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.
| 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 | $274 | |||
Parkland Medical Center
Derry, NH |
$205 | 90% | $20 | |
Frisbie Memorial Hospital
Rochester, NH |
$272 | 90% | $27 | |
Catholic Medical Center
Manchester, NH |
$219 | 66% | $75 | |
St. Joseph Hospital
Nashua, NH |
$209 | 61% | $81 | |
Concord Hospital
Concord, NH |
$320 | 64% | $115 | |
Southern New Hampshire Health
Nashua, NH |
$288 | 57% | $124 | |
Monadnock Community Hospital
Peterborough, NH |
$200 | 36% | $128 | |
Valley Regional Hospital
Claremont, NH |
$247 | 45% | $136 | |
Androscoggin Valley Hospital
Berlin, NH |
$221 | 37% | $139 | |
Littleton Regional Healthcare
Littleton, NH |
$254 | 42% | $147 | |
Speare Memorial Hospital
Plymouth, NH |
$247 | 39% | $151 | |
Huggins Hospital
Wolfeboro, NH |
$306 | 50% | $153 | |
New London Hospital
New London, NH |
$323 | 50% | $162 | |
Northern Counties Health Care
St. Johnsbury, VT |
$163 | 0% | $163 | |
Lakes Region General Healthcare
Laconia, NH |
$274 | 40% | $164 | |
Weeks Medical Center
Lancaster, NH |
$302 | 44% | $169 | |
Memorial Hospital
North Conway, NH |
$258 | 33% | $173 | |
Alice Peck Day Memorial Hospital
Lebanon, NH |
$255 | 30% | $179 | |
Wentworth-Douglass Hospital
Dover, NH |
$309 | 40% | $185 | |
Stephen R Brennan, PhD
York, ME |
$189 | 0% | $189 | |
MD VIP
Merrimack, NH |
$194 | 0% | $194 | |
Pediatric Professional Associates
Methuen, MA |
$196 | 0% | $196 | |
Londonderry Pediatrics
Londonderry, NH |
$200 | 0% | $200 | |
Derry Pediatrics
Derry, NH |
$200 | 0% | $200 | |
New Hampshire Dermatilogy Clinic
Peterborough, NH |
$200 | 0% | $200 | |
Pembroke Wellness Center
Pembroke, NH |
$200 | 0% | $200 | |
Brattleboro Memorial Hospital
Brattleboro, VT |
$200 | 0% | $200 | |
Pierre L Dionne, MD
Hudson, NH |
$200 | 0% | $200 | |
John J Haley, MD
New Ipswich, NH |
$200 | 0% | $200 | |
Bridgton Hospital
Bridgton, ME |
$201 | 0% | $201 | |
Appledore Medical Group
Portsmouth, NH |
$205 | 0% | $205 | |
Daniela Elda Verani, MD
Londonderry, NH |
$205 | 0% | $205 | |
Bedford Laser & Medi-Spa
Bedford, NH |
$205 | 0% | $205 | |
Suzanne Coble, MD
Keene, NH |
$205 | 0% | $205 | |
Anthony Zwaan, MD
Exeter, NH |
$205 | 0% | $205 | |
Goodwin Community Health
Somersworth, NH |
$206 | 0% | $206 | |
St. Joseph's Physician Services
Nashua, NH |
$209 | 0% | $209 | |
Upper Valley Pediatrics
Bradford, VT |
$209 | 0% | $209 | |
Maria A Pattavina, ARNP
Keene, NH |
$210 | 0% | $210 | |
Mark P Cartier, MD
York, ME |
$210 | 0% | $210 | |
Deepak Sharma, MD
Salem, NH |
$210 | 0% | $210 | |
Wells Family Practice
Wells, ME |
$210 | 0% | $210 | |
Michael Jonathan Stein, MD
Hampstead, NH |
$210 | 0% | $210 | |
Doctor's Who Care
Enfield, NH |
$210 | 0% | $210 | |
HealthFirst Family Care Center
Laconia, NH |
$215 | 0% | $215 | |
James Arthur Bloomer, MD
Exeter, NH |
$215 | 0% | $215 | |
Barbara Nesbitt, LMHC
Exeter, NH |
$215 | 0% | $215 | |
Ammonoosuc Community Health Services
Littleton, NH |
$217 | 0% | $217 | |
Atlantic Internal Medicine & Pediatrics
