Dartmouth Health (Nashua)

2300 Southwood Drive Nashua, NH 03063
https://www.dartmouth-health.org/
(603) 577-4000

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 $1,152 N/A $1,152
Back MRI $4,933 N/A $4,933
Bacterial Culture, Quantitative Colony Count $26 N/A $26
Basic Metabolic Panel $28 N/A $28
Biopsy of Skin Lesion $1,968 N/A $1,968
Blood Count (Hemoglobin) $51 N/A $51
Blood Glucose (Sugar) Level $35 N/A $35
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Bone Density Scan $989 N/A $989
Brain MRI $9,662 N/A $9,662
C-reactive Protein (CRP) Level $33 N/A $33
Chlamydia Test $117 N/A $117
Cholesterol Test, Lipid Panel $108 N/A $108
Clotting Time $79 N/A $79
Complete Blood Cell Count (Hemoglobin) $35 N/A $35
Complete Blood Cell Count and Automated White Blood Cells $30 N/A $30
Comprehensive Metabolic Panel $65 N/A $65
CT Scan of Abdomen and Pelvis, With Contrast $3,504 N/A $3,504
CT Scan of Chest, With Contrast $2,952 N/A $2,952
Detection for Strep (Streptococcus, group A) $143 N/A $143
Detection Test for Human Papillomavirus (HPV) $188 N/A $188
Developmental Screening $38 N/A $38
Diagnostic Mammogram of Both Breasts $750 N/A $750
Diagnostic Mammogram of One Breast $616 N/A $616
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
Family Psychotherapy with Patient $131 Above Average
State Average: 3
 $131
Ferritin (Blood Protein) Level $84 N/A $84
Folic Acid Level $49 N/A $49
Follow-Up Pregnancy Ultrasound $704 N/A $704
General Health Panel $200 N/A $200
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $117 N/A $117
Hepatic (Liver) Function Panel $36 N/A $36
Hepatitis A Vaccine for Children, Injected into Muscle $415 N/A $415
Hepatitis C Antibody Level $80 N/A $80
Human Papilloma Virus Vaccine, Injected into Muscle $79 N/A $79
Influenza Vaccine, Injected into Muscle $112 N/A $112
Iron Binding Capacity $54 N/A $54
Knee MRI $4,583 N/A $4,583
Lab Test to Detect Coronavirus (COVID-19) Antigen $53 N/A $53
Lab Test to Detect HIV-1 and HIV-2 $134 N/A $134
Lab Test to Detect Influenza Virus $75 N/A $75
Lead Level $118 N/A $118
Lipase (Fat Enzyme) Level $23 N/A $23
Low Complexity Physical Therapy Evaluation $21 Near Average
State Average: 1
 $21
Natriuretic Peptide Level $222 N/A $222
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 $614 N/A $614
New Patient Preventive Care Visit for Child, Ages 1-4 $544 N/A $544
New Patient Preventive Care Visit for Child, Ages 5-11 $406 N/A $406
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 $491 N/A $491
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 $348 N/A $348
Office Visit for New Patient, Minor Complexity $254 N/A $254
Office Visit for New Patient, Moderate Complexity $753 N/A $753
Pneumococcal Vaccine for Children, Injected into Muscle $79 N/A $79
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 Specific Antigen (PSA) Level, Total $111 N/A $111
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
 $158
Psychotherapy, 30 Minutes with Patient $225 Near Average
State Average: 1
 $225
Psychotherapy, 45 Minutes with Patient $121 Below Average
State Average: 3
 $121
Psychotherapy, 60 Minutes with Patient $121 Below Average
State Average: 6
 $121
Rotovirus Vaccine, Oral Administration $140 N/A $140
Screening Mammogram of Both Breasts $773 N/A $773
Skin Growth Removal, Premalignant or Precancerous $948 N/A $948
Skin Growth Removal, Up to 14, Benign or Noncancerous $915 N/A $915
Telehealth Visit for Established Patient, 11-20 minutes $297 N/A $297
Telehealth Visit for Established Patient, 21-30 minutes $406 N/A $406
Telehealth Visit for Established Patient, 5-10 minutes $184 N/A $184
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $79 N/A $79
Therapeutic Exercises $16 Below Average
State Average: 4
 $16
Thyroid Stimulating Hormone (TSH) Level $57 N/A $57
Ultrasound of Breast $496 N/A $496
Ultrasound of Heart (Echocardiogram) $2,459 N/A $2,459
Ultrasound of Pelvis $826 N/A $826
Urinalysis, Automated with Microscope Examination $40 N/A $40
Urinalysis, Automated without Microscope $7 N/A $7
Urinalysis, Manual Test $57 N/A $57
Vitamin B-12 (Cyanocobalamin) Level $95 N/A $95
Vitamin D-3 Level $101 N/A $101
X-Ray of Chest, 2 Views $347 N/A $347
X-Ray of Fingers, 2 Views $209 N/A $209
X-Ray of Knee, 1 or 2 Views $294 N/A $294
X-Ray of Knee, 4 Views $335 N/A $335
X-Ray of Lower Leg, 2 Views $298 N/A $298
X-Ray of Neck, 4 to 5 Views $515 N/A $515