Preventive Care Visit for Adolescent, Under Ages 12-17

CPT Code 99394

A preventive (well-child), outpatient office visit for an adolescent ages 12-17 years old.

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Actual driving distances may vary
Provider NameSort by Provider Name 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.
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Uninsured Discount Uninsured Discount
The minimum discount rate that the health care provider gives to the New Hampshire Insurance Department. The actual discount depends on your financial status and the health care provider’s charity care policy.
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What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
Sort by What You Will Pay
Statewide Averages $275
$205 91% $18
$295 91% $27
Catholic Medical Center
Manchester, NH
$238 67% $79
LRGHealthcare
Laconia, NH
$285 67% $94
$285 67% $94
$288 65% $101
St. Joseph Hospital
Nashua, NH
$270 61% $105
Concord Hospital
Concord, NH
$330 67% $109
$184 40% $110
Monadnock Community Hospital
Peterborough, NH
$200 38% $124
Valley Regional Hospital
Claremont, NH
$247 45% $136
$254 42% $147
Huggins Hospital
Wolfeboro, NH
$306 50% $153
$405 62% $154
$266 40% $159
$268 37% $169
Weeks Medical Center
Lancaster, NH
$309 44% $173
New London Hospital
New London, NH
$336 45% $185
Memorial Hospital
North Conway, NH
$277 33% $186
$200 0% $200
Derry Pediatrics
Derry, NH
$200 0% $200
Londonderry Pediatrics
Londonderry, NH
$201 0% $201
$203 0% $203
Suzanne Coble, MD
Keene, NH
$205 0% $205
$205 0% $205
Anthony Zwaan, MD
Exeter, NH
$205 0% $205
$205 0% $205
Daniela Elda Verani, MD
Londonderry, NH
$205 0% $205
Goodwin Community Health
Somersworth, NH
$206 0% $206
$206 0% $206
$209 0% $209
Deepak Sharma, MD
Salem, NH
$210 0% $210
$210 0% $210
Pierre L Dionne, MD
Hudson, NH
$210 0% $210
$210 0% $210
$210 0% $210
Your Medical Home
Exeter, NH
$215 0% $215
$215 0% $215
$215 0% $215
$221 0% $221
$221 0% $221
Nancy Turkington, MD
Hanover, NH
$221 0% $221
Landmark Family Healthcare
Londonderry, NH
$221 0% $221
Appledore Medical Group
Portsmouth, NH
$221 0% $221
PMC Medical Group
Somersworth, NH
$221 0% $221
$223 0% $223
$227 0% $227
York Hospital
York, ME
$227 0% $227
$231 0% $231
$231 0% $231
$231 0% $231
River Road Pediatrics
Bedford, NH
$231 0% $231
Concord Pediatrics
Concord, NH
$236 0% $236
$236 0% $236
Daniel A Brown, MD
Portsmouth, NH
$236 0% $236
$393 40% $236
LifeStance Health
Nashua, NH
$238 0% $238
$239 0% $239
$239 0% $239
$239 0% $239
Donna E Holt, NP
Londonderry, NH
$239 0% $239
$239 0% $239
Mona P Feng, MD
Newmarket, NH
$239 0% $239
Joseph A Misiewicz, MD
Meredith, NH
$242 0% $242
$244 0% $244
$247 0% $247
Chelmsford Family Practice
North Chelmsford, MA
$247 0% $247
$252 0% $252
Maine Health
Biddeford, ME
$253 0% $253
Richard G Mckenzie, DO
Littleton, NH
$254 0% $254
Lahey Health
Burlington, MA
$257 0% $257
Andover Pediatrics
Andover, MA
$257 0% $257
$263 0% $263
$263 0% $263
Newburyport Family Practice
Newburyport, MA
$263 0% $263
Laila Attar, MD
Pepperell, MA
$263 0% $263
DMC Primary Care
Derry, NH
$263 0% $263
Keady Family Practice
Charlestown, NH
$269 0% $269
$273 0% $273
$274 0% $274
Coastal Pediatrics
Portsmouth, NH
$275 0% $275
$278 0% $278
$279 0% $279
$284 0% $284
$289 0% $289
$289 0% $289
Children's Health Care
Newburyport, MA
$289 0% $289
$289 0% $289
$291 0% $291
$294 0% $294
Core Physicians
Exeter, NH
$295 0% $295
$295 0% $295
$302 0% $302
Lamprey Health Care
Newmarket, NH
$302 0% $302
$302 0% $302
Dracut Pediatrics
Dracut, MA
$305 0% $305
$305 0% $305
Whole Life Health Care
Newington, NH
$305 0% $305
$306 0% $306
Anna Jaques Hospital
Newburyport, MA
$310 0% $310
Amoskeag Health
Manchester, NH
$314 0% $314
$315 0% $315
George Graham Thomson, MD
Peterborough, NH
$315 0% $315
Drum Hill Pediatrics
North Chelmsford, MA
$320 0% $320
Emma Chipman, MD
Dover, NH
$321 0% $321
Highland Primary Care
Newburyport, MA
$326 0% $326
$326 0% $326
$330 0% $330
$331 0% $331
Dover Pediatrics
Dover, NH
$331 0% $331
$331 0% $331
$331 0% $331
$334 0% $334
Wilmington Pediatrics
Wilmington, MA
$336 0% $336
$339 0% $339
Steward Medical Group
Methuen, MA
$357 0% $357
Atrius Health
Beverly, MA
$360 0% $360
Heywood Hospital
Winchendon, MA
$364 0% $364
Pediatrics West
Westford, MA
$368 0% $368
Alice V Merkrebs, MD
Newburyport, MA
$368 0% $368
$368 0% $368
Newburyport Pediatrics
Newburyport, MA
$368 0% $368
$368 0% $368
Riverside Pediatrics
Newburyport, MA
$374 0% $374
$393 0% $393
$405 0% $405
Alena Ashenberg, MD
Dracut, MA
$420 0% $420
$421 0% $421
$421 0% $421
$421 0% $421
$421 0% $421
$421 0% $421
Phillip Fichera, MD
Hudson, NH
$421 0% $421
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