Portsmouth, NH |
$218 | 0% | $218 | |
York Hospital
York, ME |
$219 | 0% | $219 | |
Landmark Family Healthcare
Londonderry, NH |
$221 | 0% | $221 | |
PMC Medical Group
Somersworth, NH |
$221 | 0% | $221 | |
Concord Pediatrics
Concord, NH |
$221 | 0% | $221 | |
Salmon Falls Family Healthcare
Somersworth, NH |
$221 | 0% | $221 | |
Coos County Family Health Services
Berlin, NH |
$221 | 0% | $221 | |
Northeast Medical Group
Lowell, MA |
$221 | 0% | $221 | |
Nancy Turkington, MD
Hanover, NH |
$221 | 0% | $221 | |
Little Rivers Health Care
Bradford, VT |
$223 | 0% | $223 | |
River Road Pediatrics
Bedford, NH |
$231 | 0% | $231 | |
Springfield Medical Care System
Springfield, VT |
$234 | 0% | $234 | |
| $236 | 0% | $236 | ||
Daniel A Brown, MD
Portsmouth, NH |
$236 | 0% | $236 | |
Life Long Care of New London
New London, NH |
$236 | 0% | $236 | |
Donna E Holt, NP
Londonderry, NH |
$239 | 0% | $239 | |
Leah Marie Cadegan Paquette, ARNP
Allenstown, NH |
$239 | 0% | $239 | |
Mona P Feng, MD
Newmarket, NH |
$239 | 0% | $239 | |
Elliot Physician Network
Bedford, NH |
$239 | 0% | $239 | |
Joseph A Misiewicz, MD
Meredith, NH |
$242 | 0% | $242 | |
Rockingham Family Healthcare Collaborative
Atkinson, NH |
$247 | 0% | $247 | |
Chelmsford Family Practice
North Chelmsford, MA |
$247 | 0% | $247 | |
Maine Health
Biddeford, ME |
$249 | 0% | $249 | |
Lowell Community Health Center
Lowell, MA |
$252 | 0% | $252 | |
Mid-State Health Center
Bristol, NH |
$252 | 0% | $252 | |
Tewksbury Medical Group
Tewksbury, MA |
$252 | 0% | $252 | |
Richard G Mckenzie, DO
Littleton, NH |
$254 | 0% | $254 | |
Andover Pediatrics
Andover, MA |
$257 | 0% | $257 | |
Lahey Health
Burlington, MA |
$257 | 0% | $257 | |
DMC Primary Care
Derry, NH |
$263 | 0% | $263 | |
Interventional Spine Medicine
Barrington, NH |
$263 | 0% | $263 | |
Newburyport Family Practice
Newburyport, MA |
$263 | 0% | $263 | |
Alice V Merkrebs, MD
Newburyport, MA |
$263 | 0% | $263 | |
Laila Attar, MD
Pepperell, MA |
$263 | 0% | $263 | |
Wright & Associates Family Healthcare
Concord, NH |
$263 | 0% | $263 | |
George Graham Thomson, MD
Peterborough, NH |
$263 | 0% | $263 | |
Susan Marie Krolewski Md, PhD
Portsmouth, NH |
$263 | 0% | $263 | |
Newburyport Pediatrics
Newburyport, MA |
$263 | 0% | $263 | |
Keady Family Practice
Charlestown, NH |
$269 | 0% | $269 | |
White Mountain Community Health Center
Conway, NH |
$272 | 0% | $272 | |
New Creation Healing Center
Kingston, NH |
$273 | 0% | $273 | |
LRGHealthcare
Laconia, NH |
$274 | 0% | $274 | |
Coastal Pediatrics
Portsmouth, NH |
$275 | 0% | $275 | |
Saco River Medical Group
Conway, NH |
$279 | 0% | $279 | |
Rosemary Smith, ARNP
Raymond, NH |
$284 | 0% | $284 | |
Community Pediatrics of Andover
Andover, MA |
$284 | 0% | $284 | |
Linwood Medical Center
Lincoln, NH |
$284 | 0% | $284 | |
Dover Pediatrics
Dover, NH |
$285 | 0% | $285 | |
Core Physicians
Exeter, NH |
$287 | 0% | $287 | |
All Care Medical Associates
Salem, NH |
$289 | 0% | $289 | |
Children's Health Care
Newburyport, MA |
$289 | 0% | $289 | |
