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 $289
$205 91% $18
$205 91% $18
$289 91% $26
$254 62% $97
St. Joseph Hospital
Nashua, NH
$274 61% $107
Catholic Medical Center
Manchester, NH
$335 67% $111
$350 67% $115
Concord Hospital
Concord, NH
$350 67% $115
$360 67% $119
Monadnock Community Hospital
Peterborough, NH
$200 38% $124
$288 57% $124
Valley Regional Hospital
Claremont, NH
$247 45% $136
$232 41% $137
Huggins Hospital
Wolfeboro, NH
$306 50% $153
$275 42% $159
$513 69% $159
$285 40% $171
Weeks Medical Center
Lancaster, NH
$309 44% $173
$289 37% $182
Memorial Hospital
North Conway, NH
$277 33% $186
New London Hospital
New London, NH
$350 45% $192
MD VIP
Merrimack, NH
$194 0% $194
$200 0% $200
$200 0% $200
Jaclyn Devine, PhD
Andover, MA
$203 0% $203
Anthony Zwaan, MD
Exeter, NH
$205 0% $205
Appledore Medical Group
Portsmouth, NH
$205 0% $205
$206 0% $206
Kristin Visco, DPM AACFAS
Manchester, NH
$208 0% $208
$209 0% $209
We Care Pediatrics
Salem, NH
$210 0% $210
$210 0% $210
Pierre L Dionne, MD
Hudson, NH
$210 0% $210
LRGHealthcare
Laconia, NH
$360 40% $216
$219 0% $219
$221 0% $221
PMC Medical Group
Somersworth, NH
$221 0% $221
Family Health Center
West Lebanon, NH
$221 0% $221
$221 0% $221
Nancy Turkington, MD
Hanover, NH
$221 0% $221
$223 0% $223
$224 0% $224
Goodwin Community Health
Somersworth, NH
$224 0% $224
York Kids
York, ME
$226 0% $226
Derry Pediatrics
Derry, NH
$226 0% $226
Maria Auror Lim, MD
Lowell, MA
$231 0% $231
$231 0% $231
River Road Pediatrics
Bedford, NH
$231 0% $231
$231 0% $231
$231 0% $231
$232 0% $232
$232 0% $232
$233 0% $233
$393 40% $236
Suzanne Coble, MD
Keene, NH
$236 0% $236
Concord Pediatrics
Concord, NH
$236 0% $236
$239 0% $239
$239 0% $239
York Hospital
York, ME
$242 0% $242
Bedford Commons OBGYN
Bedford, NH
$242 0% $242
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
$253 0% $253
Londonderry Pediatrics
Londonderry, NH
$254 0% $254
$254 0% $254
$254 0% $254
$254 0% $254
Novus Vita Counseling
Manchester, NH
$254 0% $254
Richard G Mckenzie, DO
Littleton, NH
$254 0% $254
$256 0% $256
Bridgton Hospital
Bridgton, ME
$259 0% $259
$261 0% $261
$263 0% $263
Alexander Asch, MD
North Reading, MA
$263 0% $263
$267 0% $267
Landmark Family Healthcare
Londonderry, NH
$268 0% $268
Keady Family Practice
Charlestown, NH
$269 0% $269
$270 0% $270
Maine Health
Biddeford, ME
$270 0% $270
Amoskeag Health
Manchester, NH
$273 0% $273
$273 0% $273
$274 0% $274
Coastal Pediatrics
Portsmouth, NH
$275 0% $275
Comprehensive Chiropractic
Londonderry, NH
$277 0% $277
$284 0% $284
$286 0% $286
Steward Medical Group
Methuen, MA
$288 0% $288
$288 0% $288
Debra Margolis, DO
Amherst, NH
$288 0% $288
New England Allergy
North Andover, MA
$289 0% $289
$289 0% $289
$289 0% $289
DMC Primary Care
Derry, NH
$289 0% $289
Daniel A Brown, MD
Portsmouth, NH
$289 0% $289
Children's Health Care
Newburyport, MA
$289 0% $289
$291 0% $291
Anna Jaques Hospital
Newburyport, MA
$294 0% $294
$294 0% $294
$295 0% $295
$295 0% $295
$296 0% $296
$296 0% $296
$296 0% $296
Core Physicians
Exeter, NH
$296 0% $296
$296 0% $296
$296 0% $296
$299 0% $299
$305 0% $305
Chelmsford Pediatrics
Chelmsford, MA
$305 0% $305
$305 0% $305
$305 0% $305
$306 0% $306
$306 0% $306
Rosemary Smith, ARNP
Raymond, NH
$308 0% $308
$308 0% $308
Lamprey Health Care
Newmarket, NH
$308 0% $308
John C Avery, DO
North Stratford, NH
$309 0% $309
$309 0% $309
$315 0% $315
North Reading Pediatrics
North Reading, MA
$315 0% $315
Naomi Beth Rather, LCMHC
Newington, NH
$315 0% $315
Whole Life Health Care
Newington, NH
$315 0% $315
$315 0% $315
Leonard Horowitz, MD
Danvers, MA
$315 0% $315
$315 0% $315
$321 0% $321
$322 0% $322
$322 0% $322
$326 0% $326
$328 0% $328
LifeStance Health
Nashua, NH
$329 0% $329
$331 0% $331
$331 0% $331
Dover Pediatrics
Dover, NH
$331 0% $331
$335 0% $335
$341 0% $341
$341 0% $341
$513 33% $344
Jenny L. Lane, ARNP
Hllsboro, NH
$350 0% $350
$350 0% $350
CVS Minute Clinic
Concord, NH
$350 0% $350
Crystal Eaton, LCMHC
Manchester, NH
$352 0% $352
$352 0% $352
$355 0% $355
$360 0% $360
Gerber Dental Group
Portsmouth, NH
$360 0% $360
Atlantic Digestive
Portsmouth, NH
$360 0% $360
$360 0% $360
$360 0% $360
$360 0% $360
$360 0% $360
Atrius Health
Beverly, MA
$360 0% $360
Beth Israel Lahey Health
Burlington, MA
$363 0% $363
Heywood Hospital
Winchendon, MA
$366 0% $366
Andrew J Escoll, MD
Tewksbury, MA
$368 0% $368
OAK Pediatrics
Westford, MA
$368 0% $368
$368 0% $368
Wilmington Pediatrics
Wilmington, MA
$370 0% $370
Riverside Pediatrics
Newburyport, MA
$374 0% $374
Andover Pediatrics
Andover, MA
$391 0% $391
$393 0% $393
$393 0% $393
$393 0% $393
Drum Hill Pediatrics
North Chelmsford, MA
$394 0% $394
$404 0% $404
Cardinal Pediatrics
Lowell, MA
$420 0% $420
Pediatrics West
Westford, MA
$420 0% $420
$420 0% $420
$420 0% $420
$420 0% $420
Alena Ashenberg, MD
Dracut, MA
$420 0% $420
Boston Children's Hospital
North Andover, MA
$432 0% $432
$473 0% $473
Mark G Gilchrist, MD
Chelmsford, MA
$473 0% $473
Child Health Center
Methuen, MA
$510 0% $510
$510 0% $510
Mass General Brigham
Chelmsford, MA
$510 0% $510
$513 0% $513
$513 0% $513
$513 0% $513
Phillip Fichera, MD
Hudson, NH
$513 0% $513
$513 0% $513
Norcross Circle Associates
North Conway, NH
$513 0% $513
$513 0% $513
$513 0% $513
$513 0% $513
$513 0% $513
$513 0% $513
$513 0% $513
Dartmouth Health
Lebanon, NH
$513 0% $513
$513 0% $513
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