Dartmouth Health - Cheshire Medical Center

580 Court Street Keene, NH 03431
http://www.cheshire-med.com/
(603) 354-5400

All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.

Methodology

Patient Experience

7 out of 10

Area Around Room Was Always Quiet at Night:
42%
Nurses Always Communicated Well:
77%
Doctors Always Communicated Well:
77%
Room Was Always Clean:
65%
Procedure 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.
Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).

Uninsured Discount: 69%
Antibody Screen, Red Blood Cells (RBC) $185 N/A $57
Antinuclear Antibodies (ANA) Level $61 N/A $19
Arthrocentesis $1,385 N/A $429
Arthroscopic Knee Surgery $21,889 N/A $6,786
Arthroscopic Shoulder Surgery $61,353 N/A $19,019
Back MRI $5,506 N/A $1,707
Bacterial Culture Swab $163 N/A $50
Bacterial Culture Swab for Aerobic Isolates $99 N/A $31
Bacterial Culture, Quantitative Colony Count $171 N/A $53
Basic Metabolic Panel $86 N/A $27
Bilirubin Level $86 N/A $27
Biopsy of Prostate Gland $11,518 N/A $3,571
Biopsy of Skin Lesion $2,015 N/A $625
Blood Count (Hemoglobin) $25 N/A $8
Blood Glucose (Sugar) Level $55 N/A $17
Blood Glucose Control (Hemoglobin A1C) $116 N/A $36
Blood Typing (ABO) $148 N/A $46
Blood Typing (Rh (D)) $90 N/A $28
Bone Density Scan $852 N/A $264
Borrelia Burgdorferi (Lyme disease) Antibody Level $153 N/A $48
Brain MRI $10,658 N/A $3,304
C-reactive Protein (CRP) Level $150 N/A $47
Chlamydia Test $307 N/A $95
Cholesterol Test, Lipid Panel $135 N/A $42
Clotting Time $49 N/A $15
Coagulation Assessment $183 N/A $57
Colonoscopy With Biopsy for Noncancerous Growth $13,906 N/A $4,311
Colonoscopy With Polyp Removal $14,667 N/A $4,547
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $10,192 N/A $3,159
Complete Blood Cell Count (Hemoglobin) $117 N/A $36
Complete Blood Cell Count and Automated White Blood Cells $91 N/A $28
Comprehensive Metabolic Panel $392 N/A $121
Creatinine Level $120 N/A $37
CT Scan of Abdomen and Pelvis, With Contrast $5,975 N/A $1,852
CT Scan of Chest, With Contrast $4,173 N/A $1,294
CT Scan of Head/Brain, Without Contrast $2,181 N/A $676
Cystoscopy $2,321 N/A $719
Detection Test for Hepatitis B Surface Antigen $82 N/A $25
Detection Test for Human Papillomavirus (HPV) $307 N/A $95
Developmental Screening $104 N/A $32
Diagnostic Imaging of Optic Nerve in Eye $233 N/A $72
Diagnostic Laryngoscopy $1,856 N/A $575
Diagnostic Mammogram of Both Breasts $960 N/A $298
Diagnostic Mammogram of One Breast $719 N/A $223
Electrocardiogram (ECG or EKG) With Report and Interpretation $483 N/A $150
Electrocardiogram (ECG or EKG), Report and Interpretation Only $170 N/A $53
Electrolytes Panel $124 N/A $38
Endometrial (Uterus) Biopsy $1,965 N/A $609
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $124 N/A $38
Ferritin (Blood Protein) Level $270 N/A $84
Fetal Non-Stress Test $1,469 N/A $456
Follow-Up Pregnancy Ultrasound $744 N/A $231
Gall Bladder Surgery $28,011 N/A $8,683
General Health Panel $290 N/A $90
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $307 N/A $95
Group Psychotherapy $192 Below Average
State Average: 4
$60
Hepatic (Liver) Function Panel $201 N/A $62
Hepatitis A Vaccine for Children, Injected into Muscle $665 N/A $206
Hepatitis B Surface Antibody Level $91 N/A $28
Hepatitis C Antibody Level $155 N/A $48
High Complexity Physical Therapy Evaluation $741 Near Average
State Average: 1
$230
Human Papilloma Virus Vaccine, Injected into Muscle $84 N/A $26
Hydration Infusion $111 N/A $35
Influenza Vaccine, Injected into Muscle $112 N/A $35
Iron Binding Capacity $77 N/A $24
Iron Level $91 N/A $28
Knee MRI $3,742 N/A $1,160
Lab Test to Detect Coronavirus (COVID-19) $260 N/A $81
Lab Test to Detect HIV-1 and HIV-2 $264 N/A $82
Lab Test to Measure Creatinine Level $150 N/A $47
Laparoscopic Hernia Repair $35,807 N/A $11,100
LDL Cholesterol Level $86 N/A $27
Lead Level $64 N/A $20
Lipase (Fat Enzyme) Level $221 N/A $68
Liver Enzyme (ALT or SGPT) Level $120 N/A $37
Liver Enzyme (AST or SGOT) Level $120 N/A $37
Low Back MRI, Before and After Contrast $9,291 N/A $2,880
Low Complexity (Outpatient) Emergency Department Visit $542 N/A $168
Magnesium Level $163 N/A $50
Microalbumin (Protein) Level $63 N/A $20
Minor (Outpatient) Emergency Department Visit $315 N/A $98
Moderate Complexity (Outpatient) Emergency Department Visit $944 N/A $293
Myocardial Imaging $8,682 N/A $2,692
Nasal Endoscopy $1,671 N/A $518
Natriuretic Peptide Level $340 N/A $105
Neuromuscular Reeducation $198 Below Average
State Average: 4
$62
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $641 N/A $199
