Dartmouth-Hitchcock Medical Center

1 Medical Center Drive Lebanon, NH 03766
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$8920%$892 High
Blood Test - Basic Metabolic Panel$480%$48 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$1090%$109 Medium
Blood Test - Cholesterol Test, Lipid Panel$950%$95 Medium
Blood Test - Clotting Time$620%$62 Medium
Blood Test - Complete Blood Cell Count (Hemoglobin)$740%$74 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$700%$70 Medium
Blood Test - Comprehensive Metabolic Panel$600%$60 Medium
Blood Test - Electrolytes Panel$900%$90 Medium
Blood Test - General Health Panel$2250%$225 Medium
Blood Test - Hepatic (Liver) Function Panel$1310%$131 Medium
Blood Test - Prostate Specific Antigen (PSA) Level$1120%$112 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$950%$95 Medium
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1110%$111 Medium
Blood Test - Vitamin D-3 Level$1860%$186 Medium
Bone Density Scan (outpatient)$1000%$100 Medium
CT Scan - Abdomen and Pelvis, with Contrast$2,6980%$2,698 Medium
CT Scan - Chest, with Contrast (outpatient)$3,0600%$3,060 Medium
Destruction of Lesion (outpatient)$6850%$685 High
Mammogram (outpatient)$1,0120%$1,012 Medium
MRI - Back (outpatient)$3,7840%$3,784 Medium
MRI - Brain (outpatient)$7,4550%$7,455 Medium
MRI - Knee (outpatient)$2,9730%$2,973 Medium
MRI - Pelvis (outpatient)$5,9030%$5,903 High
Office Visit - Basic$1470%$147 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$4200%$420 Medium
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$4890%$489 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$3360%$336 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3680%$368 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3680%$368 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$4010%$401 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$3360%$336 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2730%$273 Medium
Office Visit - Established Patient, High Complexity$4500%$450 Medium
Office Visit - Established Patient, Low Complexity$2060%$206 Medium
Office Visit - Established Patient, Moderate Complexity$3120%$312 Medium
Office Visit - New Patient, Low Complexity$3270%$327 Medium
Office Visit - New Patient, Minor$2470%$247 Medium
Pap Test$2360%$236 Medium
Psychotherapy - Group Session$280%$28 Medium
Strep Test (Streptococcus, group A)$980%$98 Medium
Ultrasound - Breast (outpatient)$7860%$786 Medium
Ultrasound - Pelvic (outpatient)$7670%$767 Medium
Ultrasound - Pregnancy (outpatient)$9320%$932 Low
Ultrasound - Pregnancy Follow-Up$9560%$956 Medium
Ultrasound - Transvaginal (non-maternity)$6830%$683 Medium
Urine Test - Automated with Microscope Examination$1710%$171 Medium
Urine Test - Bacterial Culture$870%$87 Medium
Urine Test - Chlamydia$1020%$102 Medium
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1580%$158 Medium
Urine Test - Pregnancy$320%$32 Medium
X-Ray - Chest (outpatient)$5810%$581 Medium
X-Ray - Wrist (outpatient)$6530%$653 High