Dartmouth-Hitchcock (Nashua)

2300 Southwood Drive Nashua, NH 03063
http://www.dartmouth-hitchcock.org/index.html
(603) 577-4000

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%
Antinuclear Antibodies (ANA) Level $173 N/A $173
Arthrocentesis $915 N/A $915
Back MRI $3,875 N/A $3,875
Bacterial Culture $31 N/A $31
Bacterial Culture Swab $162 N/A $162
Bacterial Culture Swab for Aerobic Isolates $27 N/A $27
Bacterial Culture, Quantitative Colony Count $64 N/A $64
Biopsy of Skin Lesion $1,760 N/A $1,760
Blood Count (Hemoglobin) $51 N/A $51
Blood Glucose (Sugar) Level $23 N/A $23
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Bone Density Scan $777 N/A $777
Borrelia Burgdorferi (Lyme disease) Antibody Level $162 N/A $162
Brain MRI $7,589 N/A $7,589
Chlamydia Test $179 N/A $179
Cholesterol Test, Lipid Panel $144 N/A $144
Clotting Time $79 N/A $79
Coagulation Assessment $16 N/A $16
Complete Blood Cell Count (Hemoglobin) $56 N/A $56
Complete Blood Cell Count and Automated White Blood Cells $40 N/A $40
Comprehensive Metabolic Panel $65 N/A $65
Creatinine Level $46 N/A $46
CT Scan of Abdomen and Pelvis, With Contrast $2,752 N/A $2,752
CT Scan of Chest, With Contrast $2,318 N/A $2,318
Detection for Strep (Streptococcus, group A) $118 N/A $118
Detection Test for Human Papillomavirus (HPV) $280 N/A $280
Developmental Screening $77 N/A $77
Diagnostic Mammogram of Both Breasts $589 N/A $589
Diagnostic Mammogram of One Breast $484 N/A $484
Electrocardiogram (ECG or EKG) With Report and Interpretation $210 N/A $210
Electrocardiogram (ECG or EKG) With Tracing $125 N/A $125
Electrocardiogram (ECG or EKG), Report and Interpretation Only $85 N/A $85
Evaluation of Antimicrobial Drug (Antibiotic, Antifungal, Antiviral) $29 N/A $29
Family Psychotherapy with Patient $147 Below Average
State Average: 2
 $147
Ferritin (Blood Protein) Level $118 N/A $118
Follow-Up Pregnancy Ultrasound $552 N/A $552
General Health Panel $277 N/A $277
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $179 N/A $179
Hepatic (Liver) Function Panel $79 N/A $79
Hepatitis A Vaccine for Children, Injected into Muscle $297 N/A $297
Hepatitis C Antibody Level $82 N/A $82
Human Papilloma Virus Vaccine, Injected into Muscle $67 N/A $67
Influenza Vaccine, Injected into Muscle $97 N/A $97
Iron Binding Capacity $50 N/A $50
Iron Level $44 N/A $44
Knee MRI $3,600 N/A $3,600
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect Coronavirus (COVID-19) Antigen $53 N/A $53
Lab Test to Detect HIV-1 and HIV-2 $124 N/A $124
Lab Test to Detect Influenza Virus $75 N/A $75
Lab Test to Measure Creatinine Level $60 N/A $60
LDL Cholesterol Level $78 N/A $78
Lead Level $108 N/A $108
Lipase (Fat Enzyme) Level $51 N/A $51
Manual Physical Therapy $141 Below Average
State Average: 4
 $141
Microalbumin (Protein) Level $77 N/A $77
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $588 N/A $588
New Patient Preventive Care Visit for Adult, 40-64 $593 N/A $593
New Patient Preventive Care Visit for Adult, Ages 18-39 $525 N/A $525
New Patient Preventive Care Visit for Child, Ages 1-4 $445 N/A $445
New Patient Preventive Care Visit for Child, Ages 5-11 $465 N/A $465
New Patient Preventive Care Visit for Child, Under Age 1 $422 N/A $422
Office Visit for Established Patient, Basic $184 N/A $184
Office Visit for Established Patient, High Complexity $557 N/A $557
Office Visit for Established Patient, Low Complexity $255 N/A $255
Office Visit for Established Patient, Minimal Presenting Problem $112 N/A $112
Office Visit for Established Patient, Moderate Complexity $393 N/A $393
Office Visit for New Patient, High Complexity $773 N/A $773
Office Visit for New Patient, Low Complexity $395 N/A $395
Office Visit for New Patient, Minor Complexity $299 N/A $299
Office Visit for New Patient, Moderate Complexity $595 N/A $595
Pap Test Screening, Automated with Manual Review $264 N/A $264
Parathyroid Hormone (PTH) Level $536 N/A $536
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $310
Pneumococcal Vaccine for Children, Injected into Muscle $67 N/A $67
Pregnancy Test $62 N/A $62
Pregnancy Ultrasound (Outpatient) $811 N/A $811
Presence of Drug $105 N/A $105
Preventive Care Visit for Adolescent, Under Ages 12-17 $421 N/A $421
Preventive Care Visit for Adult, 40-64 $501 N/A $501
Preventive Care Visit for Adult, Ages 18-39 $460 N/A $460
Preventive Care Visit for Child, Under Age 1 $329 N/A $329
Preventive Care Visit for Child, Under Ages 1-4 $355 N/A $355
Preventive Care Visit for Child, Under Ages 5-11 $353 N/A $353
Prostate Cancer Screening $238 N/A $238
Prostate Specific Antigen (PSA) Level, Total $108 N/A $108
Psychiatric Diagnostic Evaluation $173 Near Average
State Average: 1
 $173
Psychotherapy, 30 Minutes with Patient $184 Near Average
State Average: 1
 $184
Psychotherapy, 45 Minutes with Patient $110 Below Average
State Average: 4
 $110
Psychotherapy, 60 Minutes with Patient $147 Below Average
State Average: 6
 $147
Rotovirus Vaccine, Oral Administration $67 N/A $67
Screening Mammogram of Both Breasts $602 N/A $602
Skin Growth Removal, Premalignant or Precancerous $836 N/A $836
Skin Growth Removal, Up to 14, Benign or Noncancerous $919 N/A $919
Telehealth Visit for Established Patient, 11-20 minutes $202 N/A $202
Telehealth Visit for Established Patient, 21-30 minutes $273 N/A $273
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $163
Thyroglobulin (Thyroid Protein) Antibody Level $40 N/A $40
Thyroid Stimulating Hormone (TSH) Level $104 N/A $104
Thyroxine (Thyroid Chemical) Level, Free $54 N/A $54
Ultrasound of Breast $389 N/A $389
Ultrasound of Heart (Echocardiogram) $1,932 N/A $1,932
Ultrasound of Pelvis $649 N/A $649
Urinalysis, Automated with Microscope Examination $48 N/A $48
Urinalysis, Automated without Microscope $7 N/A $7
Urinalysis, Manual Test $57 N/A $57
Vitamin D-3 Level $325 N/A $325
X-Ray of Chest, 2 Views $272 N/A $272
X-Ray of Fingers, 2 Views $177 N/A $177
X-Ray of Knee, 1 or 2 Views $231 N/A $231
X-Ray of Knee, 4 Views $308 N/A $308
X-Ray of Lower Leg, 2 Views $233 N/A $233
X-Ray of Neck, 4 to 5 Views $403 N/A $403