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 $285
$205 91% $18
$295 91% $27
Catholic Medical Center
Manchester, NH
$238 67% $79
$285 67% $94
$254 62% $97
St. Joseph Hospital
Nashua, NH
$274 61% $107
$184 41% $108
Concord Hospital
Concord, NH
$339 67% $112
Monadnock Community Hospital
Peterborough, NH
$200 38% $124
$288 57% $124
Valley Regional Hospital
Claremont, NH
$247 45% $136
$446 69% $138
$254 42% $147
Huggins Hospital
Wolfeboro, NH
$306 50% $153
$266 40% $159
$268 37% $169
LRGHealthcare
Laconia, NH
$285 40% $171
Weeks Medical Center
Lancaster, NH
$309 44% $173
$180 0% $180
New London Hospital
New London, NH
$336 45% $185
$186 0% $186
Memorial Hospital
North Conway, NH
$277 33% $186
$200 0% $200
$200 0% $200
Londonderry Pediatrics
Londonderry, NH
$201 0% $201
$205 0% $205
$205 0% $205
Daniela Elda Verani, MD
Londonderry, NH
$205 0% $205
Anthony Zwaan, MD
Exeter, NH
$205 0% $205
Appledore Medical Group
Portsmouth, NH
$205 0% $205
Suzanne Coble, MD
Keene, NH
$205 0% $205
Goodwin Community Health
Somersworth, NH
$206 0% $206
$206 0% $206
$209 0% $209
$209 0% $209
Pierre L Dionne, MD
Hudson, NH
$210 0% $210
$210 0% $210
Deepak Sharma, MD
Salem, NH
$210 0% $210
$210 0% $210
$210 0% $210
Derry Pediatrics
Derry, NH
$215 0% $215
$215 0% $215
Your Medical Home
Exeter, NH
$215 0% $215
$215 0% $215
Convenient MD
Concord, NH
$221 0% $221
$221 0% $221
Nancy Turkington, MD
Hanover, NH
$221 0% $221
Landmark Family Healthcare
Londonderry, NH
$221 0% $221
$221 0% $221
York Kids
York, ME
$226 0% $226
River Road Pediatrics
Bedford, NH
$231 0% $231
$231 0% $231
$231 0% $231
$231 0% $231
$232 0% $232
York Hospital
York, ME
$234 0% $234
$234 0% $234
Lois LeBlanc, LCPC
Fryeburg, ME
$234 0% $234
Bridgton Hospital
Bridgton, ME
$234 0% $234
$393 40% $236
Concord Pediatrics
Concord, NH
$236 0% $236
Daniel A Brown, MD
Portsmouth, NH
$236 0% $236
$236 0% $236
$236 0% $236
Mass General Brigham
Chelmsford, MA
$238 0% $238
LifeStance Health
Nashua, NH
$238 0% $238
$239 0% $239
Mona P Feng, MD
Newmarket, NH
$239 0% $239
Bedford Commons OBGYN
Bedford, NH
$242 0% $242
Joseph A Misiewicz, MD
Meredith, NH
$242 0% $242
$244 0% $244
Chelmsford Family Practice
North Chelmsford, MA
$247 0% $247
$247 0% $247
$247 0% $247
$252 0% $252
$254 0% $254
$254 0% $254
Novus Vita Counseling
Manchester, NH
$254 0% $254
Richard G Mckenzie, DO
Littleton, NH
$254 0% $254
$254 0% $254
$256 0% $256
PMC Medical Group
Somersworth, NH
$261 0% $261
$261 0% $261
$263 0% $263
Laila Attar, MD
Pepperell, MA
$263 0% $263
$263 0% $263
Alexander Asch, MD
North Reading, MA
$263 0% $263
$263 0% $263
Newburyport Family Practice
Newburyport, MA
$263 0% $263
$263 0% $263
Keady Family Practice
Charlestown, NH
