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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Compare Procedure Costs
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
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. |
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. |
What You Will Pay
What You Will Pay The estimated charge amount minus the uninsured discount (when available). |
|
---|---|---|---|---|
Statewide Averages | $289 | |||
Parkland Medical Center
Derry, NH |
$205 | 91% | $18 | |
Frisbie Memorial Hospital
Rochester, NH |
$205 | 91% | $18 | |
Portsmouth Regional Hospital
Portsmouth, NH |
$289 | 91% | $26 | |
Dartmouth-Hitchcock Medical Center
Lebanon, NH |
$254 | 62% | $97 | |
St. Joseph Hospital
Nashua, NH |
$274 | 61% | $107 | |
Catholic Medical Center
Manchester, NH |
$335 | 67% | $111 | |
Concord Hospital - Franklin
Franklin, NH |
$350 | 67% | $115 | |
Concord Hospital
Concord, NH |
$350 | 67% | $115 | |
Concord Hospital - Laconia
Laconia, NH |
$360 | 67% | $119 | |
Monadnock Community Hospital
Peterborough, NH |
$200 | 38% | $124 | |
Southern New Hampshire Health
Nashua, NH |
$288 | 57% | $124 | |
Valley Regional Hospital
Claremont, NH |
$247 | 45% | $136 | |
Upper Connecticut Valley Hospital
Colebrook, NH |
$232 | 41% | $137 | |
Huggins Hospital
Wolfeboro, NH |
$306 | 50% | $153 | |
Littleton Regional Healthcare
Littleton, NH |
$275 | 42% | $159 | |
Cheshire Medical Center
Keene, NH |
$513 | 69% | $159 | |
Speare Memorial Hospital
Plymouth, NH |
$285 | 40% | $171 | |
Weeks Medical Center
Lancaster, NH |
$309 | 44% | $173 | |
Alice Peck Day Memorial Hospital
Lebanon, NH |
$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 | |
Mascoma Community Health Center
Caanan, NH |
$200 | 0% | $200 | |
HealthReach Community Health Centers
Bethel, ME |
$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 | |
Littleton Internal Medicine
Littleton, NH |
$206 | 0% | $206 | |
Kristin Visco, DPM AACFAS
Manchester, NH |
$208 | 0% | $208 | |
Upper Valley Pediatrics
Bradford, VT |
$209 | 0% | $209 | |
We Care Pediatrics
Salem, NH |
$210 | 0% | $210 | |
Life Long Care of New London
New London, NH |
$210 | 0% | $210 | |
Pierre L Dionne, MD
Hudson, NH |
$210 | 0% | $210 | |
LRGHealthcare
Laconia, NH |
$360 | 40% | $216 | |
Pediatric Professional Associates
Methuen, MA |
$219 | 0% | $219 | |
Salmon Falls Family Healthcare
Somersworth, NH |
$221 | 0% | $221 | |
PMC Medical Group
Somersworth, NH |
$221 | 0% | $221 | |
Family Health Center
West Lebanon, NH |
$221 | 0% | $221 | |
Pembroke Wellness Center
Pembroke, NH |
$221 | 0% | $221 | |
Nancy Turkington, MD
Hanover, NH |
$221 | 0% | $221 | |
$223 | 0% | $223 | ||
Greater Seacoast Community Health
Portsmouth, NH |
$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 | |
Pinnacle Rehabilitation Network
Plaistow, NH |
$231 | 0% | $231 | |
River Road Pediatrics
Bedford, NH |
$231 | 0% | $231 | |
Wells Family Practice
Wells, ME |
$231 | 0% | $231 | |
Renewed Family Health
Nashua, NH |
$231 | 0% | $231 | |
Coos County Family Health Services
Berlin, NH |
$232 | 0% | $232 | |
Gorham Family Dentistry
Gorham, NH |
$232 | 0% | $232 | |
Treehouse Family Medicine
York, ME |
$233 | 0% | $233 | |
Wentworth-Douglass Hospital
Dover, NH |
$393 | 40% | $236 | |
Suzanne Coble, MD
Keene, NH |
$236 | 0% | $236 | |
Concord Pediatrics
Concord, NH |
$236 | 0% | $236 | |
Ammonoosuc Community Health Services
Littleton, NH |
$239 | 0% | $239 | |
HealthFirst Family Care Center
Laconia, NH |
$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 | |
Mid-State Health Center
Bristol, NH |
$252 | 0% | $252 | |
Sivaram Yamajala, MD
Lowell, MA |
$253 | 0% | $253 | |
Londonderry Pediatrics
Londonderry, NH |
$254 | 0% | $254 | |
