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 $877 N/A $877
Bacterial Culture Swab $149 N/A $149
Bacterial Culture Swab for Aerobic Isolates $83 N/A $83
Bacterial Culture, Quantitative Colony Count $140 N/A $140
Basic Metabolic Panel $71 N/A $71
Biopsy of Skin Lesion $1,502 N/A $1,502
Blood Count (Hemoglobin) $19 N/A $19
Blood Glucose (Sugar) Level $23 N/A $23
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Blood Typing (ABO) $75 N/A $75
Blood Typing (Rh (D)) $75 N/A $75
Borrelia Burgdorferi (Lyme disease) Antibody Level $139 N/A $139
Chlamydia Test $179 N/A $179
Cholesterol Test, Lipid Panel $132 N/A $132
Clotting Time $79 N/A $79
Complete Blood Cell Count (Hemoglobin) $97 N/A $97
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $71
Comprehensive Metabolic Panel $95 N/A $95
Coronavirus (COVID-19) Antibody Level $57 N/A $57
Detection for Strep (Streptococcus, group A) $118 N/A $118
Detection Test for Hepatitis B Surface Antigen $62 N/A $62
Detection Test for Human Papillomavirus (HPV) $280 N/A $280
Developmental Screening $77 N/A $77
Electrocardiogram (ECG or EKG) With Report and Interpretation $603 N/A $603
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $135 N/A $135
Follow-Up Pregnancy Ultrasound $552 N/A $552
General Health Panel $273 N/A $273
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $179 N/A $179
Hepatic (Liver) Function Panel $49 N/A $49
Hepatitis A Vaccine for Children, Injected into Muscle $292 N/A $292
Human Papilloma Virus Vaccine, Injected into Muscle $65 N/A $65
Influenza Vaccine, Injected into Muscle $97 N/A $97
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
Magnesium Level $40 N/A $40
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $502 N/A $502
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 $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 $351 N/A $351
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 $395 N/A $395
Office Visit for New Patient, Minor Complexity $299 N/A $299
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 $67 N/A $67
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
Screening Mammogram of Both Breasts $1,266 N/A $1,266
Skin Growth Removal, Premalignant or Precancerous $760 N/A $760
Skin Growth Removal, Up to 14, Benign or Noncancerous $797 N/A $797
Telehealth Visit for Established Patient, 21-30 minutes $259 N/A $259
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $163
Thyroid Stimulating Hormone (TSH) Level $145 N/A $145
Thyroxine (Thyroid Chemical) Level, Free $154 N/A $154
Transvaginal Ultrasound (Non-Maternity) $1,424 N/A $1,424
Triiodothyronine (T3) Thyroid Hormone Measurement $237 N/A $237
Ultrasound of Heart (Echocardiogram) $1,932 N/A $1,932
Urinalysis, Automated with Microscope Examination $156 N/A $156
Urinalysis, Automated without Microscope $34 N/A $34
Urinalysis, Manual Test $57 N/A $57
X-Ray of Ankle, 3 Views $634 N/A $634
X-Ray of Fingers, 2 Views $557 N/A $557
X-Ray of Foot, 3 Views $601 N/A $601
X-Ray of Hand, 3 Views $620 N/A $620
X-Ray of Hip, 2 or 3 Views $710 N/A $710
X-Ray of Knee, 3 Views $609 N/A $609
X-Ray of Knee, 4 Views $656 N/A $656
X-Ray of Shoulder, 2 Views $671 N/A $671