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 | $309 | |||
HCA - Parkland Medical Center
Derry, NH |
$205 | 91% | $18 | |
HCA - Frisbie Memorial Hospital
Rochester, NH |
$280 | 91% | $25 | |
HCA - Portsmouth Regional Hospital
Portsmouth, NH |
$289 | 91% | $26 | |
St. Joseph Hospital
Nashua, NH |
$274 | 61% | $107 | |
HCA - Catholic Medical Center
Manchester, NH |
$335 | 67% | $111 | |
Concord Hospital
Concord, NH |
$360 | 67% | $119 | |
Concord Hospital - Franklin
Franklin, NH |
$365 | 67% | $121 | |
Dartmouth Health - Clinics
Lebanon, NH |
$347 | 62% | $132 | |
Southern New Hampshire Health
Nashua, NH |
$309 | 57% | $133 | |
Dartmouth Health - Valley Regional Hospital
Claremont, NH |
$247 | 45% | $136 | |
Monadnock Community Hospital
Peterborough, NH |
$226 | 38% | $140 | |
Huggins Hospital
Wolfeboro, NH |
$306 | 50% | $153 | |
Cottage Hospital
Woodsville, NH |
$306 | 50% | $153 | |
| $545 | 69% | $169 | ||
Littleton Regional Healthcare
Littleton, NH |
$291 | 42% | $169 | |
Speare Memorial Hospital
Plymouth, NH |
$285 | 40% | $171 | |
North Country Healthcare - WMC
Lancaster, NH |
$309 | 44% | $173 | |
Dartmouth Health - APD
Lebanon, NH |
$300 | 37% | $189 | |
Dartmouth Health - New London Hospital
New London, NH |
$350 | 45% | $192 | |
MD VIP
Merrimack, NH |
$194 | 0% | $194 | |
Memorial Hospital
North Conway, NH |
$305 | 33% | $204 | |
Kristin Visco, DPM AACFAS
Manchester, NH |
$208 | 0% | $208 | |
Pierre L Dionne, MD
Hudson, NH |
$210 | 0% | $210 | |
Life Long Care of New London
New London, NH |
$210 | 0% | $210 | |
Upper Valley Pediatrics
Bradford, VT |
$215 | 0% | $215 | |
Nancy Turkington, MD
Hanover, NH |
$221 | 0% | $221 | |
Salmon Falls Family Healthcare
Somersworth, NH |
$221 | 0% | $221 | |
Family Health Center
West Lebanon, NH |
$221 | 0% | $221 | |
Concord Hospital - Laconia
Laconia, NH |
$371 | 40% | $222 | |
| $223 | 0% | $223 | ||
Goodwin Community Health
Somersworth, NH |
$224 | 0% | $224 | |
Greater Seacoast Community Health
Portsmouth, NH |
$224 | 0% | $224 | |
York Kids
York, ME |
$226 | 0% | $226 | |
Derry Pediatrics
Derry, NH |
$226 | 0% | $226 | |
Pediatric Professional Associates
Methuen, MA |
$230 | 0% | $230 | |
Mascoma Community Health Center
Caanan, NH |
$231 | 0% | $231 | |
Wells Family Practice
Wells, ME |
$231 | 0% | $231 | |
Pinnacle Rehabilitation Network
Plaistow, NH |
$231 | 0% | $231 | |
Renewed Family Health
Nashua, NH |
$231 | 0% | $231 | |
Suzanne Coble, MD
Keene, NH |
$236 | 0% | $236 | |
Wentworth-Douglass Hospital
Dover, NH |
$393 | 40% | $236 | |
Pembroke Wellness Center
Pembroke, NH |
$236 | 0% | $236 | |
Ammonoosuc Community Health Services
Littleton, NH |
$239 | 0% | $239 | |
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 | ||
Mid-State Health Center
