Dartmouth-Hitchcock (Manchester)

100 Htichcock Way Manchester, NH 03104
Medical Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Arthrocentesis (outpatient)$815N/A$815
Bacterial Culture - Swab$187N/A$187
Biopsy - Punch Biopsy of Skin$1,309N/A$1,309
Biopsy - Tangential Biopsy of Skin$1,042N/A$1,042
Blood Test - Basic Metabolic Panel$109N/A$109
Blood Test - Blood Glucose (Sugar) Level$15N/A$15
Blood Test - Blood Glucose Control (Hemoglobin A1C)$102N/A$102
Blood Test - Blood Typing (ABO)$125N/A$125
Blood Test - Cholesterol Test, Lipid Panel$101N/A$101
Blood Test - Clotting Time$53N/A$53
Blood Test - Complete Blood Cell Count (Hemoglobin)$89N/A$89
Blood Test - Complete Blood Cell Count and Automated WBC$72N/A$72
Blood Test - Comprehensive Metabolic Panel$48N/A$48
Blood Test - General Health Panel$234N/A$234
Blood Test - Lead Level$84N/A$84
Blood Test - Prostate Specific Antigen (PSA) Level$117N/A$117
Blood Test - Thyroid Stimulating Hormone (TSH) Level$147N/A$147
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$119N/A$119
Bone Density Scan (outpatient)$709N/A$709
CT Scan - Abdomen and Pelvis, with Contrast$2,739N/A$2,739
CT Scan - Chest, with Contrast (outpatient)$2,253N/A$2,253
Destruction of Lesion (outpatient)$540N/A$540
Destruction of Lesions, up to 14$524N/A$524
Developmental Screening$70N/A$70
Electrocardiogram (ECG or EKG), Tracing$596N/A$596
Electrocardiogram (ECG or EKG), with Report and Interpretation$551N/A$551
Lab Test - Creatinine Level$64N/A$64
Lab Test - Detection for Strep (Streptococcus, group A)$108N/A$108
Lab Test - Detection test for Coronavirus (COVID-19)$107N/A$107
Lab Test - Detection test for HIV-1 and HIV-2$114N/A$114
Lab Test - Detection test for Human Papillomavirus (HPV)$249N/A$249
Lab Test - Detection test for Influenza Virus$35N/A$35
Laryngoscopy - Diagnostic$1,235N/A$1,235
Mammogram (outpatient)$547N/A$547
MRI - Back (outpatient)$3,539N/A$3,539
MRI - Brain (outpatient)$7,203N/A$7,203
MRI - Knee (outpatient)$3,288N/A$3,288
MRI - Pelvis (outpatient)$6,569N/A$6,569
Nasal Endoscopy - Diagnostic$1,290N/A$1,290
Office Visit - Basic$168N/A$168
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$406N/A$406
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$480N/A$480
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$480N/A$480
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$385N/A$385
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$260N/A$260
Office Visit - New Patient, Moderate Complexity$544N/A$544
Pap Test, automated screening and manual rescreening$236N/A$236
Psychotherapy - Group Session$492 Below Average
State Average: 5
$492
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$53N/A$53
Ultrasound - Breast (outpatient)$864N/A$864
Ultrasound - Pelvic (outpatient)$595N/A$595
Ultrasound - Pregnancy (outpatient)$744N/A$744
Ultrasound - Pregnancy Follow-Up$510N/A$510
Ultrasound - Transvaginal (non-maternity)$572N/A$572
Urine Test - Automated with Microscope Examination$175N/A$175
Urine Test - Automated without Microscope$17N/A$17
Urine Test - Bacterial Culture, Quantitative Colony Count$77N/A$77
Urine Test - Chlamydia$133N/A$133
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$133N/A$133
Urine Test - Microalbumin (Protein) Level$60N/A$60
Urine Test - Pregnancy$62N/A$62
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$144N/A$144
X-Ray - Chest (outpatient)$606N/A$606
X-Ray - Foot (outpatient)$574N/A$574
X-Ray - Knee (outpatient)$658N/A$658
X-Ray - Shoulder (outpatient)$611N/A$611