Dartmouth-Hitchcock Medical Center

1 Medical Center Drive Lebanon, NH 03766
Medical Procedures
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ProcedureEstimate of Total Cost Number of Visits What You Will Pay Uninsured Discount: 0%
Arthrocentesis (outpatient)$843N/A$843
Bacterial Culture - Aerobic Isolates$105N/A$105
Biopsy - Punch Biopsy of Skin$2,097N/A$2,097
Biopsy - Tangential Biopsy of Skin$1,469N/A$1,469
Blood Test - Basic Metabolic Panel$49N/A$49
Blood Test - Blood Glucose (Sugar) Level$24N/A$24
Blood Test - Blood Glucose Control (Hemoglobin A1C)$102N/A$102
Blood Test - Blood Typing (Rh (D))$16N/A$16
Blood Test - C-reactive Protein (CRP) Level$167N/A$167
Blood Test - Cholesterol Test, Lipid Panel$99N/A$99
Blood Test - Clotting Time$53N/A$53
Blood Test - Complete Blood Cell Count (Hemoglobin)$67N/A$67
Blood Test - Complete Blood Cell Count and Automated WBC$70N/A$70
Blood Test - Comprehensive Metabolic Panel$61N/A$61
Blood Test - Creatinine Level$37N/A$37
Blood Test - Ferritin (Blood Protein) Level$81N/A$81
Blood Test - Folic Acid Level$101N/A$101
Blood Test - General Health Panel$212N/A$212
Blood Test - Hepatic (Liver) Function Panel$55N/A$55
Blood Test - Hepatitis B Surface Antibody Level$91N/A$91
Blood Test - Hepatitis C Antibody Level$136N/A$136
Blood Test - Iron Binding Capacity$32N/A$32
Blood Test - Iron Level$29N/A$29
Blood Test - Lead Level$87N/A$87
Blood Test - Prostate Specific Antigen (PSA) Level$117N/A$117
Blood Test - Thyroglobulin (Thyroid Protein) Antibody Level$85N/A$85
Blood Test - Thyroid Stimulating Hormone (TSH) Level$99N/A$99
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$116N/A$116
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$85N/A$85
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$97N/A$97
Bone Density Scan (outpatient)$781N/A$781
Chiropractic Manipulative Treatment - Spinal, 1-2 Regions$47 Near Average
State Average: 2
$47
Chiropractic Manipulative Treatment - Spinal, 3-4 Regions$69 Below Average
State Average: 4
$69
CT Scan - Abdomen and Pelvis, with Contrast$3,673N/A$3,673
CT Scan - Chest, with Contrast (outpatient)$3,256N/A$3,256
Destruction of Lesion (outpatient)$628N/A$628
Destruction of Lesions, up to 14$693N/A$693
Electrocardiogram (ECG or EKG), Tracing$837N/A$837
Electrocardiogram (ECG or EKG), with Report and Interpretation$410N/A$410
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral)$155N/A$155
Lab Test - Creatinine Level$29N/A$29
Lab Test - Detection for Strep (Streptococcus, group A)$107N/A$107
Lab Test - Detection test for HIV-1 and HIV-2$195N/A$195
Lab Test - Detection test for Human Papillomavirus (HPV)$195N/A$195
Lab Test - Detection test for Influenza Virus$87N/A$87
Mammogram (outpatient)$1,076N/A$1,076
MRI - Back (outpatient)$3,600N/A$3,600
MRI - Brain (outpatient)$6,747N/A$6,747
MRI - Knee (outpatient)$3,033N/A$3,033
MRI - Pelvis (outpatient)$6,345N/A$6,345
Office Visit - Basic$158N/A$158
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$442N/A$442
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$537N/A$537
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$407N/A$407
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$354N/A$354
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$403N/A$403
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$439N/A$439
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$369N/A$369
Office Visit - Established Patient, High Complexity$501N/A$501
Office Visit - Established Patient, Low Complexity$226N/A$226
Office Visit - Established Patient, Moderate Complexity$357N/A$357
Office Visit - New Patient, Low Complexity$163N/A$163
Office Visit - New Patient, Minor$264N/A$264
Office Visit - New Patient, Moderate Complexity$349N/A$349
Pap Test, automated screening and manual rescreening$238N/A$238
Pap Test, manual screening$58N/A$58
Physical Therapy - Moderate Complexity Evaluation$309 Near Average
State Average: 1
$309
Physical Therapy - Therapeutic Exercises$138 Below Average
State Average: 4
$138
Psychiatric Diagnostic Evaluation$289 Near Average
State Average: 1
$289
Psychotherapy - 30 Minutes$167 Near Average
State Average: 1
$167
Psychotherapy - 45 Minutes$179 Near Average
State Average: 4
$179
Psychotherapy - 60 Minutes$189 Below Average
State Average: 5
$189
Psychotherapy - Family Session$135 Below Average
State Average: 3
$135
Psychotherapy - Group Session$110 Below Average
State Average: 5
$110
Ultrasound - Breast (outpatient)$1,203N/A$1,203
Ultrasound - Pelvic (outpatient)$604N/A$604
Ultrasound - Pregnancy (outpatient)$789N/A$789
Ultrasound - Pregnancy Follow-Up$956N/A$956
Ultrasound - Transvaginal (non-maternity)$683N/A$683
Urine Test - Automated with Microscope Examination$171N/A$171
Urine Test - Automated without Microscope$198N/A$198
Urine Test - Bacterial Culture$31N/A$31
Urine Test - Bacterial Culture, Quantitative Colony Count$90N/A$90
Urine Test - Chlamydia$81N/A$81
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$81N/A$81
Urine Test - Microalbumin (Protein) Level$71N/A$71
Urine Test - Pregnancy$32N/A$32
Urine Test - Urinalysis, Manual Test$21N/A$21
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)$634N/A$634
X-Ray - Wrist (outpatient)$550N/A$550