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 $944 N/A $944
Bacterial Culture Swab $175 N/A $175
Bacterial Culture, Quantitative Colony Count $140 N/A $140
Basic Metabolic Panel $130 N/A $130
Biopsy of Skin Lesion $1,671 N/A $1,671
Blood Count (Hemoglobin) $33 N/A $33
Blood Glucose (Sugar) Level $23 N/A $23
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Blood Typing (ABO) $53 N/A $53
Blood Typing (Rh (D)) $103 N/A $103
Borrelia Burgdorferi (Lyme disease) Antibody Level $162 N/A $162
C-reactive Protein (CRP) Level $69 N/A $69
Chlamydia Test $191 N/A $191
Cholesterol Test, Lipid Panel $148 N/A $148
Clotting Time $79 N/A $79
Coagulation Assessment $93 N/A $93
Complete Blood Cell Count (Hemoglobin) $109 N/A $109
Complete Blood Cell Count and Automated White Blood Cells $99 N/A $99
Comprehensive Eye Exam $329 N/A $329
Comprehensive Metabolic Panel $134 N/A $134
Detection for Strep (Streptococcus, group A) $118 N/A $118
Detection Test for Hepatitis B Surface Antigen $90 N/A $90
Detection Test for Human Papillomavirus (HPV) $280 N/A $280
Developmental Screening $77 N/A $77
Diagnostic Laryngoscopy $1,188 N/A $1,188
Electrocardiogram (ECG or EKG) With Report and Interpretation $210 N/A $210
Electrocardiogram (ECG or EKG) With Tracing $125 N/A $125
Electrocardiogram (ECG or EKG), Report and Interpretation Only $85 N/A $85
Ferritin (Blood Protein) Level $207 N/A $207
Folic Acid Level $207 N/A $207
Follow-Up Pregnancy Ultrasound $552 N/A $552
General Health Panel $438 N/A $438
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $179 N/A $179
Hepatitis A Vaccine for Adults, Injected into Muscle $259 N/A $259
Hepatitis A Vaccine for Children, Injected into Muscle $282 N/A $282
Hepatitis C Antibody Level $214 N/A $214
Human Papilloma Virus Vaccine, Injected into Muscle $67 N/A $67
Influenza Vaccine, Injected into Muscle $97 N/A $97
Iron Binding Capacity $90 N/A $90
Iron Level $72 N/A $72
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect Coronavirus (COVID-19) Antigen $53 N/A $53
Lab Test to Detect HIV-1 and HIV-2 $171 N/A $171
Lab Test to Measure Creatinine Level $97 N/A $97
LDL Cholesterol Level $96 N/A $96
Lipase (Fat Enzyme) Level $42 N/A $42
Magnesium Level $87 N/A $87
Microalbumin (Protein) Level $134 N/A $134
Nasal Endoscopy $1,277 N/A $1,277
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $525 N/A $525
New Patient Preventive Care Visit for Adult, 40-64 $593 N/A $593
New Patient Preventive Care Visit for Adult, Ages 18-39 $525 N/A $525
New Patient Preventive Care Visit for Child, Ages 1-4 $445 N/A $445
New Patient Preventive Care Visit for Child, Ages 5-11 $294 N/A $294
New Patient Preventive Care Visit for Child, Under Age 1 $422 N/A $422
Office Visit for Established Patient, Basic $184 N/A $184
Office Visit for Established Patient, High Complexity $557 N/A $557
Office Visit for Established Patient, Low Complexity $255 N/A $255
Office Visit for Established Patient, Minimal Presenting Problem $112 N/A $112
Office Visit for Established Patient, Moderate Complexity $393 N/A $393
Office Visit for New Patient, High Complexity $743 N/A $743
Office Visit for New Patient, Low Complexity $322 N/A $322
Office Visit for New Patient, Minor Complexity $248 N/A $248
Office Visit for New Patient, Moderate Complexity $446 N/A $446
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) $811 N/A $811
Preventive Care Visit for Adolescent, Under Ages 12-17 $421 N/A $421
Preventive Care Visit for Adult, 40-64 $501 N/A $501
Preventive Care Visit for Adult, Ages 18-39 $460 N/A $460
Preventive Care Visit for Child, Under Age 1 $329 N/A $329
Preventive Care Visit for Child, Under Ages 1-4 $355 N/A $355
Preventive Care Visit for Child, Under Ages 5-11 $353 N/A $353
Prostate Specific Antigen (PSA) Level, Total $108 N/A $108
Psychotherapy, 30 Minutes with Patient $184 Near Average
State Average: 1
 $184
Rotovirus Vaccine, Oral Administration $67 N/A $67
Skin Growth Removal, Premalignant or Precancerous $760 N/A $760
Skin Growth Removal, Up to 14, Benign or Noncancerous $919 N/A $919
Telehealth Visit for Established Patient, 21-30 minutes $267 N/A $267
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $163
Thyroid Stimulating Hormone (TSH) Level $109 N/A $109
Thyroxine (Thyroid Chemical) Level, Free $154 N/A $154
Transvaginal Ultrasound (Non-Maternity) $627 N/A $627
Triiodothyronine (T3) Thyroid Hormone Measurement $237 N/A $237
Ultrasound of Heart (Echocardiogram) $1,932 N/A $1,932
Urinalysis, Automated with Microscope Examination $96 N/A $96
Urinalysis, Automated without Microscope $63 N/A $63
Urinalysis, Manual Test $57 N/A $57
Vitamin B-12 (Cyanocobalamin) Level $207 N/A $207
Vitamin D-3 Level $291 N/A $291