Capital Kids Occupational Therapy
Concord, NH |
$254 | 0% | $254 | |
Elliot Physician Network
Bedford, NH |
$254 | 0% | $254 | |
Leah Marie Cadegan Paquette, ARNP
Allenstown, NH |
$254 | 0% | $254 | |
Novus Vita Counseling
Manchester, NH |
$254 | 0% | $254 | |
Richard G Mckenzie, DO
Littleton, NH |
$254 | 0% | $254 | |
Little Rivers Health Care
Bradford, VT |
$256 | 0% | $256 | |
Bridgton Hospital
Bridgton, ME |
$259 | 0% | $259 | |
Martin's Point Health Care
Portsmouth, NH |
$261 | 0% | $261 | |
Atlantic Internal Medicine & Pediatrics
Portsmouth, NH |
$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 | |
Springfield Medical Care System
Springfield, VT |
$270 | 0% | $270 | |
Maine Health
Biddeford, ME |
$270 | 0% | $270 | |
Amoskeag Health
Manchester, NH |
$273 | 0% | $273 | |
New Creation Healing Center
Kingston, NH |
$273 | 0% | $273 | |
St. Joseph's Physician Services
Nashua, NH |
$274 | 0% | $274 | |
Coastal Pediatrics
Portsmouth, NH |
$275 | 0% | $275 | |
Comprehensive Chiropractic
Londonderry, NH |
$277 | 0% | $277 | |
Linwood Medical Center
Lincoln, NH |
$284 | 0% | $284 | |
$286 | 0% | $286 | ||
Steward Medical Group
Methuen, MA |
$288 | 0% | $288 | |
Foundation Medical Partners
Nashua, NH |
$288 | 0% | $288 | |
Debra Margolis, DO
Amherst, NH |
$288 | 0% | $288 | |
New England Allergy
North Andover, MA |
$289 | 0% | $289 | |
Medical Healthcare Specialists
Chelmsford, MA |
$289 | 0% | $289 | |
Pediatric Associates of Hampton & Portsmouth
Portsmouth, NH |
$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 | |
Geater Lowell Pediatrics
Lowell, MA |
$291 | 0% | $291 | |
Anna Jaques Hospital
Newburyport, MA |
$294 | 0% | $294 | |
Crossroads Family Medicine & Pediatrics
Concord, NH |
$294 | 0% | $294 | |
Greater Hampstead Family Medicine
Hampstead, NH |
$295 | 0% | $295 | |
Audrey Morgan, APRN
Salem, NH |
$295 | 0% | $295 | |
Saco River Medical Group
Conway, NH |
$296 | 0% | $296 | |
North Country Chriopractic Center
Springfield, VT |
$296 | 0% | $296 | |
Cedar Whole Life Counseling Services
Salem, NH |
$296 | 0% | $296 | |
Core Physicians
Exeter, NH |
$296 | 0% | $296 | |
Aloft Integrated Wellness
Exeter, NH |
$296 | 0% | $296 | |
Pelham Healthcare Associates
Pelham, NH |
$296 | 0% | $296 | |
Garden City Pediatric Associates
Beverly, MA |
$299 | 0% | $299 | |
Sujeong Shin, MW LICSW EMDR
Exeter, NH |
$305 | 0% | $305 | |
Chelmsford Pediatrics
Chelmsford, MA |
$305 | 0% | $305 | |
Joyce Anne Aliseo, ARNP
Antrim, NH |
$305 | 0% | $305 | |
Aspen Dental Associates of New England
Amherst, NH |
$305 | 0% | $305 | |
Tamworth Family Practice
Tamworth, NH |
$306 | 0% | $306 | |
White Mountain Community Health Center
Conway, NH |
$306 | 0% | $306 | |
Rosemary Smith, ARNP
Raymond, NH |
$308 | 0% | $308 | |
Harbor Care Health & Wellness Center
Nashua, NH |
$308 | 0% | $308 | |
Lamprey Health Care
Newmarket, NH |
$308 | 0% | $308 | |
John C Avery, DO
North Stratford, NH |
$309 | 0% | $309 | |
Indian Stream Health Center
Colebrook, NH |
$309 | 0% | $309 | |
All Care Medical Associates
Salem, NH |
$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 | |
My Friend's Gynecologist
Dover, NH |
$315 | 0% | $315 | |
Leonard Horowitz, MD
Danvers, MA |
$315 | 0% | $315 | |
Middleton Family Medicine & Urgent Care
Middleton, MA |
$315 | 0% | $315 | |
York Community Action Corporation
Springvale, ME |
$321 | 0% | $321 | |
Danielle Porbunderwala, DO
Manchester, NH |
$322 | 0% | $322 | |
Interventional Spine Medicine
Barrington, NH |
$322 | 0% | $322 | |
Family Health Matters of Salem
Salem, NH |
$326 | 0% | $326 | |
Massachusetts Eye & Ear
Stoneham, MA |
$328 | 0% | $328 | |
LifeStance Health
Nashua, NH |
$329 | 0% | $329 | |
Elisabeth Winterkorn, MD
Andover, MA |
$331 | 0% | $331 | |
