Montanarella & Associates

30 Canton Street, Suite 6 Manchester, NH 03103
http://www.drmontanarella.com/
(603) 624-1638

All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.

Methodology
Procedure Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured.
Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).

Uninsured Discount: 0%
Chlamydia Test $109 N/A $109
Detection Test for Human Papillomavirus (HPV) $137 N/A $137
Follow-Up Pregnancy Ultrasound $263 N/A $263
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $109 N/A $109
Manual Pap Test Screening $100 N/A $100
New Patient Preventive Care Visit for Adult, 40-64 $315 N/A $315
New Patient Preventive Care Visit for Adult, Ages 18-39 $231 N/A $231
Office Visit for Established Patient, Basic $95 N/A $95
Office Visit for Established Patient, High Complexity $294 N/A $294
Office Visit for Established Patient, Low Complexity $147 N/A $147
Office Visit for Established Patient, Moderate Complexity $236 N/A $236
Pregnancy Test $26 N/A $26
Pregnancy Ultrasound (Outpatient) $320 N/A $320
Preventive Care Visit for Adult, 40-64 $263 N/A $263
Preventive Care Visit for Adult, Ages 18-39 $263 N/A $263
Screening Mammogram of Both Breasts $1,198 N/A $1,198
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $79 N/A $79
Transvaginal Ultrasound (Non-Maternity) $887 N/A $887
Ultrasound of Pelvis $499 N/A $499
Urinalysis, Manual Test $21 N/A $21