Dartmouth-Hitchcock (Keene)

580-590 Court Street Keene, NH 03431
Medical Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Arthrocentesis (outpatient)$838N/A$838
Bacterial Culture - Aerobic Isolates$88N/A$88
Biopsy - Punch Biopsy of Skin$1,782N/A$1,782
Biopsy - Tangential Biopsy of Skin$1,423N/A$1,423
Blood Test - Basic Metabolic Panel$68N/A$68
Blood Test - Blood Glucose (Sugar) Level$49N/A$49
Blood Test - Blood Glucose Control (Hemoglobin A1C)$22N/A$22
Blood Test - C-reactive Protein (CRP) Level$77N/A$77
Blood Test - Cholesterol Test, Lipid Panel$108N/A$108
Blood Test - Clotting Time$53N/A$53
Blood Test - Complete Blood Cell Count (Hemoglobin)$78N/A$78
Blood Test - Complete Blood Cell Count and Automated WBC$29N/A$29
Blood Test - Comprehensive Metabolic Panel$89N/A$89
Blood Test - Hepatic (Liver) Function Panel$74N/A$74
Blood Test - Hepatitis C Antibody Level$124N/A$124
Blood Test - Iron Binding Capacity$57N/A$57
Blood Test - Iron Level$69N/A$69
Blood Test - Prostate Specific Antigen (PSA) Level$184N/A$184
Blood Test - Thyroid Stimulating Hormone (TSH) Level$151N/A$151
Blood Test - Vitamin D-3 Level$265N/A$265
Bone Density Scan (outpatient)$709N/A$709
Destruction of Lesion (outpatient)$612N/A$612
Destruction of Lesions, up to 14$701N/A$701
Developmental Screening$70N/A$70
Electrocardiogram (ECG or EKG), Tracing$717N/A$717
Electrocardiogram (ECG or EKG), with Report and Interpretation$529N/A$529
Lab Test - Creatinine Level$117N/A$117
Lab Test - Detection for Strep (Streptococcus, group A)$69N/A$69
Lab Test - Detection test for Human Papillomavirus (HPV)$244N/A$244
Lab Test - Detection test for Influenza Virus$75N/A$75
Laryngoscopy - Diagnostic$1,179N/A$1,179
Mammogram (outpatient)$1,085N/A$1,085
Nasal Endoscopy - Diagnostic$1,232N/A$1,232
Office Visit - Basic$168N/A$168
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$280N/A$280
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$337N/A$337
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$461N/A$461
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$545N/A$545
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$408N/A$408
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$322N/A$322
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$324N/A$324
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$387N/A$387
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$422N/A$422
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$461N/A$461
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$324N/A$324
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$302N/A$302
Office Visit - Established Patient, High Complexity$512N/A$512
Office Visit - Established Patient, Low Complexity$235N/A$235
Office Visit - Established Patient, Moderate Complexity$358N/A$358
Office Visit - New Patient, Low Complexity$360N/A$360
Office Visit - New Patient, Minor$273N/A$273
Office Visit - New Patient, Moderate Complexity$544N/A$544
Pap Test, automated screening and manual rescreening$166N/A$166
Physical Therapy - Electrical Stimulation Therapy$39 Above Average
State Average: 3
$39
Physical Therapy - Low Complexity Evaluation$127 Near Average
State Average: 1
$127
Physical Therapy - Manual Therapy$39 Below Average
State Average: 4
$39
Physical Therapy - Therapeutic Exercises$39 Below Average
State Average: 4
$39
Psychiatric Diagnostic Evaluation$195 Near Average
State Average: 1
$195
Psychotherapy - 30 Minutes$75 Near Average
State Average: 1
$75
Psychotherapy - 45 Minutes$120 Below Average
State Average: 4
$120
Psychotherapy - Group Session$65 Near Average
State Average: 5
$65
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$12N/A$12
Ultrasound - Pregnancy (outpatient)$744N/A$744
Ultrasound - Transvaginal (non-maternity)$1,418N/A$1,418
Urine Test - Automated with Microscope Examination$55N/A$55
Urine Test - Automated without Microscope$53N/A$53
Urine Test - Bacterial Culture, Quantitative Colony Count$50N/A$50
Urine Test - Chlamydia$218N/A$218
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$218N/A$218
Urine Test - Microalbumin (Protein) Level$50N/A$50
Urine Test - Pregnancy$59N/A$59
Urine Test - Urinalysis, Manual Test$57N/A$57
Vaccine - Influenza for Injection into Muscle$62N/A$62
Vaccine - Pneumococcal Conjugate for Injection into Muscle$654N/A$654
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$141N/A$141
X-Ray - Foot (outpatient)$817N/A$817
X-Ray - Hand$1,129N/A$1,129
X-Ray - Knee (outpatient)$842N/A$842
X-Ray - Shoulder (outpatient)$908N/A$908
X-Ray - Spine (outpatient)$898N/A$898
X-Ray - Wrist (outpatient)$883N/A$883