Children's Medical office of North Andover
North Andover, MA |
$331 | 0% | $331 | |
Dover Pediatrics
Dover, NH |
$331 | 0% | $331 | |
North Shore Pediatrics
Danvers, MA |
$335 | 0% | $335 | |
Wright & Associates Family Healthcare
Concord, NH |
$341 | 0% | $341 | |
Cioffredi & Associates Physical Therapy
Lebanon, NH |
$341 | 0% | $341 | |
Mary Hitchcock Memorial Hospital
Lebanon, NH |
$513 | 33% | $344 | |
Jenny L. Lane, ARNP
Hllsboro, NH |
$350 | 0% | $350 | |
John Francis Barksdale, MD
Pittsfield, NH |
$350 | 0% | $350 | |
CVS Minute Clinic
Concord, NH |
$350 | 0% | $350 | |
Crystal Eaton, LCMHC
Manchester, NH |
$352 | 0% | $352 | |
Woburn & North Andover Pediatrics
North Andover, MA |
$352 | 0% | $352 | |
New Hampshire Dermatology Clinic
Peterborough, NH |
$355 | 0% | $355 | |
Montshire Pediatric Dentistry
Keene, NH |
$360 | 0% | $360 | |
Gerber Dental Group
Portsmouth, NH |
$360 | 0% | $360 | |
Atlantic Digestive
Portsmouth, NH |
$360 | 0% | $360 | |
Angela Paige Goldman Klingler, MD
Warner, NH |
$360 | 0% | $360 | |
Riverbend Community Mental Health
Concord, NH |
$360 | 0% | $360 | |
Weare Family Dentistry
Weare, NH |
$360 | 0% | $360 | |
Capital Region Ventures Corporation
Concord, NH |
$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 | |
Pelham Family Dental
Pelham, NH |
$368 | 0% | $368 | |
Wilmington Pediatrics
Wilmington, MA |
$370 | 0% | $370 | |
Riverside Pediatrics
Newburyport, MA |
$374 | 0% | $374 | |
Andover Pediatrics
Andover, MA |
$391 | 0% | $391 | |
Garrison Women's Health Center
Dover, NH |
$393 | 0% | $393 | |
Wentworth Health Partners
Dover, NH |
$393 | 0% | $393 | |
Margret J Garcia, MD
Lee, NH |
$393 | 0% | $393 | |
Drum Hill Pediatrics
North Chelmsford, MA |
$394 | 0% | $394 | |
Lowell General Hospital
Lowell, MA |
$404 | 0% | $404 | |
Cardinal Pediatrics
Lowell, MA |
$420 | 0% | $420 | |
Pediatrics West
Westford, MA |
$420 | 0% | $420 | |
Lowell Community Health Center
Lowell, MA |
$420 | 0% | $420 | |
Community Council of Nashua NH
Nashua, NH |
$420 | 0% | $420 | |
Andover Obstetrics & Gynecology
Andover, MA |
$420 | 0% | $420 | |
Alena Ashenberg, MD
Dracut, MA |
$420 | 0% | $420 | |
Boston Children's Hospital
North Andover, MA |
$432 | 0% | $432 | |
Gilchrist & Sevigny Pediatrics
Chelmsford, MA |
$473 | 0% | $473 | |
Mark G Gilchrist, MD
Chelmsford, MA |
$473 | 0% | $473 | |
Child Health Center
Methuen, MA |
$510 | 0% | $510 | |
Pentucket Medical Associates
Haverhill, MA |
$510 | 0% | $510 | |
Mass General Brigham
Chelmsford, MA |
$510 | 0% | $510 | |
Scarpino Family Therapy
Hampton, NH |
$513 | 0% | $513 | |
Orthopedic Physical Therapy Associates
Nashua, NH |
$513 | 0% | $513 | |
Margaret Erskine Kepler, MD
Lebanon, NH |
$513 | 0% | $513 | |
Phillip Fichera, MD
Hudson, NH |
$513 | 0% | $513 | |
Nancy Lange, MSN PMHCNS PMHNP
Derry, NH |
$513 | 0% | $513 | |
Norcross Circle Associates
North Conway, NH |
$513 | 0% | $513 | |
Dartmouth Health (Nashua)
Nashua, NH |
$513 | 0% | $513 | |
Dartmouth Health (Manchester)
Manchester, NH |
$513 | 0% | $513 | |
Women's Counseling of Nashua
Nashua, NH |
$513 | 0% | $513 | |
Dartmouth Health (Keene)
Keene, NH |
$513 | 0% | $513 | |
Johanna Lisle Newbold, DC
Nashua, NH |
$513 | 0% | $513 | |
Dartmouth Health (Concord)
Concord, NH |
$513 | 0% | $513 | |
Dartmouth Health
Lebanon, NH |
$513 | 0% | $513 | |
Alliance Health Services
Bedford, NH |
$513 | 0% | $513 |
Compare Selected
Compare Procedure Costs
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Use the checkboxes in the table below to select up to 3 providers, then click the “Compare Selected” button to compare the providers health care costs and quality.
Before seeking care, contact your health or dental insurance company to confirm if a provider is covered by your plan.