Dartmouth-Hitchcock (Concord)

253 Pleasant Street Concord, NH 03301
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Arthrocentesis (outpatient)$8680%$868
Bacterial Culture - Swab$1870%$187
Biopsy - Punch Biopsy of Skin$1,9080%$1,908
Biopsy - Tangential Biopsy of Skin$1,6130%$1,613
Blood Test - Basic Metabolic Panel$480%$48
Blood Test - Blood Glucose Control (Hemoglobin A1C)$690%$69
Blood Test - Cholesterol Test, Lipid Panel$1320%$132
Blood Test - Clotting Time$620%$62
Blood Test - Complete Blood Cell Count (Hemoglobin)$550%$55
Blood Test - Complete Blood Cell Count and Automated WBC$700%$70
Blood Test - Comprehensive Metabolic Panel$550%$55
Blood Test - Ferritin (Blood Protein) Level$1100%$110
Blood Test - General Health Panel$2530%$253
Blood Test - Hepatic (Liver) Function Panel$540%$54
Blood Test - Prostate Specific Antigen (PSA) Level$1120%$112
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1040%$104
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1110%$111
Bone Density Scan (outpatient)$6810%$681
CT Scan - Abdomen and Pelvis, with Contrast$2,6250%$2,625
Destruction of Lesion (outpatient)$6930%$693
Destruction of Lesions, up to 14$7580%$758
Detection test for Human Papillomavirus (HPV)$1880%$188
Electrocardiogram (ECG or EKG)$5510%$551
Mammogram (outpatient)$5230%$523
MRI - Back (outpatient)$3,4050%$3,405
MRI - Brain (outpatient)$7,0410%$7,041
MRI - Knee (outpatient)$3,1400%$3,140
Office Visit - Basic$1620%$162
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2940%$294
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$4680%$468
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$4610%$461
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$5210%$521
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2940%$294
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$3680%$368
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$3100%$310
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3700%$370
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$4030%$403
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$4400%$440
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$3100%$310
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2940%$294
Office Visit - Established Patient, High Complexity$4920%$492
Office Visit - Established Patient, Low Complexity$2260%$226
Office Visit - Established Patient, Moderate Complexity$3440%$344
Office Visit - New Patient, Low Complexity$3440%$344
Office Visit - New Patient, Minor$2730%$273
Office Visit - New Patient, Moderate Complexity$5200%$520
Pap Test$2360%$236
Physical Therapy - Therapeutic Exercises$850%$85
Psychotherapy - 30 Minutes$1690%$169
Strep Test (Streptococcus, group A)$1030%$103
Ultrasound - Breast (outpatient)$8640%$864
Ultrasound - Pelvic (outpatient)$5720%$572
Ultrasound - Pregnancy (outpatient)$7160%$716
Ultrasound - Pregnancy Follow-Up$6140%$614
Ultrasound - Transvaginal (non-maternity)$1,4180%$1,418
Urine Test - Automated with Microscope Examination$540%$54
Urine Test - Automated without Microscope$1910%$191
Urine Test - Bacterial Culture, Quantitative Colony Count$870%$87
Urine Test - Pregnancy$590%$59
Urine Test - Urinalysis, Manual Test$550%$55
Vaccine - Pneumococcal Conjugate for Injection into Muscle$6240%$624
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$1410%$141
X-Ray - Ankle (outpatient)$5530%$553
X-Ray - Chest (outpatient)$5810%$581
X-Ray - Foot (outpatient)$7550%$755
X-Ray - Hand$6200%$620
X-Ray - Hip$6490%$649
X-Ray - Knee (outpatient)$4600%$460
X-Ray - Shoulder (outpatient)$5870%$587