Dartmouth Health (Keene)

580-590 Court Street Keene, NH 03431
https://www.dartmouth-health.org/
(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
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 $1,222 N/A $1,222
Bacterial Culture, Quantitative Colony Count $148 N/A $148
Basic Metabolic Panel $75 N/A $75
Biopsy of Skin Lesion $1,854 N/A $1,854
Blood Count (Hemoglobin) $6 N/A $6
Blood Glucose Control (Hemoglobin A1C) $26 N/A $26
Cholesterol Test, Lipid Panel $142 N/A $142
Clotting Time $79 N/A $79
Complete Blood Cell Count and Automated White Blood Cells $103 N/A $103
Comprehensive Metabolic Panel $141 N/A $141
Detection for Strep (Streptococcus, group A) $69 N/A $69
Detection Test for Human Papillomavirus (HPV) $265 N/A $265
Developmental Screening $98 N/A $98
Diagnostic Laryngoscopy $1,494 N/A $1,494
Electrocardiogram (ECG or EKG) With Report and Interpretation $290 N/A $290
Electrocardiogram (ECG or EKG) With Tracing $172 N/A $172
Electrocardiogram (ECG or EKG), Report and Interpretation Only $118 N/A $118
Follow-Up Pregnancy Ultrasound $704 N/A $704
Group Psychotherapy $182 Below Average
State Average: 4
 $182
Hepatitis A Vaccine for Adults, Injected into Muscle $220 N/A $220
Hepatitis A Vaccine for Children, Injected into Muscle $281 N/A $281
Hepatitis B Surface Antibody Level $189 N/A $189
Human Papilloma Virus Vaccine, Injected into Muscle $79 N/A $79
Influenza Vaccine, Injected into Muscle $112 N/A $112
Lab Test to Detect Coronavirus (COVID-19) Antigen $105 N/A $105
Lab Test to Detect Influenza Virus $75 N/A $75
Liver Enzyme (ALT or SGPT) Level $83 N/A $83
Liver Enzyme (AST or SGOT) Level $87 N/A $87
Nasal Endoscopy $1,591 N/A $1,591
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $641 N/A $641
New Patient Preventive Care Visit for Adult, 40-64 $725 N/A $725
New Patient Preventive Care Visit for Adult, Ages 18-39 $641 N/A $641
New Patient Preventive Care Visit for Child, Ages 1-4 $544 N/A $544
New Patient Preventive Care Visit for Child, Ages 5-11 $544 N/A $544
New Patient Preventive Care Visit for Child, Under Age 1 $521 N/A $521
Office Visit for Established Patient, Basic $225 N/A $225
Office Visit for Established Patient, High Complexity $663 N/A $663
Office Visit for Established Patient, Low Complexity $312 N/A $312
Office Visit for Established Patient, Minimal Presenting Problem $135 N/A $135
Office Visit for Established Patient, Moderate Complexity $480 N/A $480
Office Visit for New Patient, High Complexity $943 N/A $943
Office Visit for New Patient, Low Complexity $468 N/A $468
Office Visit for New Patient, Minor Complexity $200 N/A $200
Office Visit for New Patient, Moderate Complexity $753 N/A $753
Pneumococcal Vaccine for Children, Injected into Muscle $71 N/A $71
Pregnancy Test $84 N/A $84
Pregnancy Ultrasound (Outpatient) $1,032 N/A $1,032
Preventive Care Visit for Adolescent, Under Ages 12-17 $513 N/A $513
Preventive Care Visit for Adult, 40-64 $596 N/A $596
Preventive Care Visit for Adult, Ages 18-39 $513 N/A $513
Preventive Care Visit for Child, Under Age 1 $437 N/A $437
Preventive Care Visit for Child, Under Ages 1-4 $489 N/A $489
Preventive Care Visit for Child, Under Ages 5-11 $489 N/A $489
Prostate Cancer Screening $225 N/A $225
Prostate Specific Antigen (PSA) Level, Total $208 N/A $208
Psychiatric Diagnostic Evaluation $142 Near Average
State Average: 1
 $142
Psychotherapy, 30 Minutes with Patient $225 Near Average
State Average: 1
 $225
Psychotherapy, 45 Minutes with Patient $106 Below Average
State Average: 3
 $106
Psychotherapy, 60 Minutes with Patient $147 Below Average
State Average: 6
 $147
Rotovirus Vaccine, Oral Administration $79 N/A $79
Screening Mammogram of Both Breasts $1,310 N/A $1,310
Shoulder, Elbow, or Wrist MRI $3,543 N/A $3,543
Skin Growth Removal, Premalignant or Precancerous $854 N/A $854
Skin Growth Removal, Up to 14, Benign or Noncancerous $1,002 N/A $1,002
Telehealth Visit for Established Patient, 11-20 minutes $224 N/A $224
Telehealth Visit for Established Patient, 21-30 minutes $298 N/A $298
Telehealth Visit for Established Patient, 5-10 minutes $135 N/A $135
Therapeutic Exercises $19 Below Average
State Average: 4
 $19
Transvaginal Ultrasound (Non-Maternity) $958 N/A $958
Ultrasound of Heart (Echocardiogram) $3,298 N/A $3,298
Ultrasound of Pelvis $826 N/A $826
Urinalysis, Manual Test $42 N/A $42
Urine Capacity Measurement $158 N/A $158
X-Ray of Foot, 3 Views $479 N/A $479