Pembroke Wellness Center

48 Glass Street Pembroke, NH 03275
(603) 485-7788

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%
Bacterial Culture, Quantitative Colony Count $118 N/A $118
Biopsy of Skin Lesion $765 N/A $765
Blood Glucose Control (Hemoglobin A1C) $130 N/A $130
Cholesterol Test, Lipid Panel $148 N/A $148
Complete Blood Cell Count and Automated White Blood Cells $113 N/A $113
Detection for Strep (Streptococcus, group A) $32 N/A $32
Detection Test for Human Papillomavirus (HPV) $181 N/A $181
Electrocardiogram (ECG or EKG) With Report and Interpretation $53 N/A $53
Hepatic (Liver) Function Panel $116 N/A $116
Influenza Vaccine, Injected into Muscle $64 N/A $64
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $231 N/A $231
New Patient Preventive Care Visit for Adult, 40-64 $289 N/A $289
New Patient Preventive Care Visit for Adult, Ages 18-39 $396 N/A $396
New Patient Preventive Care Visit for Child, Ages 5-11 $210 N/A $210
New Patient Preventive Care Visit for Child, Under Age 1 $221 N/A $221
Office Visit for Established Patient, Basic $89 N/A $89
Office Visit for Established Patient, High Complexity $231 N/A $231
Office Visit for Established Patient, Low Complexity $126 N/A $126
Office Visit for Established Patient, Minimal Presenting Problem $42 N/A $42
Office Visit for Established Patient, Moderate Complexity $184 N/A $184
Office Visit for New Patient, High Complexity $280 N/A $280
Office Visit for New Patient, Low Complexity $184 N/A $184
Office Visit for New Patient, Minor Complexity $126 N/A $126
Office Visit for New Patient, Moderate Complexity $446 N/A $446
Preventive Care Visit for Adolescent, Under Ages 12-17 $205 N/A $205
Preventive Care Visit for Adult, 40-64 $257 N/A $257
Preventive Care Visit for Adult, Ages 18-39 $236 N/A $236
Preventive Care Visit for Child, Under Ages 1-4 $221 N/A $221
Preventive Care Visit for Child, Under Ages 5-11 $200 N/A $200
Prostate Cancer Screening $207 N/A $207
Telehealth Visit for Established Patient, 11-20 minutes $204 N/A $204
Urinalysis, Automated with Microscope Examination $128 N/A $128
Urinalysis, Manual Test $16 N/A $16