Dartmouth Health (Concord)

253 Pleasant Street Concord, NH 03301
http://www.dartmouth-hitchcock.org/index.html
(603) 226-2200

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
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: 0%
Arthrocentesis $1,065 N/A $1,065
Bacterial Culture Swab $175 N/A $175
Bacterial Culture Swab for Aerobic Isolates $95 N/A $95
Bacterial Culture, Quantitative Colony Count $140 N/A $140
Basic Metabolic Panel $130 N/A $130
Biopsy of Skin Lesion $1,671 N/A $1,671
Blood Count (Hemoglobin) $35 N/A $35
Blood Glucose (Sugar) Level $35 N/A $35
Blood Glucose Control (Hemoglobin A1C) $47 N/A $47
Blood Typing (ABO) $71 N/A $71
Blood Typing (Rh (D)) $86 N/A $86
Borrelia Burgdorferi (Lyme disease) Antibody Level $162 N/A $162
C-reactive Protein (CRP) Level $69 N/A $69
Chlamydia Test $205 N/A $205
Cholesterol Test, Lipid Panel $148 N/A $148
Clotting Time $79 N/A $79
Coagulation Assessment $93 N/A $93
Complete Blood Cell Count (Hemoglobin) $109 N/A $109
Complete Blood Cell Count and Automated White Blood Cells $113 N/A $113
Comprehensive Metabolic Panel $134 N/A $134
Detection for Strep (Streptococcus, group A) $131 N/A $131
Detection Test for Hepatitis B Surface Antigen $119 N/A $119
Detection Test for Human Papillomavirus (HPV) $188 N/A $188
Developmental Screening $89 N/A $89
Diagnostic Laryngoscopy $1,370 N/A $1,370
Electrocardiogram (ECG or EKG) With Report and Interpretation $252 N/A $252
Electrocardiogram (ECG or EKG) With Tracing $150 N/A $150
Electrocardiogram (ECG or EKG), Report and Interpretation Only $102 N/A $102
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $160 N/A $160
Ferritin (Blood Protein) Level $207 N/A $207
Folic Acid Level $207 N/A $207
Follow-Up Pregnancy Ultrasound $599 N/A $599
General Health Panel $438 N/A $438
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $162 N/A $162
Hepatitis A Vaccine for Adults, Injected into Muscle $234 N/A $234
Hepatitis A Vaccine for Children, Injected into Muscle $405 N/A $405
Hepatitis C Antibody Level $214 N/A $214
Human Papilloma Virus Vaccine, Injected into Muscle $67 N/A $67
Influenza Vaccine, Injected into Muscle $101 N/A $101
Iron Binding Capacity $90 N/A $90
Iron Level $72 N/A $72
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect Coronavirus (COVID-19) Antigen $53 N/A $53
Lab Test to Detect HIV-1 and HIV-2 $139 N/A $139
Lab Test to Detect Influenza Virus $61 N/A $61
Lab Test to Measure Creatinine Level $97 N/A $97
LDL Cholesterol Level $96 N/A $96
Lipase (Fat Enzyme) Level $42 N/A $42
Magnesium Level $134 N/A $134
Microalbumin (Protein) Level $134 N/A $134
Nasal Endoscopy $1,452 N/A $1,452
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $525 N/A $525
New Patient Preventive Care Visit for Adult, 40-64 $665 N/A $665
New Patient Preventive Care Visit for Adult, Ages 18-39 $588 N/A $588
New Patient Preventive Care Visit for Child, Ages 1-4 $445 N/A $445
New Patient Preventive Care Visit for Child, Ages 5-11 $415 N/A $415
New Patient Preventive Care Visit for Child, Under Age 1 $478 N/A $478
Office Visit for Established Patient, Basic $184 N/A $184
Office Visit for Established Patient, High Complexity $608 N/A $608
Office Visit for Established Patient, Low Complexity $286 N/A $286
Office Visit for Established Patient, Minimal Presenting Problem $124 N/A $124
Office Visit for Established Patient, Moderate Complexity $440 N/A $440
Office Visit for New Patient, High Complexity $865 N/A $865
Office Visit for New Patient, Low Complexity $395 N/A $395
Office Visit for New Patient, Minor Complexity $196 N/A $196
Office Visit for New Patient, Moderate Complexity $460 N/A $460
Pap Test Screening, Automated with Manual Review $264 N/A $264
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $310
Pneumococcal Vaccine for Children, Injected into Muscle $71 N/A $71
Pregnancy Test $62 N/A $62
Pregnancy Ultrasound (Outpatient) $947 N/A $947
Preventive Care Visit for Adolescent, Under Ages 12-17 $471 N/A $471
Preventive Care Visit for Adult, 40-64 $547 N/A $547
Preventive Care Visit for Adult, Ages 18-39 $471 N/A $471
Preventive Care Visit for Child, Under Age 1 $401 N/A $401
Preventive Care Visit for Child, Under Ages 1-4 $449 N/A $449
Preventive Care Visit for Child, Under Ages 5-11 $449 N/A $449
Prostate Cancer Screening $181 N/A $181
Prostate Specific Antigen (PSA) Level, Total $108 N/A $108
Psychotherapy, 30 Minutes with Patient $206 Above Average
State Average: 1
 $206
Rotovirus Vaccine, Oral Administration $71 N/A $71
Skin Growth Removal, Premalignant or Precancerous $869 N/A $869
Skin Growth Removal, Up to 14, Benign or Noncancerous $919 N/A $919
Telehealth Visit for Established Patient, 11-20 minutes $99 N/A $99
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $170 N/A $170
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $71 N/A $71
Thyroid Stimulating Hormone (TSH) Level $109 N/A $109
Transvaginal Ultrasound (Non-Maternity) $732 N/A $732
Ultrasound of Heart (Echocardiogram) $2,256 N/A $2,256
Urinalysis, Automated with Microscope Examination $162 N/A $162
Urinalysis, Automated without Microscope $63 N/A $63
Urinalysis, Manual Test $57 N/A $57
Vitamin B-12 (Cyanocobalamin) Level $207 N/A $207
Vitamin D-3 Level $291 N/A $291