Dartmouth-Hitchcock Clinic

One Medical Center Drive Lebanon, NH 03756
Medical Procedures
Cancel
Edit My Insurance Details

My Health Insurance:

  • I do not have medical insurance
ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$6320%$632 Medium
Bacterial Culture Swab$1870%$187 Medium
Biopsy - Skin Lesion$1,5160%$1,516 Medium
Blood Test - Basic Metabolic Panel$1610%$161 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$1090%$109 Medium
Blood Test - Cholesterol Test, Lipid Panel$1500%$150 Medium
Blood Test - Clotting Time$120%$12 Medium
Blood Test - Complete Blood Cell Count (Hemoglobin)$970%$97 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$1050%$105 Medium
Blood Test - Comprehensive Metabolic Panel$600%$60 Medium
Blood Test - Folic Acid Level$1250%$125 Medium
Blood Test - General Health Panel$2250%$225 Medium
Blood Test - Hepatic (Liver) Function Panel$540%$54 Medium
Blood Test - Hepatitis C Antibody Level$1310%$131 Medium
Blood Test - Lipase (fat enzyme) Level$800%$80 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$950%$95 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1400%$140 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$1420%$142 Medium
Blood Test - Vitamin D-3 Level$2030%$203 Medium
CT Scan - Abdomen and Pelvis, with Contrast$2,5240%$2,524 Medium
CT Scan - Chest, with Contrast (outpatient)$3,2560%$3,256 Medium
Destruction of Lesion (outpatient)$6040%$604 Medium
Destruction of Lesions, up to 14$6550%$655 Medium
Detection Test for Human Papillomavirus (HPV)$3450%$345 Medium
Electrocardiogram (ECG or EKG)$7260%$726 Medium
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$1490%$149 Medium
Laryngoscopy - Diagnostic$1,4930%$1,493 Medium
Mammogram (outpatient)$9470%$947 Medium
MRI - Knee (outpatient)$3,1400%$3,140 Medium
Nasal Endoscopy - Diagnostic$1,3260%$1,326 High
Office Visit - Basic$1470%$147 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$3770%$377 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$4420%$442 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$4420%$442 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$4890%$489 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$4070%$407 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$3570%$357 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$3100%$310 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2390%$239 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3680%$368 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$4010%$401 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$3100%$310 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2730%$273 Medium
Office Visit - Established Patient, High Complexity$4820%$482 Medium
Office Visit - Established Patient, Low Complexity$1730%$173 Medium
Office Visit - Established Patient, Moderate Complexity$2670%$267 Medium
Office Visit - New Patient, Low Complexity$2360%$236 Medium
Office Visit - New Patient, Minor$1770%$177 Medium
Pap Test$2250%$225 Medium
Physical Therapy - Therapeutic Exercises$1380%$138 Medium
Psychiatric Diagnostic Evaluation$1930%$193 Medium
Psychotherapy - 30 Minutes$1610%$161 Medium
Psychotherapy - Group Session$1290%$129 Medium
Strep Test (Streptococcus, group A)$1030%$103 Medium
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$1050%$105 Medium
Ultrasound - Breast (outpatient)$5520%$552 High
Urine Capacity Measurement$5070%$507 Medium
Urine Test - Automated with Microscope Examination$380%$38 Medium
Urine Test - Automated without Microscope$560%$56 Medium
Urine Test - Bacterial Culture, Quantitative Colony Count$1070%$107 Medium
Urine Test - Chlamydia$2110%$211 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1960%$196 Medium
Urine Test - Pregnancy$590%$59 Medium
X-Ray - Chest (outpatient)$5810%$581 Medium
X-Ray - Knee (outpatient)$8560%$856 Medium