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 $276
$205 91% $18
$295 91% $27
Catholic Medical Center
Manchester, NH
$229 67% $76
St. Joseph Hospital
Nashua, NH
$270 61% $105
$184 41% $108
Concord Hospital
Concord, NH
$330 64% $119
$288 57% $124
Monadnock Community Hospital
Peterborough, NH
$200 36% $128
Valley Regional Hospital
Claremont, NH
$247 45% $136
$254 42% $147
Huggins Hospital
Wolfeboro, NH
$306 50% $153
$405 62% $154
New London Hospital
New London, NH
$323 52% $155
$256 39% $156
LRGHealthcare
Laconia, NH
$276 40% $166
$276 40% $166
Weeks Medical Center
Lancaster, NH
$302 44% $169
Memorial Hospital
North Conway, NH
$269 33% $180
$268 31% $185
$321 40% $193
$200 0% $200
Pierre L Dionne, MD
Hudson, NH
$200 0% $200
Derry Pediatrics
Derry, NH
$200 0% $200
Londonderry Pediatrics
Londonderry, NH
$200 0% $200
$203 0% $203
Daniela Elda Verani, MD
Londonderry, NH
$205 0% $205
$205 0% $205
Appledore Medical Group
Portsmouth, NH
$205 0% $205
Suzanne Coble, MD
Keene, NH
$205 0% $205
Anthony Zwaan, MD
Exeter, NH
$205 0% $205
$205 0% $205
Goodwin Community Health
Somersworth, NH
$206 0% $206
Bridgton Hospital
Bridgton, ME
$206 0% $206
$206 0% $206
$209 0% $209
$209 0% $209
$210 0% $210
Deepak Sharma, MD
Salem, NH
$210 0% $210
$210 0% $210
$210 0% $210
$215 0% $215
$215 0% $215
Your Medical Home
Exeter, NH
$215 0% $215
$215 0% $215
PMC Medical Group
Somersworth, NH
$221 0% $221
$221 0% $221
$221 0% $221
Nancy Turkington, MD
Hanover, NH
$221 0% $221
Landmark Family Healthcare
Londonderry, NH
$221 0% $221
$223 0% $223
York Hospital
York, ME
$227 0% $227
$227 0% $227
LifeStance Health
Nashua, NH
$229 0% $229
$231 0% $231
$231 0% $231
$231 0% $231
River Road Pediatrics
Bedford, NH
$231 0% $231
Daniel A Brown, MD
Portsmouth, NH
$236 0% $236
$236 0% $236
Concord Pediatrics
Concord, NH
$236 0% $236
$236 0% $236
Mona P Feng, MD
Newmarket, NH
$239 0% $239
$239 0% $239
$239 0% $239
$239 0% $239
Donna E Holt, NP
Londonderry, NH
$239 0% $239
Joseph A Misiewicz, MD
Meredith, NH
$242 0% $242
$244 0% $244
Chelmsford Family Practice
North Chelmsford, MA
$247 0% $247
$247 0% $247
Maine Health
Biddeford, ME
$249 0% $249
$252 0% $252
Tewksbury Medical Group
Tewksbury, MA
$252 0% $252
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
$270 0% $270
$273 0% $273
Coastal Pediatrics
Portsmouth, NH
$275 0% $275
$279 0% $279
$284 0% $284
Children's Health Care
Newburyport, MA
$289 0% $289
$289 0% $289
$289 0% $289
$289 0% $289
$291 0% $291
$294 0% $294
$295 0% $295
Core Physicians
Exeter, NH
$295 0% $295
Lamprey Health Care
Newmarket, NH
$302 0% $302
$302 0% $302
Whole Life Health Care
Newington, NH
$305 0% $305
Dracut Pediatrics
Dracut, MA
$305 0% $305
$305 0% $305
$305 0% $305
$306 0% $306
Anna Jaques Hospital
Newburyport, MA
$310 0% $310
Amoskeag Health
Manchester, NH
$314 0% $314
George Graham Thomson, MD
Peterborough, NH
$315 0% $315
$315 0% $315
$315 0% $315
Drum Hill Pediatrics
North Chelmsford, MA
$320 0% $320
$321 0% $321
Emma Chipman, MD
Dover, NH
$321 0% $321
$321 0% $321
$326 0% $326
Jenny L. Lane, ARNP
Hllsboro, NH
$330 0% $330
$330 0% $330
$330 0% $330
$330 0% $330
$331 0% $331
Dover Pediatrics
Dover, NH
$331 0% $331
$333 0% $333
$336 0% $336
Mark G Gilchrist, MD
Chelmsford, MA
$336 0% $336
Wilmington Pediatrics
Wilmington, MA
$336 0% $336
Steward Medical Group
Methuen, MA
$357 0% $357
Atrius Health
Beverly, MA
$360 0% $360
Pediatrics West
Westford, MA
$368 0% $368
Alice V Merkrebs, MD
Newburyport, MA
$368 0% $368
$368 0% $368
$368 0% $368
Newburyport Pediatrics
Newburyport, MA
$368 0% $368
Riverside Pediatrics
Newburyport, MA
$374 0% $374
$405 0% $405
$405 0% $405
$405 0% $405
$405 0% $405
$405 0% $405
$405 0% $405
Phillip Fichera, MD
Hudson, NH
$413 0% $413
Alena Ashenberg, MD
Dracut, MA
$420 0% $420
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