$269 0% $269
$272 0% $272
DMC Primary Care
Derry, NH
$273 0% $273
$273 0% $273
$274 0% $274
Coastal Pediatrics
Portsmouth, NH
$275 0% $275
Maine Health
Biddeford, ME
$277 0% $277
Comprehensive Chiropractic
Londonderry, NH
$277 0% $277
$284 0% $284
Debra Margolis, DO
Amherst, NH
$288 0% $288
$288 0% $288
$288 0% $288
New England Allergy
North Andover, MA
$289 0% $289
Children's Health Care
Newburyport, MA
$289 0% $289
$291 0% $291
$294 0% $294
$294 0% $294
$295 0% $295
$295 0% $295
Core Physicians
Exeter, NH
$295 0% $295
$295 0% $295
Lahey Health
Burlington, MA
$296 0% $296
Lamprey Health Care
Newmarket, NH
$302 0% $302
Rosemary Smith, ARNP
Raymond, NH
$303 0% $303
$303 0% $303
$305 0% $305
Chelmsford Pediatrics
Chelmsford, MA
$305 0% $305
$305 0% $305
$306 0% $306
$308 0% $308
$309 0% $309
Anna Jaques Hospital
Newburyport, MA
$310 0% $310
Amoskeag Health
Manchester, NH
$314 0% $314
Kristin Visco, DPM AACFAS
Manchester, NH
$314 0% $314
Leonard Horowitz, MD
Danvers, MA
$315 0% $315
$315 0% $315
Naomi Beth Rather, LCMHC
Newington, NH
$315 0% $315
George Graham Thomson, MD
Peterborough, NH
$315 0% $315
$315 0% $315
Whole Life Health Care
Newington, NH
$315 0% $315
$315 0% $315
North Reading Pediatrics
North Reading, MA
$315 0% $315
CVS Minute Clinic
Concord, NH
$316 0% $316
$326 0% $326
$326 0% $326
Highland Primary Care
Newburyport, MA
$326 0% $326
$331 0% $331
$331 0% $331
Dover Pediatrics
Dover, NH
$331 0% $331
$334 0% $334
Wilmington Pediatrics
Wilmington, MA
$336 0% $336
Atlantic Digestive
Portsmouth, NH
$339 0% $339
$339 0% $339
Jenny L. Lane, ARNP
Hllsboro, NH
$339 0% $339
$339 0% $339
$339 0% $339
$339 0% $339
Gerber Dental Group
Portsmouth, NH
$339 0% $339
Heywood Hospital
Winchendon, MA
$350 0% $350
Tewksbury Medical Group
Tewksbury, MA
$350 0% $350
$352 0% $352
Crystal Eaton, LCMHC
Manchester, NH
$352 0% $352
Steward Medical Group
Methuen, MA
$357 0% $357
Atrius Health
Beverly, MA
$360 0% $360
$360 0% $360
$368 0% $368
Pediatrics West
Westford, MA
$368 0% $368
$368 0% $368
$368 0% $368
Riverside Pediatrics
Newburyport, MA
$374 0% $374
Drum Hill Pediatrics
North Chelmsford, MA
$379 0% $379
Andover Pediatrics
Andover, MA
$391 0% $391
$393 0% $393
$393 0% $393
$420 0% $420
Cardinal Pediatrics
Lowell, MA
$420 0% $420
Alena Ashenberg, MD
Dracut, MA
$420 0% $420
$421 0% $421
$421 0% $421
$421 0% $421
Jaclyn Devine, PhD
Andover, MA
$421 0% $421
$421 0% $421
$421 0% $421
Phillip Fichera, MD
Hudson, NH
$421 0% $421
$421 0% $421
$421 0% $421
Boston Children's Hospital
North Andover, MA
$432 0% $432
$437 0% $437
$471 0% $471
Norcross Circle Associates
North Conway, NH
$471 0% $471
$471 0% $471
$471 0% $471
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