Dartmouth Health - Medical Center

1 Medical Center Drive Lebanon, NH 03756
https://www.dartmouth-hitchcock.org/
(603) 650-5000

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

8 out of 10

Area Around Room Was Always Quiet at Night:
46%
Nurses Always Communicated Well:
78%
Doctors Always Communicated Well:
79%
Room Was Always Clean:
70%
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: 33%
Antibody Screen, Red Blood Cells (RBC) $264 N/A $177
Antinuclear Antibodies (ANA) Level $223 N/A $149
Arthrocentesis $1,976 N/A $1,324
Arthroscopic Knee Surgery $31,739 N/A $21,265
Back MRI $6,509 N/A $4,361
Bacterial Culture Swab $175 N/A $117
Bacterial Culture Swab for Aerobic Isolates $87 N/A $58
Bacterial Culture, Quantitative Colony Count $177 N/A $119
Basic Metabolic Panel $91 N/A $61
Bilirubin Level $42 N/A $28
Biopsy of Prostate Gland $6,649 N/A $4,455
Biopsy of Skin Lesion $2,067 N/A $1,385
Blood Count (Hemoglobin) $53 N/A $35
Blood Glucose (Sugar) Level $46 N/A $31
Blood Glucose Control (Hemoglobin A1C) $68 N/A $46
Blood Typing (ABO) $198 N/A $133
Blood Typing (Rh (D)) $231 N/A $155
Bone Density Scan $930 N/A $623
Borrelia Burgdorferi (Lyme disease) Antibody Level $133 N/A $89
Brain MRI $9,279 N/A $6,217
Breast Biopsy $7,310 N/A $4,898
C-reactive Protein (CRP) Level $42 N/A $28
Chlamydia Test $207 N/A $139
Cholesterol Test, Lipid Panel $154 N/A $103
Clotting Time $69 N/A $46
Coagulation Assessment $68 N/A $46
Colonoscopy With Biopsy for Noncancerous Growth $13,536 N/A $9,069
Colonoscopy With Polyp Removal $13,252 N/A $8,879
Colonoscopy Without Biopsy for Encounter for Preventive Health Services $9,111 N/A $6,104
Complete Blood Cell Count (Hemoglobin) $54 N/A $36
Complete Blood Cell Count and Automated White Blood Cells $87 N/A $58
Comprehensive Metabolic Panel $161 N/A $108
Coronavirus (COVID-19) Antibody Level $77 N/A $51
Creatinine Level $42 N/A $28
CT Scan of Abdomen and Pelvis, With Contrast $8,241 N/A $5,522
CT Scan of Chest, With Contrast $5,845 N/A $3,916
CT Scan of Head/Brain, Without Contrast $3,798 N/A $2,545
Cystoscopy $5,935 N/A $3,976
Detection for Strep (Streptococcus, group A) $143 N/A $96
Detection Test for Hepatitis B Surface Antigen $71 N/A $48
Detection Test for Human Papillomavirus (HPV) $293 N/A $196
Developmental Screening $104 N/A $70
Diagnostic Laryngoscopy $2,114 N/A $1,416
Diagnostic Mammogram of Both Breasts $1,477 N/A $990
Diagnostic Mammogram of One Breast $1,175 N/A $787
Electrocardiogram (ECG or EKG) With Report and Interpretation $483 N/A $324
Electrocardiogram (ECG or EKG) With Tracing $313 N/A $210
Electrocardiogram (ECG or EKG), Report and Interpretation Only $170 N/A $114
Electrolytes Panel $168 N/A $113
Endometrial (Uterus) Biopsy $2,345 N/A $1,571
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $160 N/A $107
Ferritin (Blood Protein) Level $95 N/A $63
Fetal Non-Stress Test $1,410 N/A $945
Folic Acid Level $104 N/A $70
Follow-Up Pregnancy Ultrasound $1,240 N/A $831
Gall Bladder Surgery $28,267 N/A $18,939
General Health Panel $122 N/A $82
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $120 N/A $80
Groin Hernia Repair $39,406 N/A $26,402
Group Psychotherapy $192 Below Average
State Average: 4
$129
Hepatic (Liver) Function Panel $84 N/A $56
