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 |
| 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 |
| Lab Test to Detect HIV-1 and HIV-2 | $139 | N/A | $139 |
| Lead Level | $108 | N/A | $108 |
| Office Visit for Established Patient, High Complexity | $575 | N/A | $575 |
| Office Visit for Established Patient, Low Complexity | $273 | N/A | $273 |
| Office Visit for Established Patient, Moderate Complexity | $440 | N/A | $440 |
| Office Visit for New Patient, Low Complexity | $418 | N/A | $418 |
| Office Visit for New Patient, Minor Complexity | $209 | N/A | $209 |
| Office Visit for New Patient, Moderate Complexity | $209 | N/A | $209 |
| Pregnancy Test | $62 | N/A | $62 |
| 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 |
| Thyroid Stimulating Hormone (TSH) Level | $175 | N/A | $175 |
| Urinalysis, Manual Test | $57 | N/A | $57 |
| Vitamin D-3 Level | $197 | N/A | $197 |
Before seeking care, contact your health or dental insurance company to confirm if a provider is covered by your plan.