Southern New Hampshire Internal Medicine Associates

6 Tsienneto Road Derry, NH 03038
http://www.snhima.com/
(603) 216-0400

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%
Antinuclear Antibodies (ANA) Level $110 N/A $110
Basic Metabolic Panel $46 N/A $46
Bilirubin Level $7 N/A $7
Blood Glucose Control (Hemoglobin A1C) $47 N/A $47
C-reactive Protein (CRP) Level $88 N/A $88
Cholesterol Test, Lipid Panel $108 N/A $108
Clotting Time $40 N/A $40
Complete Blood Cell Count (Hemoglobin) $34 N/A $34
Comprehensive Metabolic Panel $51 N/A $51
Detection for Strep (Streptococcus, group A) $63 N/A $63
Electrocardiogram (ECG or EKG) With Report and Interpretation $61 N/A $61
Ferritin (Blood Protein) Level $87 N/A $87
General Health Panel $200 N/A $200
Hepatitis A Vaccine for Adults, Injected into Muscle $186 N/A $186
Influenza Vaccine, Injected into Muscle $118 N/A $118
Iron Binding Capacity $47 N/A $47
Iron Level $35 N/A $35
Lab Test to Detect Coronavirus (COVID-19) Antigen $84 N/A $84
Lab Test to Detect Influenza Virus $63 N/A $63
Lipase (Fat Enzyme) Level $54 N/A $54
Liver Enzyme (AST or SGOT) Level $8 N/A $8
New Patient Preventive Care Visit for Adult, 40-64 $420 N/A $420
New Patient Preventive Care Visit for Adult, Ages 18-39 $341 N/A $341
Office Visit for Established Patient, Basic $95 N/A $95
Office Visit for Established Patient, High Complexity $473 N/A $473
Office Visit for Established Patient, Low Complexity $200 N/A $200
Office Visit for Established Patient, Minimal Presenting Problem $63 N/A $63
Office Visit for Established Patient, Moderate Complexity $420 N/A $420
Office Visit for New Patient, High Complexity $545 N/A $545
Office Visit for New Patient, Low Complexity $315 N/A $315
Office Visit for New Patient, Minor Complexity $147 N/A $147
Office Visit for New Patient, Moderate Complexity $420 N/A $420
Pregnancy Test $21 N/A $21
Preventive Care Visit for Adolescent, Under Ages 12-17 $286 N/A $286
Preventive Care Visit for Adult, 40-64 $420 N/A $420
Preventive Care Visit for Adult, Ages 18-39 $315 N/A $315
Prostate Cancer Screening $208 N/A $208
Prostate Specific Antigen (PSA) Level, Total $145 N/A $145
Thyroid Stimulating Hormone (TSH) Level $115 N/A $115
Urinalysis, Automated with Microscope Examination $40 N/A $40
Urinalysis, Manual Test $16 N/A $16
Urine Test with Examination $22 N/A $22
Vitamin D-3 Level $301 N/A $301