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 $1,231 N/A $1,231
Basic Metabolic Panel $46 N/A $46
Biopsy of Skin Lesion $1,872 N/A $1,872
Blood Glucose Control (Hemoglobin A1C) $26 N/A $26
Clotting Time $69 N/A $69
Developmental Screening $104 N/A $104
Diagnostic Laryngoscopy $1,856 N/A $1,856
Electrocardiogram (ECG or EKG) With Report and Interpretation $483 N/A $483
Electrocardiogram (ECG or EKG) With Tracing $243 N/A $243
Electrocardiogram (ECG or EKG), Report and Interpretation Only $170 N/A $170
Hepatitis A Vaccine for Adults, Injected into Muscle $224 N/A $224
Hepatitis A Vaccine for Children, Injected into Muscle $603 N/A $603
Human Papilloma Virus Vaccine, Injected into Muscle $84 N/A $84
Influenza Vaccine, Injected into Muscle $112 N/A $112
Lab Test to Measure Creatinine Level $57 N/A $57
Low Complexity Physical Therapy Evaluation $1 Near Average
State Average: 1
 $1
Magnesium Level $41 N/A $41
Nasal Endoscopy $1,686 N/A $1,686
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $660 N/A $660
New Patient Preventive Care Visit for Adult, 40-64 $769 N/A $769
New Patient Preventive Care Visit for Adult, Ages 18-39 $679 N/A $679
New Patient Preventive Care Visit for Child, Ages 1-4 $576 N/A $576
New Patient Preventive Care Visit for Child, Ages 5-11 $560 N/A $560
New Patient Preventive Care Visit for Child, Under Age 1 $552 N/A $552
Office Visit for Established Patient, Basic $238 N/A $238
Office Visit for Established Patient, High Complexity $702 N/A $702
Office Visit for Established Patient, Low Complexity $331 N/A $331
Office Visit for Established Patient, Minimal Presenting Problem $144 N/A $144
Office Visit for Established Patient, Moderate Complexity $509 N/A $509
Office Visit for New Patient, High Complexity $573 N/A $573
Office Visit for New Patient, Low Complexity $541 N/A $541
Office Visit for New Patient, Minor Complexity $200 N/A $200
Office Visit for New Patient, Moderate Complexity $753 N/A $753
Pregnancy Test $89 N/A $89
Preventive Care Visit for Adolescent, Under Ages 12-17 $545 N/A $545
Preventive Care Visit for Adult, 40-64 $632 N/A $632
Preventive Care Visit for Adult, Ages 18-39 $545 N/A $545
Preventive Care Visit for Child, Under Age 1 $464 N/A $464
Preventive Care Visit for Child, Under Ages 1-4 $519 N/A $519
Preventive Care Visit for Child, Under Ages 5-11 $519 N/A $519
Psychiatric Diagnostic Evaluation $368 Near Average
State Average: 1
 $368
Psychotherapy, 30 Minutes with Patient $229 Near Average
State Average: 1
 $229
Psychotherapy, 60 Minutes with Patient $336 Below Average
State Average: 6
 $336
Rotovirus Vaccine, Oral Administration $84 N/A $84
Screening Mammogram of Both Breasts $1,391 N/A $1,391
Skin Growth Removal, Premalignant or Precancerous $827 N/A $827
Skin Growth Removal, Up to 14, Benign or Noncancerous $1,021 N/A $1,021
Telehealth Visit for Established Patient, 11-20 minutes $237 N/A $237
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $84 N/A $84
Therapeutic Exercises $19 Below Average
State Average: 4
 $19
Transvaginal Ultrasound (Non-Maternity) $1,015 N/A $1,015
Ultrasound of Heart (Echocardiogram) $1,474 N/A $1,474
Urinalysis, Automated with Microscope Examination $40 N/A $40
Urinalysis, Automated without Microscope $6 N/A $6
Urinalysis, Manual Test $42 N/A $42
Vitamin D-3 Level $301 N/A $301