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.
Sort by Uninsured Discount
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 $274
$205 90% $20
$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
$288 57% $124
Monadnock Community Hospital
Peterborough, NH
$200 36% $128
Valley Regional Hospital
Claremont, NH
$247 45% $136
$221 37% $139
$254 42% $147
$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
$274 40% $164
Weeks Medical Center
Lancaster, NH
$302 44% $169
Memorial Hospital
North Conway, NH
$258 33% $173
$255 30% $179
$309 40% $185
$189 0% $189
MD VIP
Merrimack, NH
$194 0% $194
$196 0% $196
Londonderry Pediatrics
Londonderry, NH
$200 0% $200
Derry Pediatrics
Derry, NH
$200 0% $200
$200 0% $200
$200 0% $200
$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
$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
$209 0% $209
$209 0% $209
$210 0% $210
$210 0% $210
Deepak Sharma, MD
Salem, NH
$210 0% $210
$210 0% $210
$210 0% $210
Doctor's Who Care
Enfield, NH
$210 0% $210
$215 0% $215
$215 0% $215
$215 0% $215
$217 0% $217
$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
$221 0% $221
$221 0% $221
$221 0% $221
Nancy Turkington, MD
Hanover, NH
$221 0% $221
$223 0% $223
River Road Pediatrics
Bedford, NH
$231 0% $231
$234 0% $234
$236 0% $236
Daniel A Brown, MD
Portsmouth, NH
$236 0% $236
$236 0% $236
Donna E Holt, NP
Londonderry, NH
$239 0% $239
$239 0% $239
Mona P Feng, MD
Newmarket, NH
$239 0% $239
$239 0% $239
Joseph A Misiewicz, MD
Meredith, NH
$242 0% $242
$247 0% $247
Chelmsford Family Practice
North Chelmsford, MA
$247 0% $247
Maine Health
Biddeford, ME
$249 0% $249
$252 0% $252
$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
$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
$263 0% $263
George Graham Thomson, MD
Peterborough, NH
$263 0% $263
$263 0% $263
Newburyport Pediatrics
Newburyport, MA
$263 0% $263
Keady Family Practice
Charlestown, NH
$269 0% $269
$272 0% $272
$273 0% $273
LRGHealthcare
Laconia, NH
$274 0% $274
Coastal Pediatrics
Portsmouth, NH
$275 0% $275
$279 0% $279
Rosemary Smith, ARNP
Raymond, NH
$284 0% $284
$284 0% $284
$284 0% $284
Dover Pediatrics
Dover, NH
$285 0% $285
Core Physicians
Exeter, NH
$287 0% $287
$289 0% $289
Children's Health Care
Newburyport, MA
$289 0% $289
$289 0% $289
$291 0% $291
Wilmington Pediatrics
Wilmington, MA
$292 0% $292
$294 0% $294
$294 0% $294
$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
$299 0% $299
John C Avery, DO
North Stratford, NH
$302 0% $302
$305 0% $305
$306 0% $306
$309 0% $309
Emma Chipman, MD
Dover, NH
$309 0% $309
$309 0% $309
Anna Jaques Hospital
Newburyport, MA
$310 0% $310
Amoskeag Health
Manchester, NH
$314 0% $314
$315 0% $315
CVS Minute Clinic
Concord, NH
$316 0% $316
$320 0% $320
Jenny L. Lane, ARNP
Hllsboro, NH
$320 0% $320
$320 0% $320
$320 0% $320
$326 0% $326
$336 0% $336
$336 0% $336
$336 0% $336
Mark G Gilchrist, MD
Chelmsford, MA
$336 0% $336
$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
$360 0% $360
$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
$387 0% $387
$387 0% $387
$387 0% $387
$387 0% $387
$387 0% $387
$387 0% $387
Phillip Fichera, MD
Hudson, NH
$396 0% $396
$403 0% $403
$405 0% $405