New Patient Preventive Care Visit for Adult, 40-64 $725 N/A $225
New Patient Preventive Care Visit for Adult, Ages 18-39 $660 N/A $205
New Patient Preventive Care Visit for Child, Ages 1-4 $560 N/A $174
New Patient Preventive Care Visit for Child, Under Age 1 $521 N/A $161
Office Visit for Established Patient, Basic $238 N/A $74
Office Visit for Established Patient, High Complexity $702 N/A $218
Office Visit for Established Patient, Low Complexity $331 N/A $103
Office Visit for Established Patient, Minimal Presenting Problem $144 N/A $45
Office Visit for Established Patient, Moderate Complexity $509 N/A $158
Office Visit for New Patient, High Complexity $547 N/A $170
Office Visit for New Patient, Low Complexity $510 N/A $158
Office Visit for New Patient, Moderate Complexity $753 N/A $233
Pap Test Screening, Automated with Manual Review $246 N/A $76
Pap Test Screening, Manual $163 N/A $50
Parathyroid Hormone (PTH) Level $347 N/A $107
Pelvis MRI $7,316 N/A $2,268
Phosphate Level $120 N/A $37
Pregnancy Test $153 N/A $48
Presence of Drug $623 N/A $193
Preventive Care Visit for Adolescent, Under Ages 12-17 $545 N/A $169
Preventive Care Visit for Adult, 40-64 $632 N/A $196
Preventive Care Visit for Adult, Ages 18-39 $545 N/A $169
Preventive Care Visit for Child, Under Age 1 $464 N/A $144
Preventive Care Visit for Child, Under Ages 1-4 $519 N/A $161
Preventive Care Visit for Child, Under Ages 5-11 $519 N/A $161
Prostate Cancer Screening $230 N/A $71
Prostate Specific Antigen (PSA) Level, Free $171 N/A $53
Prostate Specific Antigen (PSA) Level, Total $230 N/A $71
Psychiatric Diagnostic Evaluation $368 Near Average
State Average: 1
$114
Psychotherapy, 30 Minutes with Patient $238 Above Average
State Average: 1
$74
Psychotherapy, 60 Minutes with Patient $336 Above Average
State Average: 6
$104
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $18,179 N/A $5,635
Renal (Kidney) Function Panel $281 N/A $87
Rotovirus Vaccine, Oral Administration $84 N/A $26
Screening Mammogram of Both Breasts $1,391 N/A $431
Shoulder, Elbow, or Wrist MRI $3,742 N/A $1,160
Single-Level Injection for Pain Management, Lower Back or Tailbone $5,736 N/A $1,778
Skin Growth Removal, Premalignant or Precancerous $1,002 N/A $311
Skin Growth Removal, Up to 14, Benign or Noncancerous $1,021 N/A $316
Smear for Microorganism $82 N/A $25
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $82 N/A $25
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $84 N/A $26
Therapeutic Activities $187 Below Average
State Average: 3
$58
Therapeutic Exercises $198 Below Average
State Average: 4
$62
Thyroglobulin (Thyroid Protein) Antibody Level $30 N/A $9
Thyroid Stimulating Hormone (TSH) Level $198 N/A $62
Thyroxine (Thyroid Chemical) Level, Free $108 N/A $34
Total Protein Level $132 N/A $41
Transvaginal Ultrasound (Non-Maternity) $1,248 N/A $387
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $297 N/A $92
Triiodothyronine (T3) Thyroid Hormone Measurement $201 N/A $62
Troponin (Protein) Analysis, Quantitative $291 N/A $90
Ultrasound of Abdomen, Complete $1,625 N/A $504
Ultrasound of Abdomen, Limited $1,313 N/A $407
Ultrasound of Breast $616 N/A $191
Ultrasound of Head and Neck $1,317 N/A $408
Ultrasound of Heart (Echocardiogram) $3,497 N/A $1,084
Ultrasound of Pelvis $1,559 N/A $483
Upper Gastrointestinal (GI) Endoscopy With Biopsy $12,405 N/A $3,845
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $10,479 N/A $3,249
Urea Nitrogen Level $150 N/A $47
Urinalysis, Automated with Microscope Examination $72 N/A $22
Urinalysis, Automated without Microscope $37 N/A $11
Urinalysis, Manual Test $60 N/A $19
Vitamin B-12 (Cyanocobalamin) Level $247 N/A $76
Vitamin D-3 Level $298 N/A $92
Walking Training, 15 minutes $198 Near Average
State Average: 1
$62
X-Ray of Abdomen, 1 View $541 N/A $168
X-Ray of Ankle, 3 Views $627 N/A $194
X-Ray of Chest, 1 View $574 N/A $178
X-Ray of Chest, 2 Views $624 N/A $193
X-Ray of Fingers, 2 Views $458 N/A $142
X-Ray of Foot, 3 Views $615 N/A $191
X-Ray of Hand, 2 Views $584 N/A $181
X-Ray of Hand, 3 Views $549 N/A $170
X-Ray of Hip, 2 or 3 Views $741 N/A $230
X-Ray of Knee, 1 or 2 Views $547 N/A $170
X-Ray of Knee, 3 Views $674 N/A $209
X-Ray of Knee, 4 Views $735 N/A $228
X-Ray of Low Back, 2 or 3 Views $723 N/A $224
X-Ray of Low Back, 4 Views $950 N/A $295
X-Ray of Lower Leg, 2 Views $558 N/A $173
X-Ray of Middle Back, 2 Views $624 N/A $193
X-Ray of Neck, 2 or 3 Views $732 N/A $227
X-Ray of Pelvis, 1 or 2 Views $683 N/A $212
X-Ray of Shoulder, 2 Views $740 N/A $229
X-Ray of Wrist, 3 Views $470 N/A $146