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%
Basic Metabolic Panel $74 N/A $74
Blood Glucose (Sugar) Level $54 N/A $54
Blood Glucose Control (Hemoglobin A1C) $47 N/A $47
Cholesterol Test, Lipid Panel $103 N/A $103
Complete Blood Cell Count (Hemoglobin) $33 N/A $33
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $71
Comprehensive Metabolic Panel $48 N/A $48
Detection for Strep (Streptococcus, group A) $63 N/A $63
Electrocardiogram (ECG or EKG) With Report and Interpretation $481 N/A $481
Hepatic (Liver) Function Panel $43 N/A $43
Influenza Vaccine, Injected into Muscle $42 N/A $42
Lab Test to Detect Coronavirus (COVID-19) $248 N/A $248
Lab Test to Detect Influenza Virus $47 N/A $47
New Patient Preventive Care Visit for Adult, 40-64 $341 N/A $341
New Patient Preventive Care Visit for Adult, Ages 18-39 $294 N/A $294
Office Visit for Established Patient, Basic $84 N/A $84
Office Visit for Established Patient, High Complexity $473 N/A $473
Office Visit for Established Patient, Low Complexity $147 N/A $147
Office Visit for Established Patient, Minimal Presenting Problem $63 N/A $63
Office Visit for Established Patient, Moderate Complexity $368 N/A $368
Office Visit for New Patient, Low Complexity $315 N/A $315
Office Visit for New Patient, Minor Complexity $129 N/A $129
Pneumococcal Conjugate Vaccine, Injected into Muscle $294 N/A $294
Pregnancy Test $21 N/A $21
Preventive Care Visit for Adolescent, Under Ages 12-17 $236 N/A $236
Preventive Care Visit for Adult, 40-64 $315 N/A $315
Preventive Care Visit for Adult, Ages 18-39 $315 N/A $315
Prostate Specific Antigen (PSA) Level $112 N/A $112
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $51 N/A $51
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $84 N/A $84
Thyroid Stimulating Hormone (TSH) Level $109 N/A $109
Urinalysis, Manual Test $5 N/A $5
Vitamin D-3 Level $287 N/A $287
X-Ray of Foot $316 N/A $316