White Mountain Community Health Center

298 White Mountain Highway Conway, NH 03818
http://www.whitemountainhealth.org/
(603) 447-8900

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%
Human Papilloma Virus Vaccine, Injected into Muscle $76 N/A $76
Influenza Vaccine, Injected into Muscle $75 N/A $75
New Patient Preventive Care Visit for Adult, 40-64 $272 N/A $272
New Patient Preventive Care Visit for Adult, Ages 18-39 $234 N/A $234
Office Visit for Established Patient, Basic $89 N/A $89
Office Visit for Established Patient, High Complexity $254 N/A $254
Office Visit for Established Patient, Low Complexity $147 N/A $147
Office Visit for Established Patient, Minimal Presenting Problem $43 N/A $43
Office Visit for Established Patient, Moderate Complexity $187 N/A $187
Office Visit for New Patient, Low Complexity $218 N/A $218
Office Visit for New Patient, Minor Complexity $144 N/A $144
Office Visit for New Patient, Moderate Complexity $310 N/A $310
Preventive Care Visit for Adolescent, Under Ages 12-17 $205 N/A $205
Preventive Care Visit for Adult, 40-64 $238 N/A $238
Preventive Care Visit for Adult, Ages 18-39 $205 N/A $205
Preventive Care Visit for Child, Under Age 1 $176 N/A $176
Preventive Care Visit for Child, Under Ages 1-4 $188 N/A $188
Preventive Care Visit for Child, Under Ages 5-11 $181 N/A $181
Psychiatric Diagnostic Evaluation $263 Near Average
State Average: 1
 $263
Psychotherapy with Evaluation and Management, 45 Minutes with Patient $205 Below Average
State Average: 2
 $205
Psychotherapy, 45 Minutes with Patient $131 Below Average
State Average: 4
 $131
Psychotherapy, 60 Minutes with Patient $131 Below Average
State Average: 6
 $131
Telehealth Visit for Established Patient, 11-20 minutes $160 N/A $160
Telehealth Visit for Established Patient, 5-10 minutes $97 N/A $97