Wentworth Douglass Physician Corp
10 Members Way, #400 Dover, NH 03820
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mammogram (outpatient) | $897 | 0% | $897 | Medium |
Outpatient Tests and Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Arthrocentesis (outpatient) | $553 | 0% | $553 | Medium |
| Destruction of Lesion (outpatient) | $471 | 0% | $471 | Medium |
| Diagnostic Laryngoscopy | $578 | 0% | $578 | Medium |
| Nasal endoscopy, diagnostic | $704 | 0% | $704 | Medium |
Laboratory Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Blood test for basic metabolic panel | $16 | 0% | $16 | Medium |
| Blood test for blood glucose control (Hemoglobin A1C) | $41 | 0% | $41 | Medium |
| Blood test for clotting time | $18 | 0% | $18 | Medium |
| Blood test for complete blood cell count and automated WBC | $32 | 0% | $32 | Medium |
| Blood test for complete blood cell count (hemoglobin) | $23 | 0% | $23 | Medium |
| Blood test for PSA (prostate specific antigen) level | $101 | 0% | $101 | Medium |
| Blood test for TSH (thyroid stimulating hormone) level | $109 | 0% | $109 | Medium |
| Health Screening - General Health Panel | $189 | 0% | $189 | Medium |
| Lipid Panel - Cholesterol Test | $99 | 0% | $99 | Medium |
| Urinalysis test automated with microscope examination | $48 | 0% | $48 | Medium |
| Metabolic Panel - Comprehensive | $48 | 0% | $48 | Medium |
| Pregnancy test, urine | $25 | 0% | $25 | Medium |
| Strep Test (Streptococcus, group A) | $47 | 0% | $47 | Medium |
| Urinalysis test automated without microscope | $17 | 0% | $17 | Medium |
| Urine test for bacterial culture | $50 | 0% | $50 | Medium |
Behavioral Health Care
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| 30 Minute - Psychotherapy | $156 | 0% | $156 | Medium |