Hepatitis A Vaccine for Adults, Injected into Muscle $224 N/A $150
Hepatitis A Vaccine for Children, Injected into Muscle $645 N/A $432
Hepatitis B Surface Antibody Level $75 N/A $50
Hepatitis C Antibody Level $99 N/A $66
High Complexity Physical Therapy Evaluation $590 Near Average
State Average: 1
$395
Human Papilloma Virus Vaccine, Injected into Muscle $84 N/A $56
Hydration Infusion $343 N/A $230
Injection of Substance for Pain Management, Lower Back or Tailbone $5,928 N/A $3,972
Iron Binding Capacity $63 N/A $42
Iron Level $42 N/A $28
Knee MRI $6,649 N/A $4,455
Lab Test to Detect Coronavirus (COVID-19) $260 N/A $174
Lab Test to Detect HIV-1 and HIV-2 $159 N/A $106
Lab Test to Measure Creatinine Level $197 N/A $132
Laparoscopic Hernia Repair $63,204 N/A $42,347
LDL Cholesterol Level $74 N/A $49
Lead Level $64 N/A $43
Lipase (Fat Enzyme) Level $48 N/A $32
Liver Enzyme (ALT or SGPT) Level $42 N/A $28
Liver Enzyme (AST or SGOT) Level $42 N/A $28
Low Back MRI, Before and After Contrast $9,422 N/A $6,313
Low Complexity (Outpatient) Emergency Department Visit $935 N/A $626
Low Complexity Physical Therapy Evaluation $195 Near Average
State Average: 1
$131
Magnesium Level $61 N/A $41
Manual Physical Therapy $172 Below Average
State Average: 4
$115
Microalbumin (Protein) Level $212 N/A $142
Mileage Rate for Ambulance Transport $44 N/A $30
Minor (Outpatient) Emergency Department Visit $628 N/A $421
Moderate Complexity (Outpatient) Emergency Department Visit $1,505 N/A $1,008
Moderate Complexity Physical Therapy Evaluation $342 Near Average
State Average: 1
$229
Myocardial Imaging $9,160 N/A $6,137
Nasal Endoscopy $1,686 N/A $1,130
Natriuretic Peptide Level $152 N/A $102
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $641 N/A $429
New Patient Preventive Care Visit for Adult, 40-64 $769 N/A $515
New Patient Preventive Care Visit for Adult, Ages 18-39 $679 N/A $455
New Patient Preventive Care Visit for Child, Ages 1-4 $576 N/A $386
New Patient Preventive Care Visit for Child, Ages 5-11 $576 N/A $386
Non-Emergency Transport, Advanced Life Support $1,142 N/A $765
Office Visit for Established Patient, Basic $238 N/A $160
Office Visit for Established Patient, High Complexity $702 N/A $471
Office Visit for Established Patient, Low Complexity $331 N/A $222
Office Visit for Established Patient, Minimal Presenting Problem $144 N/A $96
Office Visit for Established Patient, Moderate Complexity $509 N/A $341
Office Visit for New Patient, High Complexity $1,000 N/A $670
Office Visit for New Patient, Low Complexity $541 N/A $362
Office Visit for New Patient, Moderate Complexity $753 N/A $504
Pap Test Screening, Automated with Manual Review $311 N/A $208
Pap Test Screening, Manual $297 N/A $199
Parathyroid Hormone (PTH) Level $69 N/A $46
Pelvis MRI $9,060 N/A $6,071
Phosphate Level $42 N/A $28
Physical Therapy Re-Evaluation $229 Near Average
State Average: 1
$153
Pregnancy Test $84 N/A $56
Pregnancy Ultrasound (Outpatient) $1,473 N/A $987
Presence of Drug $218 N/A $146
Preventive Care Visit for Adolescent, Under Ages 12-17 $545 N/A $365
Preventive Care Visit for Adult, 40-64 $632 N/A $424
Preventive Care Visit for Adult, Ages 18-39 $545 N/A $365
Preventive Care Visit for Child, Under Age 1 $464 N/A $311
Preventive Care Visit for Child, Under Ages 1-4 $519 N/A $348
