Tamworth Family Practice

577 White Mountain Highway Tamworth, NH 03894
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Arthrocentesis (outpatient)$2160%$216
Bacterial Culture - Swab$270%$27
Blood Test - Basic Metabolic Panel$280%$28
Blood Test - Blood Glucose Control (Hemoglobin A1C)$330%$33
Blood Test - Cholesterol Test, Lipid Panel$600%$60
Blood Test - Clotting Time$490%$49
Blood Test - Complete Blood Cell Count (Hemoglobin)$220%$22
Blood Test - Complete Blood Cell Count and Automated WBC$260%$26
Blood Test - Comprehensive Metabolic Panel$350%$35
Blood Test - Ferritin (Blood Protein) Level$450%$45
Blood Test - Folic Acid Level$490%$49
Blood Test - General Health Panel$1040%$104
Blood Test - Hepatitis C Antibody Level$1520%$152
Blood Test - Iron Level$220%$22
Blood Test - Prostate Specific Antigen (PSA) Level$610%$61
Blood Test - Thyroid Stimulating Hormone (TSH) Level$560%$56
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$290%$29
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$490%$49
Blood Test - Vitamin D-3 Level$990%$99
Electrocardiogram (ECG or EKG)$3130%$313
Lab Test - Detection test for Hepatitis B Surface Antigen$890%$89
Lab Test - Detection test for HIV-1 and HIV-2$1140%$114
Lab Test - Detection test for Influenza Virus$500%$50
Mammogram (outpatient)$8370%$837
Office Visit - Basic$1180%$118
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2920%$292
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$3590%$359
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$3180%$318
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$4020%$402
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$3180%$318
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2940%$294
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2810%$281
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3060%$306
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3120%$312
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$3330%$333
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2800%$280
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2640%$264
Office Visit - Established Patient, High Complexity$3140%$314
Office Visit - Established Patient, Low Complexity$1940%$194
Office Visit - Established Patient, Moderate Complexity$2860%$286
Office Visit - New Patient, Low Complexity$2890%$289
Office Visit - New Patient, Minor$2000%$200
Office Visit - New Patient, Moderate Complexity$4080%$408
Strep Test (Streptococcus, group A)$420%$42
Urine Test - Automated with Microscope Examination$110%$11
Urine Test - Automated without Microscope$70%$7
Urine Test - Bacterial Culture$670%$67
Urine Test - Chlamydia$1170%$117
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1170%$117
Urine Test - Microalbumin (Protein) Level$190%$19
Urine Test - Pregnancy$230%$23
Urine Test - Urinalysis, Manual Test$90%$9
Vaccine - Pneumococcal Conjugate for Injection into Muscle$4390%$439
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$950%$95