Bristol, NH |
$252 | 0% | $252 | |
Lynn Barash, LICSW
North Andover, MA |
$252 | 0% | $252 | |
Little Rivers Health Care
Bradford, VT |
$256 | 0% | $256 | |
Bridgton Hospital
Bridgton, ME |
$259 | 0% | $259 | |
York Hospital
York, ME |
$259 | 0% | $259 | |
Convenient MD
Concord, NH |
$259 | 0% | $259 | |
Martin's Point Health Care
Portsmouth, NH |
$261 | 0% | $261 | |
Bedford Commons OBGYN
Bedford, NH |
$263 | 0% | $263 | |
Landmark Family Healthcare
Londonderry, NH |
$268 | 0% | $268 | |
Keady Family Practice
Charlestown, NH |
$269 | 0% | $269 | |
HealthReach Community Health Centers
Bethel, ME |
$269 | 0% | $269 | |
Gorham Family Dentistry
Gorham, NH |
$269 | 0% | $269 | |
Coos County Family Health Services
Berlin, NH |
$269 | 0% | $269 | |
Springfield Medical Care System
Springfield, VT |
$270 | 0% | $270 | |
We Care Pediatrics
Salem, NH |
$273 | 0% | $273 | |
Lois LeBlanc, LCPC
Fryeburg, ME |
$273 | 0% | $273 | |
New Creation Healing Center
Kingston, NH |
$273 | 0% | $273 | |
Concord Pediatrics
Concord, NH |
$273 | 0% | $273 | |
Revere Medical
Methuen, MA |
$274 | 0% | $274 | |
Root to Leaf Pediatrics
Milford, NH |
$274 | 0% | $274 | |
St. Joseph's Physician Services
Nashua, NH |
$274 | 0% | $274 | |
Richard G Mckenzie, DO
Littleton, NH |
$275 | 0% | $275 | |
Appledore Medical Group
Portsmouth, NH |
$280 | 0% | $280 | |
Linwood Medical Center
Lincoln, NH |
$284 | 0% | $284 | |
| $289 | 0% | $289 | ||
Children's Health Care
Newburyport, MA |
$289 | 0% | $289 | |
Alexander Asch, MD
North Reading, MA |
$289 | 0% | $289 | |
New England Allergy
North Andover, MA |
$289 | 0% | $289 | |
Daniel A Brown, MD
Portsmouth, NH |
$289 | 0% | $289 | |
Pediatric Associates of Hampton & Portsmouth
Portsmouth, NH |
$289 | 0% | $289 | |
Medical Healthcare Specialists
Chelmsford, MA |
$289 | 0% | $289 | |
Boston Children's Hospital
North Andover, MA |
$291 | 0% | $291 | |
Geater Lowell Pediatrics
Lowell, MA |
$291 | 0% | $291 | |
Crossroads Family Medicine & Pediatrics
Concord, NH |
$294 | 0% | $294 | |
Audrey Morgan, APRN
Salem, NH |
$295 | 0% | $295 | |
Greater Hampstead Family Medicine
Hampstead, NH |
$295 | 0% | $295 | |
Laconia Family Dental
Laconia, NH |
$295 | 0% | $295 | |
Beth Israel Lahey - Core Physicians
Exeter, NH |
$296 | 0% | $296 | |
Aloft Integrated Wellness
Exeter, NH |
$296 | 0% | $296 | |
North Country Chriopractic Center
Springfield, VT |
$296 | 0% | $296 | |
Beth Israel Lahey Health
Burlington, MA |
$296 | 0% | $296 | |
Cedar Whole Life Counseling Services
Salem, NH |
$296 | 0% | $296 | |
Leah Marie Cadegan Paquette, ARNP
Allenstown, NH |
$300 | 0% | $300 | |
Joyce Anne Aliseo, ARNP
Antrim, NH |
$305 | 0% | $305 | |
Saco River Medical Group
Conway, NH |
$305 | 0% | $305 | |
Pelham Healthcare Associates
