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 $288
$205 91% $18
$295 91% $27
$254 62% $97
Catholic Medical Center
Manchester, NH
$322 67% $106
St. Joseph Hospital
Nashua, NH
$274 61% $107
Concord Hospital
Concord, NH
$339 67% $112
$344 67% $114
Monadnock Community Hospital
Peterborough, NH
$200 38% $124
$288 57% $124
Valley Regional Hospital
Claremont, NH
$247 45% $136
$471 69% $146
$254 42% $147
Huggins Hospital
Wolfeboro, NH
$306 50% $153
$275 40% $165
Weeks Medical Center
Lancaster, NH
$309 44% $173
$276 37% $174
Memorial Hospital
North Conway, NH
$277 33% $186
$186 0% $186
New London Hospital
New London, NH
$350 45% $192
$200 0% $200
$200 0% $200
$201 0% $201
$205 0% $205
Harbour Women's Health
Portsmouth, NH
$205 0% $205
Appledore Medical Group
Portsmouth, NH
$205 0% $205
Anthony Zwaan, MD
Exeter, NH
$205 0% $205
Suzanne Coble, MD
Keene, NH
$205 0% $205
$205 0% $205
Goodwin Community Health
Somersworth, NH
$206 0% $206
$209 0% $209
$209 0% $209
$210 0% $210
$210 0% $210
$210 0% $210
LRGHealthcare
Laconia, NH
$350 40% $210
Pierre L Dionne, MD
Hudson, NH
$210 0% $210
Deepak Sharma, MD
Salem, NH
$210 0% $210
Derry Pediatrics
Derry, NH
$215 0% $215
$215 0% $215
$215 0% $215
Your Medical Home
Exeter, NH
$215 0% $215
PMC Medical Group
Somersworth, 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
Convenient MD
Concord, NH
$221 0% $221
$224 0% $224
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
Lois LeBlanc, LCPC
Fryeburg, ME
$234 0% $234
$234 0% $234
York Hospital
York, ME
$234 0% $234
Concord Pediatrics
Concord, NH
$236 0% $236
Daniel A Brown, MD
Portsmouth, NH
$236 0% $236
$393 40% $236
$236 0% $236
$239 0% $239
$239 0% $239
Mona P Feng, MD
Newmarket, NH
$239 0% $239
Bedford Commons OBGYN
Bedford, NH
$242 0% $242
Bridgton Hospital
Bridgton, ME
$242 0% $242
Joseph A Misiewicz, MD
Meredith, NH
$242 0% $242
$243 0% $243
$244 0% $244
Chelmsford Family Practice
North Chelmsford, MA
$247 0% $247
$247 0% $247
$247 0% $247
$252 0% $252
Londonderry Pediatrics
Londonderry, NH
$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
$254 0% $254
$256 0% $256
$261 0% $261
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
$263 0% $263
Maine Health
Biddeford, ME
$267 0% $267
Keady Family Practice
Charlestown, NH
$269 0% $269
Concord Orthopaedics
Concord, NH
$273 0% $273
DMC Primary Care
Derry, NH
$273 0% $273
$273 0% $273
$274 0% $274
Coastal Pediatrics
Portsmouth, NH
$275 0% $275
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
$289 0% $289
$289 0% $289
Children's Health Care
Newburyport, MA
$289 0% $289
$291 0% $291
Boston Children's Hospital
North Andover, MA
$291 0% $291
$294 0% $294
Anna Jaques Hospital
Newburyport, MA
$294 0% $294
$295 0% $295
$295 0% $295
Core Physicians
Exeter, NH
$296 0% $296
$296 0% $296
$299 0% $299
Rosemary Smith, ARNP
Raymond, NH
$303 0% $303
$303 0% $303
Lamprey Health Care
Newmarket, NH
$303 0% $303
$305 0% $305
Chelmsford Pediatrics
Chelmsford, MA
$305 0% $305
$305 0% $305
$306 0% $306
$309 0% $309
Amoskeag Health
Manchester, NH
$314 0% $314
$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
Leonard Horowitz, MD
Danvers, MA
$315 0% $315
$315 0% $315
CVS Minute Clinic
Concord, NH
$316 0% $316
LifeStance Health
Nashua, NH
$322 0% $322
$326 0% $326
$326 0% $326
$331 0% $331
Dover Pediatrics
Dover, NH
$331 0% $331
$331 0% $331
$334 0% $334
$335 0% $335
Wilmington Pediatrics
Wilmington, MA
$336 0% $336
Jenny L. Lane, ARNP
Hllsboro, NH
$339 0% $339
Atlantic Digestive
Portsmouth, NH
$339 0% $339
Lahey Health
Burlington, MA
$344 0% $344
$350 0% $350
Tewksbury Medical Group
Tewksbury, MA
$350 0% $350
$350 0% $350
$350 0% $350
$350 0% $350
Gerber Dental Group
Portsmouth, NH
$350 0% $350
$352 0% $352
Crystal Eaton, LCMHC
Manchester, NH
$352 0% $352
Heywood Hospital
Winchendon, MA
$357 0% $357
Steward Medical Group
Methuen, MA
$357 0% $357
Atrius Health
Beverly, MA
$360 0% $360
$360 0% $360
Pediatrics West
Westford, MA
$368 0% $368
$368 0% $368
$368 0% $368
OAK Pediatrics
Westford, MA
$368 0% $368
$368 0% $368
Riverside Pediatrics
Newburyport, MA
$374 0% $374
Andover Pediatrics
Andover, MA
$391 0% $391
$393 0% $393
$393 0% $393
Drum Hill Pediatrics
North Chelmsford, MA
$394 0% $394
$420 0% $420
Cardinal Pediatrics
Lowell, MA
$420 0% $420
Alena Ashenberg, MD
Dracut, MA
$420 0% $420
$471 0% $471
$471 0% $471
$471 0% $471
$471 0% $471
Harbor Homes
Nashua, NH
$471 0% $471
Jaclyn Devine, PhD
Andover, MA
$471 0% $471
$471 0% $471
Phillip Fichera, MD
Hudson, NH
$471 0% $471
Dartmouth Health
Lebanon, NH
$471 0% $471
Norcross Circle Associates
North Conway, NH
$471 0% $471
$471 0% $471
$471 0% $471
$471 0% $471
$471 0% $471
$471 0% $471
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