Southern New Hampshire Internal Medicine Associates
6 Tsienneto Road Derry, NH 03038
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| X-Ray - Foot (outpatient) | $284 | 0% | $284 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for basic metabolic panel | $44 | 0% | $44 | Medium |
| Blood test for blood glucose control (Hemoglobin A1C) | $37 | 0% | $37 | Medium |
| Lipid Panel - Cholesterol Test | $103 | 0% | $103 | Medium |
| Metabolic Panel - Comprehensive | $48 | 0% | $48 | Medium |
| Pregnancy test, urine | $32 | 0% | $32 | Medium |
| Strep Test (Streptococcus, group A) | $26 | 0% | $26 | Medium |
| Test for vitamin D-3 level | $287 | 0% | $287 | Medium |
Office Visits
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Basic Office Visit | $84 | 0% | $84 | Medium |
| Office Visit, Established Pt | $158 | 0% | $158 | Medium |
| Office Visit of Moderate Complexity | $236 | 0% | $236 | Medium |
| Office Visit of Moderate to High Complexity | $278 | 0% | $278 | Medium |
| Office Visit, New Pt, Low | $192 | 0% | $192 | Medium |
| Comp Preventive Medicine 12-17 yrs old | $236 | 0% | $236 | Medium |
| Comp Preventive Medicine 18-39 yrs old | $315 | 0% | $315 | Medium |
| Comp Preventive Medicine 40-64 yrs old | $284 | 0% | $284 | Medium |
| New Patient, Comp Prevent Medicine 18-39 yrs old | $243 | 0% | $243 | Medium |
| New Patient, Comp Prevent Medicine 40-64 yrs old | $266 | 0% | $266 | Medium |