Pelham, NH |
$305 | 0% | $305 | |
Amoskeag Health
Manchester, NH |
$305 | 0% | $305 | |
Chelmsford Pediatrics
Chelmsford, MA |
$305 | 0% | $305 | |
Aspen Dental Associates of New England
Amherst, NH |
$305 | 0% | $305 | |
DMC Primary Care
Derry, NH |
$305 | 0% | $305 | |
White Mountain Community Health Center
Conway, NH |
$306 | 0% | $306 | |
Tamworth Family Practice
Tamworth, NH |
$306 | 0% | $306 | |
Maine Health
Biddeford, ME |
$308 | 0% | $308 | |
Wanderlust Therapeutic Services
Nashua, NH |
$309 | 0% | $309 | |
Indian Stream Health Center
Colebrook, NH |
$309 | 0% | $309 | |
Debra Margolis, DO
Amherst, NH |
$309 | 0% | $309 | |
Lamprey Health Care
Newmarket, NH |
$313 | 0% | $313 | |
Rosemary Smith, ARNP
Raymond, NH |
$313 | 0% | $313 | |
Harbor Care
Nashua, NH |
$313 | 0% | $313 | |
Naomi Beth Rather, LCMHC
Newington, NH |
$315 | 0% | $315 | |
Whole Life Health Care
Newington, NH |
$315 | 0% | $315 | |
North Reading Pediatrics
North Reading, MA |
$315 | 0% | $315 | |
Leonard Horowitz, MD
Danvers, MA |
$315 | 0% | $315 | |
All Care Medical Associates
Salem, NH |
$315 | 0% | $315 | |
CVS Minute Clinic
Concord, NH |
$316 | 0% | $316 | |
Reliant Medical Group
Leominster, MA |
$316 | 0% | $316 | |
Family Health Matters of Salem
Salem, NH |
$326 | 0% | $326 | |
Middleton Family Medicine & Urgent Care
Middleton, MA |
$328 | 0% | $328 | |
Children's Medical office of North Andover
North Andover, MA |
$331 | 0% | $331 | |
Anna Jaques Hospital
Newburyport, MA |
$331 | 0% | $331 | |
Dover Pediatrics
Dover, NH |
$331 | 0% | $331 | |
Elisabeth Winterkorn, MD
Andover, MA |
$331 | 0% | $331 | |
LifeStance Health
Nashua, NH |
$335 | 0% | $335 | |
North Shore Pediatrics
Danvers, MA |
$335 | 0% | $335 | |
Atlantic Internal Medicine & Pediatrics
Portsmouth, NH |
$335 | 0% | $335 | |
My Friend's Gynecologist
Dover, NH |
$341 | 0% | $341 | |
Massachusetts Eye & Ear
Stoneham, MA |
$341 | 0% | $341 | |
Wright & Associates Family Healthcare
Concord, NH |
$341 | 0% | $341 | |
Cioffredi & Associates Physical Therapy
Lebanon, NH |
$341 | 0% | $341 | |
Londonderry Pediatrics
Londonderry, NH |
$347 | 0% | $347 | |
Capital Kids Occupational Therapy
Concord, NH |
$347 | 0% | $347 | |
Novus Vita Counseling
Manchester, NH |
$347 | 0% | $347 | |
Elliot Physician Network
Bedford, NH |
$347 | 0% | $347 | |
Crystal Eaton, LCMHC
Manchester, NH |
$352 | 0% | $352 | |
Woburn & North Andover Pediatrics
North Andover, MA |
$352 | 0% | $352 | |
Garden City Pediatric Associates
Beverly, MA |
$357 | 0% | $357 | |
Montshire Pediatric Dentistry
Keene, NH |
$360 | 0% | $360 | |
Atrius Health
Beverly, MA |
$360 | 0% | $360 | |
Weare Family Dentistry
Weare, NH |
$360 | 0% | $360 | |
Gerber Dental Group
Portsmouth, NH |
$360 | 0% | $360 | |
