Dartmouth Health (Nashua)

2300 Southwood Drive Nashua, NH 03063
http://www.dartmouth-hitchcock.org/index.html
(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%
Antinuclear Antibodies (ANA) Level $173 N/A $173
Arthrocentesis $1,062 N/A $1,062
Back MRI $4,526 N/A $4,526
Bacterial Culture $31 N/A $31
Bacterial Culture Swab $175 N/A $175
Bacterial Culture Swab for Aerobic Isolates $27 N/A $27
Bacterial Culture, Quantitative Colony Count $55 N/A $55
Basic Metabolic Panel $28 N/A $28
Biopsy of Skin Lesion $1,853 N/A $1,853
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 $907 N/A $907
Borrelia Burgdorferi (Lyme disease) Antibody Level $162 N/A $162
Brain MRI $8,865 N/A $8,865
C-reactive Protein (CRP) Level $88 N/A $88
Chlamydia Test $196 N/A $196
Cholesterol Test, Lipid Panel $123 N/A $123
Clotting Time $79 N/A $79
Complete Blood Cell Count (Hemoglobin) $48 N/A $48
Complete Blood Cell Count and Automated White Blood Cells $66 N/A $66
Comprehensive Metabolic Panel $65 N/A $65
Creatinine Level $46 N/A $46
CT Scan of Abdomen and Pelvis, With Contrast $3,215 N/A $3,215
CT Scan of Chest, With Contrast $2,708 N/A $2,708
Detection for Strep (Streptococcus, group A) $131 N/A $131
Detection Test for Human Papillomavirus (HPV) $188 N/A $188
Developmental Screening $89 N/A $89
Diagnostic Mammogram of Both Breasts $688 N/A $688
Diagnostic Mammogram of One Breast $565 N/A $565
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) $29 N/A $29
Family Psychotherapy with Patient $121 Above Average
State Average: 2
 $121
Ferritin (Blood Protein) Level $118 N/A $118
Follow-Up Pregnancy Ultrasound $645 N/A $645
General Health Panel $277 N/A $277
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $200 N/A $200
Hepatic (Liver) Function Panel $79 N/A $79
Hepatitis A Vaccine for Children, Injected into Muscle $265 N/A $265
Hepatitis C Antibody Level $84 N/A $84
Human Papilloma Virus Vaccine, Injected into Muscle $71 N/A $71
Influenza Vaccine, Injected into Muscle $101 N/A $101
Iron Binding Capacity $53 N/A $53
Iron Level $44 N/A $44
Knee MRI $4,205 N/A $4,205
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect Coronavirus (COVID-19) Antigen $57 N/A $57
Lab Test to Detect HIV-1 and HIV-2 $137 N/A $137
Lab Test to Detect Influenza Virus $75 N/A $75
Lab Test to Measure Creatinine Level $60 N/A $60
LDL Cholesterol Level $59 N/A $59
Lead Level $108 N/A $108
Lipase (Fat Enzyme) Level $47 N/A $47
Liver Enzyme (ALT or SGPT) Level $18 N/A $18
Liver Enzyme (AST or SGOT) Level $18 N/A $18
Low Back MRI, Before and After Contrast $8,822 N/A $8,822
Magnesium Level $105 N/A $105
Microalbumin (Protein) Level $77 N/A $77
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $588 N/A $588
New Patient Preventive Care Visit for Adult, 40-64 $665 N/A $665
New Patient Preventive Care Visit for Adult, Ages 18-39 $525 N/A $525
New Patient Preventive Care Visit for Child, Ages 1-4 $499 N/A $499
New Patient Preventive Care Visit for Child, Ages 5-11 $406 N/A $406
New Patient Preventive Care Visit for Child, Under Age 1 $478 N/A $478
Office Visit for Established Patient, Basic $206 N/A $206
Office Visit for Established Patient, High Complexity $557 N/A $557
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 $714 N/A $714
Office Visit for New Patient, Low Complexity $468 N/A $468
Office Visit for New Patient, Minor Complexity $261 N/A $261
Office Visit for New Patient, Moderate Complexity $691 N/A $691
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 $242 N/A $242
Prostate Specific Antigen (PSA) Level, Total $108 N/A $108
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
 $158
Psychotherapy, 30 Minutes with Patient $206 Near Average
State Average: 1
 $206
Psychotherapy, 45 Minutes with Patient $121 Below Average
State Average: 4
 $121
Psychotherapy, 60 Minutes with Patient $147 Below Average
State Average: 6
 $147
Rotovirus Vaccine, Oral Administration $71 N/A $71
Screening Mammogram of Both Breasts $700 N/A $700
Skin Growth Removal, Premalignant or Precancerous $869 N/A $869
Skin Growth Removal, Up to 14, Benign or Noncancerous $797 N/A $797
Telehealth Visit for Established Patient, 11-20 minutes $251 N/A $251
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $163
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $64 N/A $64
Thyroglobulin (Thyroid Protein) Antibody Level $40 N/A $40
Thyroid Stimulating Hormone (TSH) Level $101 N/A $101
Thyroxine (Thyroid Chemical) Level, Free $54 N/A $54
Ultrasound of Breast $455 N/A $455
Ultrasound of Heart (Echocardiogram) $2,256 N/A $2,256
Ultrasound of Pelvis $758 N/A $758
Urinalysis, Automated with Microscope Examination $45 N/A $45
Urinalysis, Automated without Microscope $8 N/A $8
Urinalysis, Manual Test $57 N/A $57
Vitamin B-12 (Cyanocobalamin) Level $126 N/A $126
Vitamin D-3 Level $218 N/A $218
X-Ray of Chest, 2 Views $318 N/A $318
X-Ray of Fingers, 2 Views $191 N/A $191
X-Ray of Knee, 1 or 2 Views $270 N/A $270
X-Ray of Knee, 4 Views $308 N/A $308
X-Ray of Lower Leg, 2 Views $273 N/A $273
X-Ray of Neck, 4 to 5 Views $471 N/A $471