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 $309
$205 91% $18
$280 91% $25
$289 91% $26
St. Joseph Hospital
Nashua, NH
$274 61% $107
$335 67% $111
Concord Hospital
Concord, NH
$360 67% $119
$365 67% $121
$347 62% $132
$309 57% $133
$247 45% $136
Monadnock Community Hospital
Peterborough, NH
$226 38% $140
Cottage Hospital
Woodsville, NH
$306 50% $153
Huggins Hospital
Wolfeboro, NH
$306 50% $153
$291 42% $169
$545 69% $169
$285 40% $171
$309 44% $173
$300 37% $189
$350 45% $192
MD VIP
Merrimack, NH
$194 0% $194
Memorial Hospital
North Conway, NH
$305 33% $204
Kristin Visco, DPM AACFAS
Manchester, NH
$208 0% $208
$210 0% $210
Pierre L Dionne, MD
Hudson, NH
$210 0% $210
$215 0% $215
$221 0% $221
Family Health Center
West Lebanon, NH
$221 0% $221
Nancy Turkington, MD
Hanover, NH
$221 0% $221
$371 40% $222
$223 0% $223
Goodwin Community Health
Somersworth, NH
$224 0% $224
$224 0% $224
Derry Pediatrics
Derry, NH
$226 0% $226
York Kids
York, ME
$226 0% $226
$230 0% $230
$231 0% $231
$231 0% $231
$231 0% $231
$231 0% $231
$236 0% $236
Suzanne Coble, MD
Keene, NH
$236 0% $236
$393 40% $236
$239 0% $239
George Graham Thomson, MD
Peterborough, NH
$242 0% $242
Joseph A Misiewicz, MD
Meredith, NH
$242 0% $242
Chelmsford Family Practice
North Chelmsford, MA
$247 0% $247
$247 0% $247
Lynn Barash, LICSW
North Andover, MA
$252 0% $252
$252 0% $252
$256 0% $256
Bridgton Hospital
Bridgton, ME
$259 0% $259
Convenient MD
Concord, NH
$259 0% $259
York Hospital
York, ME
$259 0% $259
$261 0% $261
Bedford Commons OBGYN
Bedford, NH
$263 0% $263
Landmark Family Healthcare
Londonderry, NH
$268 0% $268
$269 0% $269
Keady Family Practice
Charlestown, NH
$269 0% $269
$269 0% $269
$269 0% $269
$270 0% $270
Concord Pediatrics
Concord, NH
$273 0% $273
We Care Pediatrics
Salem, NH
$273 0% $273
Lois LeBlanc, LCPC
Fryeburg, ME
$273 0% $273
$273 0% $273
Revere Medical
Methuen, MA
$274 0% $274
$274 0% $274
$274 0% $274
Richard G Mckenzie, DO
Littleton, NH
$275 0% $275
Appledore Medical Group
Portsmouth, NH
$280 0% $280
$284 0% $284
$289 0% $289
$289 0% $289
Children's Health Care
Newburyport, MA
$289 0% $289
Alexander Asch, MD
North Reading, MA
$289 0% $289
New England Allergy
North Andover, MA
$289 0% $289
$289 0% $289
Daniel A Brown, MD
Portsmouth, NH
$289 0% $289
$291 0% $291
Boston Children's Hospital
North Andover, MA
$291 0% $291
$294 0% $294
$295 0% $295
$295 0% $295
Laconia Family Dental
Laconia, NH
$295 0% $295
$296 0% $296
$296 0% $296
$296 0% $296
$296 0% $296
Beth Israel Lahey Health
Burlington, MA
$296 0% $296
$300 0% $300
$305 0% $305
$305 0% $305
$305 0% $305
Amoskeag Health
Manchester, NH
$305 0% $305
Chelmsford Pediatrics
Chelmsford, MA
$305 0% $305
$305 0% $305
DMC Primary Care
Derry, NH
$305 0% $305
$306 0% $306
$306 0% $306
Maine Health
Biddeford, ME
$308 0% $308
Debra Margolis, DO
Amherst, NH
$309 0% $309
$309 0% $309
$309 0% $309
Rosemary Smith, ARNP
Raymond, NH
$313 0% $313
Harbor Care
Nashua, NH
$313 0% $313
Lamprey Health Care
Newmarket, NH
$313 0% $313
$315 0% $315
Naomi Beth Rather, LCMHC
Newington, NH
$315 0% $315
Whole Life Health Care
Newington, NH
$315 0% $315
North Reading Pediatrics
North Reading, MA
$315 0% $315
Leonard Horowitz, MD
Danvers, MA
$315 0% $315
Reliant Medical Group
Leominster, MA
$316 0% $316
CVS Minute Clinic
Concord, NH
$316 0% $316
$326 0% $326
$328 0% $328
$331 0% $331
$331 0% $331
Anna Jaques Hospital
Newburyport, MA
$331 0% $331
Dover Pediatrics
Dover, NH
$331 0% $331
LifeStance Health
Nashua, NH
$335 0% $335
$335 0% $335
$335 0% $335
$341 0% $341
$341 0% $341
$341 0% $341
$341 0% $341
$347 0% $347
Londonderry Pediatrics
Londonderry, NH
$347 0% $347
$347 0% $347
Novus Vita Counseling
Manchester, NH
$347 0% $347
$352 0% $352
Crystal Eaton, LCMHC
Manchester, NH
$352 0% $352
$357 0% $357
$360 0% $360
$360 0% $360
Atrius Health
Beverly, MA
$360 0% $360
$360 0% $360
Gerber Dental Group
Portsmouth, NH
$360 0% $360
Andover Pediatrics
Andover, MA
$363 0% $363
New Hampshire Derm Clinic
Peterborough, NH
$365 0% $365
$545 33% $365
OAK Pediatrics
Westford, MA
$368 0% $368
Andrew J Escoll, MD
Tewksbury, MA
$368 0% $368
Wilmington Pediatrics
Wilmington, MA
$370 0% $370
Jenny L. Lane, ARNP
Hllsboro, NH
$371 0% $371
$371 0% $371
$371 0% $371
Atlantic Digestive
Portsmouth, NH
$371 0% $371
$371 0% $371
Jaclyn Devine, PhD
Andover, MA
$374 0% $374
Norcross Circle Associates
North Conway, NH
$380 0% $380
PMC Medical Group
Somersworth, NH
$393 0% $393
$393 0% $393
$393 0% $393
Mass General Brigham
Chelmsford, MA
$393 0% $393
$393 0% $393
$394 0% $394
Drum Hill Pediatrics
North Chelmsford, MA
$394 0% $394
$404 0% $404
Pediatrics West
Westford, MA
$420 0% $420
$420 0% $420
$420 0% $420
Alena Ashenberg, MD
Dracut, MA
$420 0% $420
Riverside Pediatrics
Newburyport, MA
$426 0% $426
Heywood Hospital
Winchendon, MA
$442 0% $442
Mark G Gilchrist, MD LLC
Chelmsford, MA
$473 0% $473
$522 0% $522
Delphi Healthcare
Bedford, NH
$529 0% $529
Child Health Center
Methuen, MA
$529 0% $529
$545 0% $545
$545 0% $545
$545 0% $545
$545 0% $545
$545 0% $545
$545 0% $545
Dartmouth Health
Lebanon, NH
$545 0% $545
$545 0% $545
Phillip Fichera, MD
Hudson, NH
$545 0% $545
River Road Pediatrics
Bedford, NH
$545 0% $545
$545 0% $545
$545 0% $545
$545 0% $545
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