Pediatrics West

133 Littleton Road, Suite 102 Westford, MA 01886
http://pediatricswest.com/
(978) 577-0437

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%
Blood Count (Hemoglobin) $21 N/A $21
Developmental Screening $53 N/A $53
Human Papilloma Virus Vaccine, Injected into Muscle $80 N/A $80
New Patient Preventive Care Visit for Child, Ages 1-4 $341 N/A $341
New Patient Preventive Care Visit for Child, Ages 5-11 $394 N/A $394
New Patient Preventive Care Visit for Child, Under Age 1 $336 N/A $336
Office Visit for Established Patient, High Complexity $446 N/A $446
Preventive Care Visit for Adolescent, Under Ages 12-17 $368 N/A $368
Preventive Care Visit for Adult, Ages 18-39 $368 N/A $368
Preventive Care Visit for Child, Under Age 1 $341 N/A $341
Preventive Care Visit for Child, Under Ages 1-4 $341 N/A $341
Preventive Care Visit for Child, Under Ages 5-11 $341 N/A $341
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
$158
Psychotherapy, 30 Minutes with Patient $68 Above Average
State Average: 1
$68
Psychotherapy, 45 Minutes with Patient $131 Below Average
State Average: 4
$131
Psychotherapy, 60 Minutes with Patient $142 Above Average
State Average: 6
$142