Dartmouth-Hitchcock (Concord)

253 Pleasant Street Concord, NH 03301
http://www.dartmouth-hitchcock.org/index.html
(603) 226-2200

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 $902 N/A $902
Automated Pap Test Screening and Manual Rescreening $261 N/A $261
Automated with Microscope Examination $156 N/A $156
Automated without Microscope $104 N/A $104
Back MRI $3,701 N/A $3,701
Bacterial Culture Swab for Aerobic Isolates $83 N/A $83
Bacterial Culture, Quantitative Colony Count $143 N/A $143
Basic Metabolic Panel $71 N/A $71
Blood Glucose (Sugar) Level $22 N/A $22
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Blood Typing (ABO) $75 N/A $75
Blood Typing (Rh (D)) $75 N/A $75
Bone Density Scan $742 N/A $742
Borrelia Burgdorferi (Lyme disease) Antibody Level $139 N/A $139
Brain MRI $7,533 N/A $7,533
Chlamydia Test $182 N/A $182
Cholesterol Test, Lipid Panel $120 N/A $120
Clotting Time $79 N/A $79
Coagulation Assessment $55 N/A $55
Complete Blood Cell Count (Hemoglobin) $71 N/A $71
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $71
Comprehensive Metabolic Panel $97 N/A $97
Coronavirus (COVID-19) Antibody Level $57 N/A $57
Creatinine Level $30 N/A $30
CT Scan of Abdomen and Pelvis, With Contrast $2,856 N/A $2,856
Detection Test for Human Papillomavirus (HPV) $300 N/A $300
Developmental Screening $74 N/A $74
Diagnostic Mammogram of Both Breasts $635 N/A $635
Diagnostic Mammogram of One Breast $534 N/A $534
Electrocardiogram (ECG or EKG) With Report and Interpretation $603 N/A $603
Electrocardiogram (ECG or EKG) With Tracing $518 N/A $518
Electrolytes Panel $97 N/A $97
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $135 N/A $135
Follow-Up Pregnancy Ultrasound $931 N/A $931
General Health Panel $282 N/A $282
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $132 N/A $132
Hepatic (Liver) Function Panel $49 N/A $49
Hepatitis C Antibody Level $74 N/A $74
Influenza Vaccine, Injected into Muscle $62 N/A $62
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $107
Manual Pap Test Screening $265 N/A $265
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $502 N/A $502
New Patient Preventive Care Visit for Adult, 40-64 $570 N/A $570
New Patient Preventive Care Visit for Adult, Ages 18-39 $502 N/A $502
New Patient Preventive Care Visit for Child, Ages 1-4 $294 N/A $294
New Patient Preventive Care Visit for Child, Ages 5-11 $294 N/A $294
New Patient Preventive Care Visit for Child, Under Age 1 $294 N/A $294
Office Visit for Established Patient, Basic $175 N/A $175
Office Visit for Established Patient, High Complexity $536 N/A $536
Office Visit for Established Patient, Low Complexity $246 N/A $246
Office Visit for Established Patient, Minimal Presenting Problem $112 N/A $112
Office Visit for Established Patient, Moderate Complexity $375 N/A $375
Office Visit for New Patient, High Complexity $715 N/A $715
Office Visit for New Patient, Low Complexity $303 N/A $303
Office Visit for New Patient, Minor Complexity $292 N/A $292
Office Visit for New Patient, Moderate Complexity $569 N/A $569
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $310
Pneumococcal Conjugate Vaccine, Injected into Muscle $654 N/A $654
Pregnancy Test $62 N/A $62
Pregnancy Ultrasound (Outpatient) $780 N/A $780
Preventive Care Visit for Adolescent, Under Ages 12-17 $405 N/A $405
Preventive Care Visit for Adult, 40-64 $482 N/A $482
Preventive Care Visit for Adult, Ages 18-39 $442 N/A $442
Preventive Care Visit for Child, Under Age 1 $316 N/A $316
Preventive Care Visit for Child, Under Ages 1-4 $339 N/A $339
Preventive Care Visit for Child, Under Ages 5-11 $339 N/A $339
Prostate Specific Antigen (PSA) Level $108 N/A $108
Psychotherapy, 30 Minutes with Patient $176 Near Average
State Average: 1
$176
Punch Biopsy of Skin $2,172 N/A $2,172
Screening Mammogram of Both Breasts $573 N/A $573
Skin Growth Removal, Premalignant or Precancerous $726 N/A $726
Skin Growth Removal, Up to 14, Benign or Noncancerous $896 N/A $896
Tangential Biopsy of Skin $1,603 N/A $1,603
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $108 N/A $108
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $144 N/A $144
Thyroid Stimulating Hormone (TSH) Level $152 N/A $152
Transvaginal Ultrasound (Non-Maternity) $973 N/A $973
Ultrasound of Breast $371 N/A $371
Urinalysis, Manual Test $57 N/A $57
X-Ray of Ankle $606 N/A $606
X-Ray of Chest, 2 Views $634 N/A $634
X-Ray of Foot $480 N/A $480
X-Ray of Hand $761 N/A $761
X-Ray of Hip $679 N/A $679
X-Ray of Knee $610 N/A $610
X-Ray of Shoulder $641 N/A $641
X-Ray of Spine $635 N/A $635