Preventive Care Visit for Child, Under Ages 5-11 $519 N/A $348
Prostate Cancer Screening $127 N/A $85
Prostate Specific Antigen (PSA) Level, Free $210 N/A $141
Prostate Specific Antigen (PSA) Level, Total $127 N/A $85
Psychotherapy, 30 Minutes with Patient $238 Near Average
State Average: 1
$160
Removal of Tonsils and Adenoid Glands, Patient Younger than 12 $22,992 N/A $15,405
Renal (Kidney) Function Panel $114 N/A $77
Rotovirus Vaccine, Oral Administration $84 N/A $56
Screening Mammogram of Both Breasts $1,304 N/A $874
Shoulder, Elbow, or Wrist MRI $6,761 N/A $4,530
Single-Level Injection for Pain Management, Lower Back or Tailbone $7,112 N/A $4,765
Skin Growth Removal, Premalignant or Precancerous $952 N/A $638
Skin Growth Removal, Up to 14, Benign or Noncancerous $1,021 N/A $684
Sleep Monitoring $6,511 N/A $4,362
Smear for Microorganism $176 N/A $118
Telehealth Visit for Established Patient, 11-20 minutes $237 N/A $159
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $170 N/A $114
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $84 N/A $56
Therapeutic Activities $95 Below Average
State Average: 3
$63
Therapeutic Exercises $100 Below Average
State Average: 4
$67
Thyroglobulin (Thyroid Protein) Antibody Level $30 N/A $20
Thyroid Stimulating Hormone (TSH) Level $101 N/A $68
Thyroxine (Thyroid Chemical) Level, Free $63 N/A $42
Total Protein Level $209 N/A $140
Transvaginal Ultrasound (Non-Maternity) $2,003 N/A $1,342
Treatment of Speech, Language, Voice, Communication, or Hearing Processing Disorder $331 N/A $222
Triiodothyronine (T3) Thyroid Hormone Measurement $42 N/A $28
Troponin (Protein) Analysis, Quantitative $89 N/A $60
Ultrasound of Abdomen, Limited $1,818 N/A $1,218
Ultrasound of Breast $1,316 N/A $881
Ultrasound of Head and Neck $1,843 N/A $1,235
Ultrasound of Heart (Echocardiogram) $5,526 N/A $3,703
Ultrasound Therapy $84 Near Average
State Average: 2
$56
Upper Gastrointestinal (GI) Endoscopy With Biopsy $13,627 N/A $9,130
Upper Gastrointestinal (GI) Endoscopy Without Biopsy $11,985 N/A $8,030
Urea Nitrogen Level $42 N/A $28
Urinalysis, Automated with Microscope Examination $164 N/A $110
Urinalysis, Automated without Microscope $121 N/A $81
Urinalysis, Manual Test $60 N/A $40
Urine Capacity Measurement $233 N/A $156
Vitamin B-12 (Cyanocobalamin) Level $104 N/A $70
Vitamin D-3 Level $205 N/A $137
Walking Training, 15 minutes $174 Near Average
State Average: 1
$117
X-Ray of Abdomen, 1 View $826 N/A $554
X-Ray of Ankle, 3 Views $881 N/A $590
X-Ray of Chest, 1 View $678 N/A $454
X-Ray of Chest, 2 Views $835 N/A $559
X-Ray of Fingers, 2 Views $686 N/A $459
X-Ray of Foot, 3 Views $786 N/A $527
X-Ray of Hand, 3 Views $852 N/A $571
X-Ray of Hip, 2 or 3 Views $1,065 N/A $713
X-Ray of Knee, 1 or 2 Views $863 N/A $578
X-Ray of Knee, 3 Views $1,063 N/A $712
X-Ray of Knee, 4 Views $1,012 N/A $678
X-Ray of Low Back, 2 or 3 Views $1,077 N/A $722
X-Ray of Low Back, 4 Views $548 N/A $367
X-Ray of Lower Leg, 2 Views $857 N/A $574
X-Ray of Middle Back, 2 Views $1,005 N/A $673
X-Ray of Neck, 2 or 3 Views $946 N/A $634
X-Ray of Neck, 4 to 5 Views $677 N/A $453
X-Ray of Pelvis, 1 or 2 Views $796 N/A $533
X-Ray of Shoulder, 2 Views $813 N/A $545
X-Ray of Wrist, 3 Views $868 N/A $582