Pelham Healthcare Associates
Pelham, NH |
$289 | 0% | $289 | |
Geater Lowell Pediatrics
Lowell, MA |
$291 | 0% | $291 | |
Wilmington Pediatrics
Wilmington, MA |
$292 | 0% | $292 | |
Concord Otoloryngology
Concord, NH |
$294 | 0% | $294 | |
Crossroads Family Medicine & Pediatrics
Concord, NH |
$294 | 0% | $294 | |
Greater Hampstead Family Medicine
Hampstead, NH |
$295 | 0% | $295 | |
Lamprey Health Care
Newmarket, NH |
$296 | 0% | $296 | |
Drum Hill Pediatrics
North Chelmsford, MA |
$297 | 0% | $297 | |
Whole Life Health Care
Newington, NH |
$299 | 0% | $299 | |
Dr Suls Family & Sports Medicine
Bedford, NH |
$299 | 0% | $299 | |
John C Avery, DO
North Stratford, NH |
$302 | 0% | $302 | |
Martin's Point Health Care
Portsmouth, NH |
$305 | 0% | $305 | |
Tamworth Family Practice
Tamworth, NH |
$306 | 0% | $306 | |
Margret J Garcia, MD
Lee, NH |
$309 | 0% | $309 | |
Emma Chipman, MD
Dover, NH |
$309 | 0% | $309 | |
Wentworth Douglass Physician Corp
Dover, NH |
$309 | 0% | $309 | |
Anna Jaques Hospital
Newburyport, MA |
$310 | 0% | $310 | |
Amoskeag Health
Manchester, NH |
$314 | 0% | $314 | |
Middleton Family Medicine & Urgent Care
Middleton, MA |
$315 | 0% | $315 | |
CVS Minute Clinic
Concord, NH |
$316 | 0% | $316 | |
John Francis Barksdale, MD
Pittsfield, NH |
$320 | 0% | $320 | |
Jenny L. Lane, ARNP
Hllsboro, NH |
$320 | 0% | $320 | |
Riverbend Community Mental Health
Concord, NH |
$320 | 0% | $320 | |
Angela Paige Goldman Klingler, MD
Warner, NH |
$320 | 0% | $320 | |
Family Health Matters of Salem
Salem, NH |
$326 | 0% | $326 | |
Gilchrist & Sevigny Pediatrics
Chelmsford, MA |
$336 | 0% | $336 | |
Elisabeth Winterkorn, MD
Andover, MA |
$336 | 0% | $336 | |
Children's Medical office of North Andover
North Andover, MA |
$336 | 0% | $336 | |
Mark G Gilchrist, MD
Chelmsford, MA |
$336 | 0% | $336 | |
Dracut Family Healthcare
Dracut, MA |
$337 | 0% | $337 | |
Ann Mcgravey, MD
North Andover, MA |
$341 | 0% | $341 | |
Steward Medical Group
Methuen, MA |
$357 | 0% | $357 | |
Atrius Health
Beverly, MA |
$360 | 0% | $360 | |
Lowell General Hospital
Lowell, MA |
$360 | 0% | $360 | |
Michael P. Romanowsky Family Medicine
Windham, NH |
$368 | 0% | $368 | |
Alena Ashenberg, MD
Dracut, MA |
$368 | 0% | $368 | |
Pediatrics West
Westford, MA |
$368 | 0% | $368 | |
Riverside Pediatrics
Newburyport, MA |
$374 | 0% | $374 | |
Dartmouth-Hitchcock (Walpole)
Walpole, NH |
$387 | 0% | $387 | |
Dartmouth-Hitchcock (Nashua)
Nashua, NH |
$387 | 0% | $387 | |
Dartmouth-Hitchcock (Manchester)
Manchester, NH |
$387 | 0% | $387 | |
Dartmouth-Hitchcock (Concord)
Concord, NH |
$387 | 0% | $387 | |
Alliance Health Services
Bedford, NH |
$387 | 0% | $387 | |
Dartmouth-Hitchcock Clinic
Lebanon, NH |
$387 | 0% | $387 | |
Phillip Fichera, MD
Hudson, NH |
$396 | 0% | $396 | |
Dartmouth-Hitchcock Medical Center
Lebanon, NH |
$403 | 0% | $403 | |
Dartmouth-Hitchcock (Keene)
Keene, NH |
$405 | 0% | $405 | |
Before seeking care, contact your health or dental insurance company to confirm if a provider is covered by your plan.