Dartmouth Health (Nashua)

2300 Southwood Drive Nashua, NH 03063
https://www.dartmouth-health.org/
(603) 577-4000
14 Amory Road Milford, NH 03055
(603) 673-2515
294 Daniel Webster Highway Merrimack, NH 03054
(603) 424-4713
208 Robinson Road Hudson, NH 03051
(603) 577-3410

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 $1,176 N/A $1,176
Back MRI $5,229 N/A $5,229
Basic Metabolic Panel $28 N/A $28
Biopsy of Skin Lesion $2,083 N/A $2,083
Blood Count (Hemoglobin) $53 N/A $53
Blood Glucose (Sugar) Level $46 N/A $46
Blood Glucose Control (Hemoglobin A1C) $61 N/A $61
Bone Density Scan $1,049 N/A $1,049
Brain MRI $10,243 N/A $10,243
Chlamydia Test $117 N/A $117
Cholesterol Test, Lipid Panel $60 N/A $60
Clotting Time $79 N/A $79
Complete Blood Cell Count (Hemoglobin) $34 N/A $34
Complete Blood Cell Count and Automated White Blood Cells $26 N/A $26
Comprehensive Metabolic Panel $36 N/A $36
Creatinine Level $18 N/A $18
CT Scan of Abdomen and Pelvis, With Contrast $3,714 N/A $3,714
CT Scan of Chest, With Contrast $3,129 N/A $3,129
Detection for Strep (Streptococcus, group A) $152 N/A $152
Developmental Screening $104 N/A $104
Diagnostic Mammogram of Both Breasts $750 N/A $750
Diagnostic Mammogram of One Breast $654 N/A $654
Electrocardiogram (ECG or EKG) With Tracing $313 N/A $313
Follow-Up Pregnancy Ultrasound $744 N/A $744
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $117 N/A $117
Hepatitis A Vaccine for Children, Injected into Muscle $691 N/A $691
Hepatitis B Surface Antibody Level $105 N/A $105
Human Papilloma Virus Vaccine, Injected into Muscle $84 N/A $84
Influenza Vaccine, Injected into Muscle $112 N/A $112
Lead Level $118 N/A $118
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $679 N/A $679
New Patient Preventive Care Visit for Adult, 40-64 $747 N/A $747
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 $576 N/A $576
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 $135 N/A $135
Office Visit for Established Patient, Moderate Complexity $509 N/A $509
Office Visit for New Patient, High Complexity $1,000 N/A $1,000
Office Visit for New Patient, Low Complexity $541 N/A $541
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
Prostate Specific Antigen (PSA) Level, Total $148 N/A $148
Psychotherapy, 30 Minutes with Patient $225 Near Average
State Average: 1
 $225
Psychotherapy, 45 Minutes with Patient $123 Below Average
State Average: 3
 $123
Psychotherapy, 60 Minutes with Patient $134 Below Average
State Average: 6
 $134
Rotovirus Vaccine, Oral Administration $84 N/A $84
Screening Mammogram of Both Breasts $820 N/A $820
Skin Growth Removal, Premalignant or Precancerous $985 N/A $985
Skin Growth Removal, Up to 14, Benign or Noncancerous $1,002 N/A $1,002
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $22 N/A $22
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $84 N/A $84
Therapeutic Exercises $16 Below Average
State Average: 4
 $16
Thyroid Stimulating Hormone (TSH) Level $57 N/A $57
Ultrasound of Breast $526 N/A $526
Ultrasound of Pelvis $876 N/A $876
Urea Nitrogen Level $14 N/A $14
Urinalysis, Automated with Microscope Examination $11 N/A $11
Urinalysis, Automated without Microscope $8 N/A $8
Urinalysis, Manual Test $60 N/A $60
Vitamin B-12 (Cyanocobalamin) Level $117 N/A $117
X-Ray of Chest, 2 Views $368 N/A $368
X-Ray of Fingers, 2 Views $222 N/A $222
X-Ray of Knee, 1 or 2 Views $588 N/A $588
X-Ray of Knee, 4 Views $355 N/A $355
X-Ray of Lower Leg, 2 Views $316 N/A $316
X-Ray of Neck, 4 to 5 Views $545 N/A $545