ultrasound - Pregnancy Follow-Up$4200%$420
Ultrasound - Transvaginal (non-maternity)$6770%$677
Urine Test - Automated without Microscope$300%$30
Urine Test - Chlamydia$1700%$170
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1700%$170
Urine Test - Pregnancy$260%$26
Urine Test - Urinalysis, Manual Test$160%$16
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$740%$74