Southern New Hampshire Internal Medicine Associates

6 Tsienneto Road Derry, NH 03038
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Blood Test - Basic Metabolic Panel$440%$44
Blood Test - Blood Glucose Control (Hemoglobin A1C)$370%$37
Blood Test - Cholesterol Test, Lipid Panel$1030%$103
Blood Test - Complete Blood Cell Count (Hemoglobin)$330%$33
Blood Test - Complete Blood Cell Count and Automated WBC$330%$33
Blood Test - Comprehensive Metabolic Panel$480%$48
Blood Test - General Health Panel$1900%$190
Blood Test - Hepatic (Liver) Function Panel$430%$43
Blood Test - Prostate Specific Antigen (PSA) Level$1120%$112
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1090%$109
Lab Test - Detection test for Influenza Virus$470%$47
Office Visit - Basic$890%$89
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2940%$294
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3410%$341
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2360%$236
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3150%$315
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2840%$284
Office Visit - Established Patient, High Complexity$2780%$278
Office Visit - Established Patient, Low Complexity$1680%$168
Office Visit - Established Patient, Moderate Complexity$2730%$273
Office Visit - New Patient, Low Complexity$1920%$192
Strep Test (Streptococcus, group A)$260%$26
Urine Test - Bacterial Culture, Quantitative Colony Count$760%$76
Urine Test - Pregnancy$320%$32
Urine Test - Urinalysis, Manual Test$50%$5
Vaccine - Pneumococcal Conjugate for Injection into Muscle$2630%$263
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$680%$68
X-Ray - Foot (outpatient)$3360%$336