HealthFirst Family Care Center
Laconia, NH |
$360 | 0% | $360 | |
Andover Pediatrics
Andover, MA |
$363 | 0% | $363 | |
New Hampshire Derm Clinic
Peterborough, NH |
$365 | 0% | $365 | |
Dartmouth Health - Medical Center
Lebanon, NH |
$545 | 33% | $365 | |
OAK Pediatrics
Westford, MA |
$368 | 0% | $368 | |
Andrew J Escoll, MD
Tewksbury, MA |
$368 | 0% | $368 | |
Wilmington Pediatrics
Wilmington, MA |
$370 | 0% | $370 | |
Capital Region Ventures Corporation
Concord, NH |
$371 | 0% | $371 | |
Angela Paige Goldman Klingler, MD
Warner, NH |
$371 | 0% | $371 | |
Atlantic Digestive
Portsmouth, NH |
$371 | 0% | $371 | |
Riverbend Community Mental Health
Concord, NH |
$371 | 0% | $371 | |
Jenny L. Lane, ARNP
Hllsboro, NH |
$371 | 0% | $371 | |
Jaclyn Devine, PhD
Andover, MA |
$374 | 0% | $374 | |
Norcross Circle Associates
North Conway, NH |
$380 | 0% | $380 | |
Wentworth Health Partners
Dover, NH |
$393 | 0% | $393 | |
Mass General Brigham
Chelmsford, MA |
$393 | 0% | $393 | |
Garrison Women's Health Center
Dover, NH |
$393 | 0% | $393 | |
PMC Medical Group
Somersworth, NH |
$393 | 0% | $393 | |
Margret J Garcia, MD
Lee, NH |
$393 | 0% | $393 | |
Sujeong Shin, MW LICSW EMDR
Exeter, NH |
$394 | 0% | $394 | |
Drum Hill Pediatrics
North Chelmsford, MA |
$394 | 0% | $394 | |
Lowell General Hospital
Lowell, MA |
$404 | 0% | $404 | |
Andover Obstetrics & Gynecology
Andover, MA |
$420 | 0% | $420 | |
Community Council of Nashua NH
Nashua, NH |
$420 | 0% | $420 | |
Alena Ashenberg, MD
Dracut, MA |
$420 | 0% | $420 | |
Pediatrics West
Westford, MA |
$420 | 0% | $420 | |
Riverside Pediatrics
Newburyport, MA |
$426 | 0% | $426 | |
Heywood Hospital
Winchendon, MA |
$442 | 0% | $442 | |
Mark G Gilchrist, MD LLC
Chelmsford, MA |
$473 | 0% | $473 | |
Pentucket Medical Associates
Haverhill, MA |
$522 | 0% | $522 | |
Delphi Healthcare
Bedford, NH |
$529 | 0% | $529 | |
Child Health Center
Methuen, MA |
$529 | 0% | $529 | |
Dartmouth Health
Lebanon, NH |
$545 | 0% | $545 | |
Orthopedic Physical Therapy
Nashua, NH |
$545 | 0% | $545 | |
Phillip Fichera, MD
Hudson, NH |
$545 | 0% | $545 | |
River Road Pediatrics
Bedford, NH |
$545 | 0% | $545 | |
Johanna Lisle Newbold, DC
Nashua, NH |
$545 | 0% | $545 | |
Margaret Erskine Kepler, MD
Lebanon, NH |
$545 | 0% | $545 | |
Dartmouth Health (Walpole)
Walpole, NH |
$545 | 0% | $545 | |
Dartmouth Health (Nashua)
Nashua, NH |
$545 | 0% | $545 | |
Dartmouth Health (Manchester)
Manchester, NH |
$545 | 0% | $545 | |
Nancy Lange, MSN PMHCNS PMHNP
Derry, NH |
$545 | 0% | $545 | |
Dartmouth Health (Keene)
Keene, NH |
$545 | 0% | $545 | |
Dartmouth Health (Concord)
Concord, NH |
$545 | 0% | $545 | |
Alliance Health Services
Bedford, NH |
$545 | 0% | $545 | |
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.