Polina Yur'Yevna Sayess, MD

33 Windham Road Pelham, NH 03076
(603) 577-2273

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%
Basic Metabolic Panel $177 N/A $177
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Borrelia Burgdorferi (Lyme disease) Antibody Level $172 N/A $172
C-reactive Protein (CRP) Level $112 N/A $112
Chlamydia Test $207 N/A $207
Cholesterol Test, Lipid Panel $146 N/A $146
Complete Blood Cell Count and Automated White Blood Cells $76 N/A $76
Comprehensive Metabolic Panel $178 N/A $178
Ferritin (Blood Protein) Level $82 N/A $82
General Health Panel $290 N/A $290
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $116 N/A $116
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect HIV-1 and HIV-2 $155 N/A $155
Lead Level $108 N/A $108
New Patient Preventive Care Visit for Adult, 40-64 $297 N/A $297
Office Visit for Established Patient, High Complexity $543 N/A $543
Office Visit for Established Patient, Low Complexity $273 N/A $273
Office Visit for Established Patient, Moderate Complexity $421 N/A $421
Office Visit for New Patient, Low Complexity $418 N/A $418
Office Visit for New Patient, Minor Complexity $286 N/A $286
Office Visit for New Patient, Moderate Complexity $209 N/A $209
Pregnancy Test $62 N/A $62
Presence of Drug $229 N/A $229
Preventive Care Visit for Adult, 40-64 $204 N/A $204
Preventive Care Visit for Adult, Ages 18-39 $186 N/A $186
Preventive Care Visit for Child, Under Ages 1-4 $449 N/A $449
Preventive Care Visit for Child, Under Ages 5-11 $449 N/A $449
Telehealth Visit for Established Patient, 11-20 minutes $194 N/A $194
Thyroid Stimulating Hormone (TSH) Level $175 N/A $175
Urinalysis, Manual Test $57 N/A $57
Vitamin D-3 Level $171 N/A $171