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)$6260%$626 Medium
Biopsy - Skin Lesion$1,4940%$1,494 High
Blood Test - Basic Metabolic Panel$480%$48 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$1090%$109 Medium
Blood Test - Cholesterol Test, Lipid Panel$1490%$149 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$990%$99 Medium
Blood Test - Comprehensive Metabolic Panel$1300%$130 Medium
Blood Test - General Health Panel$2250%$225 Medium
Blood Test - Hepatic (Liver) Function Panel$540%$54 Medium
Blood Test - Renal (Kidney) Function Panel$1050%$105 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$950%$95 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1250%$125 Medium
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$1410%$141 Medium
Blood Test - Vitamin D-3 Level$1910%$191 Medium
Bone Density Scan (outpatient)$6260%$626 High
CT Scan - Abdomen and Pelvis, with Contrast$2,5180%$2,518 Medium
CT Scan - Chest, with Contrast (outpatient)$2,2340%$2,234 Medium
Destruction of Lesion (outpatient)$5960%$596 High
Destruction of Lesions, up to 14$5970%$597 Medium
Laryngoscopy - Diagnostic$1,2570%$1,257 Medium
Mammogram (outpatient)$8540%$854 Medium
MRI - Knee (outpatient)$3,0240%$3,024 Medium
MRI - Pelvis (outpatient)$7,2420%$7,242 Medium
Nasal Endoscopy - Diagnostic$1,2590%$1,259 Medium
Office Visit - Basic$1470%$147 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$3680%$368 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2880%$288 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3320%$332 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$3860%$386 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$3480%$348 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$3360%$336 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3680%$368 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$3360%$336 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2890%$289 Medium
Office Visit - Established Patient, High Complexity$4500%$450 Medium
Office Visit - Established Patient, Low Complexity$2060%$206 Medium
Office Visit - Established Patient, Moderate Complexity$3120%$312 Medium
Office Visit - New Patient, Low Complexity$1910%$191 Medium
Office Visit - New Patient, Minor$2400%$240 Medium
Pap Test$2250%$225 Medium
Psychiatric Diagnostic Evaluation$1510%$151 Medium
Psychotherapy - 30 Minutes$1520%$152 Medium
Psychotherapy - Group Session$1230%$123 Medium
Strep Test (Streptococcus, group A)$980%$98 Medium
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$1050%$105 Medium
Ultrasound - Breast (outpatient)$5440%$544 High
Ultrasound - Pregnancy (outpatient)$9790%$979 Medium
Urine Capacity Measurement$4290%$429 Medium
Urine Test - Automated with Microscope Examination$380%$38 Medium
Urine Test - Automated without Microscope$550%$55 Medium
Urine Test - Bacterial Culture$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)$5500%$550 Medium