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 $179 N/A $179
Automated without Microscope $151 N/A $151
Back MRI $3,701 N/A $3,701
Bacterial Culture Swab for Aerobic Isolates $105 N/A $105
Bacterial Culture, Quantitative Colony Count $113 N/A $113
Blood Glucose (Sugar) Level $22 N/A $22
Blood Glucose Control (Hemoglobin A1C) $69 N/A $69
Blood Typing (ABO) $73 N/A $73
Blood Typing (Rh (D)) $73 N/A $73
Bone Density Scan $726 N/A $726
Brain MRI $7,308 N/A $7,308
Chlamydia Test $164 N/A $164
Cholesterol Test, Lipid Panel $159 N/A $159
Clotting Time $53 N/A $53
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $71
Comprehensive Metabolic Panel $72 N/A $72
Creatinine Level $30 N/A $30
CT Scan of Abdomen and Pelvis, With Contrast $2,739 N/A $2,739
Detection for Strep (Streptococcus, group A) $108 N/A $108
Detection Test for Hepatitis B Surface Antigen $65 N/A $65
Detection Test for Human Papillomavirus (HPV) $300 N/A $300
Developmental Screening $70 N/A $70
Electrocardiogram (ECG or EKG) With Report and Interpretation $576 N/A $576
Electrocardiogram (ECG or EKG) With Tracing $575 N/A $575
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $155 N/A $155
Follow-Up Pregnancy Ultrasound $717 N/A $717
General Health Panel $326 N/A $326
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $164 N/A $164
Influenza Vaccine, Injected into Muscle $62 N/A $62
Knee MRI $3,288 N/A $3,288
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $107
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $480 N/A $480
New Patient Preventive Care Visit for Adult, 40-64 $545 N/A $545
New Patient Preventive Care Visit for Adult, Ages 18-39 $480 N/A $480
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 $168 N/A $168
Office Visit for Established Patient, High Complexity $512 N/A $512
Office Visit for Established Patient, Low Complexity $235 N/A $235
Office Visit for Established Patient, Minimal Presenting Problem $107 N/A $107
Office Visit for Established Patient, Moderate Complexity $358 N/A $358
Office Visit for New Patient, High Complexity $684 N/A $684
Office Visit for New Patient, Minor Complexity $273 N/A $273
Office Visit for New Patient, Moderate Complexity $544 N/A $544
Pathology Examination of Tissue, Intermediate Complexity $375 N/A $375
Pneumococcal Conjugate Vaccine, Injected into Muscle $654 N/A $654
Pregnancy Test $62 N/A $62
Pregnancy Ultrasound (Outpatient) $744 N/A $744
Preventive Care Visit for Adolescent, Under Ages 12-17 $387 N/A $387
Preventive Care Visit for Adult, 40-64 $461 N/A $461
Preventive Care Visit for Adult, Ages 18-39 $422 N/A $422
Preventive Care Visit for Child, Under Age 1 $302 N/A $302
Preventive Care Visit for Child, Under Ages 1-4 $324 N/A $324
Preventive Care Visit for Child, Under Ages 5-11 $324 N/A $324
Prostate Specific Antigen (PSA) Level $112 N/A $112
Psychotherapy, 30 Minutes with Patient $176 Near Average
State Average: 1
 $176
Punch Biopsy of Skin $1,991 N/A $1,991
Screening Mammogram of Both Breasts $547 N/A $547
Skin Growth Removal, Premalignant or Precancerous $726 N/A $726
Skin Growth Removal, Up to 14, Benign or Noncancerous $856 N/A $856
Tangential Biopsy of Skin $1,613 N/A $1,613
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $163
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $144 N/A $144
Thyroid Stimulating Hormone (TSH) Level $109 N/A $109
Transvaginal Ultrasound (Non-Maternity) $994 N/A $994
Ultrasound of Breast $864 N/A $864
Ultrasound of Pelvis $595 N/A $595
Urinalysis, Manual Test $57 N/A $57
X-Ray of Ankle $509 N/A $509
X-Ray of Chest, 2 Views $606 N/A $606
X-Ray of Foot $732 N/A $732
X-Ray of Hand $590 N/A $590
X-Ray of Hip $679 N/A $679
X-Ray of Knee $555 N/A $555
X-Ray of Shoulder $612 N/A $612