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%
Arthrocentesis $1,023 N/A $1,023
Automated Pap Test Screening and Manual Rescreening $261 N/A $261
Automated with Microscope Examination $103 N/A $103
Automated without Microscope $53 N/A $53
Back MRI $3,701 N/A $3,701
Bacterial Culture $31 N/A $31
Bacterial Culture Swab $149 N/A $149
Bacterial Culture Swab for Aerobic Isolates $74 N/A $74
Bacterial Culture, Quantitative Colony Count $143 N/A $143
Basic Metabolic Panel $82 N/A $82
Blood Count (Hemoglobin) $44 N/A $44
Blood Glucose (Sugar) Level $22 N/A $22
Blood Glucose Control (Hemoglobin A1C) $58 N/A $58
Bone Density Scan $742 N/A $742
Borrelia Burgdorferi (Lyme disease) Antibody Level $139 N/A $139
Brain MRI $7,617 N/A $7,617
C-reactive Protein (CRP) Level $33 N/A $33
Chlamydia Test $196 N/A $196
Cholesterol Test, Lipid Panel $144 N/A $144
Clotting Time $79 N/A $79
Coagulation Assessment $55 N/A $55
Complete Blood Cell Count (Hemoglobin) $46 N/A $46
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $71
Comprehensive Metabolic Panel $97 N/A $97
Coronavirus (COVID-19) Antibody Level $57 N/A $57
Creatinine Level $30 N/A $30
CT Scan of Abdomen and Pelvis, With Contrast $2,937 N/A $2,937
Detection for Strep (Streptococcus, group A) $69 N/A $69
Detection Test for Hepatitis B Surface Antigen $62 N/A $62
Detection Test for Human Papillomavirus (HPV) $300 N/A $300
Developmental Screening $74 N/A $74
Diagnostic Mammogram of Both Breasts $635 N/A $635
Diagnostic Mammogram of One Breast $534 N/A $534
Electrocardiogram (ECG or EKG) With Report and Interpretation $576 N/A $576
Electrocardiogram (ECG or EKG) With Tracing $599 N/A $599
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $135 N/A $135
Ferritin (Blood Protein) Level $82 N/A $82
Folic Acid Level $88 N/A $88
Follow-Up Pregnancy Ultrasound $531 N/A $531
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $121 N/A $121
Hepatic (Liver) Function Panel $49 N/A $49
Hepatitis C Antibody Level $84 N/A $84
Influenza Vaccine, Injected into Muscle $62 N/A $62
Iron Binding Capacity $53 N/A $53
Iron Level $39 N/A $39
Knee MRI $3,439 N/A $3,439
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $107
Lab Test to Detect Coronavirus (COVID-19) Antigen $53 N/A $53
Lab Test to Detect HIV-1 and HIV-2 $151 N/A $151
Lab Test to Measure Creatinine Level $60 N/A $60
LDL Cholesterol Level $76 N/A $76
Lipase (Fat Enzyme) Level $41 N/A $41
Microalbumin (Protein) Level $77 N/A $77
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $502 N/A $502
New Patient Preventive Care Visit for Adult, 40-64 $570 N/A $570
New Patient Preventive Care Visit for Adult, Ages 18-39 $502 N/A $502
New Patient Preventive Care Visit for Child, Ages 1-4 $425 N/A $425
New Patient Preventive Care Visit for Child, Ages 5-11 $447 N/A $447
New Patient Preventive Care Visit for Child, Under Age 1 $403 N/A $403
Office Visit for Established Patient, Basic $175 N/A $175
Office Visit for Established Patient, High Complexity $536 N/A $536
Office Visit for Established Patient, Low Complexity $246 N/A $246
Office Visit for Established Patient, Minimal Presenting Problem $112 N/A $112
Office Visit for Established Patient, Moderate Complexity $375 N/A $375
Office Visit for New Patient, High Complexity $715 N/A $715
Office Visit for New Patient, Low Complexity $224 N/A $224
Office Visit for New Patient, Minor Complexity $286 N/A $286
Office Visit for New Patient, Moderate Complexity $569 N/A $569
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $310
Pneumococcal Conjugate Vaccine, Injected into Muscle $654 N/A $654
Pregnancy Test $62 N/A $62
Pregnancy Ultrasound (Outpatient) $779 N/A $779
Preventive Care Visit for Adolescent, Under Ages 12-17 $405 N/A $405
Preventive Care Visit for Adult, 40-64 $482 N/A $482
Preventive Care Visit for Adult, Ages 18-39 $442 N/A $442
Preventive Care Visit for Child, Under Age 1 $316 N/A $316
Preventive Care Visit for Child, Under Ages 1-4 $339 N/A $339
Preventive Care Visit for Child, Under Ages 5-11 $339 N/A $339
Prostate Specific Antigen (PSA) Level $108 N/A $108
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
$158
Psychotherapy, 30 Minutes with Patient $176 Near Average
State Average: 1
$176
Psychotherapy, 45 Minutes with Patient $105 Below Average
State Average: 4
$105
Psychotherapy, 60 Minutes with Patient $131 Below Average
State Average: 6
$131
Screening Mammogram of Both Breasts $573 N/A $573
Skin Growth Removal, Premalignant or Precancerous $566 N/A $566
Skin Growth Removal, Up to 14, Benign or Noncancerous $671 N/A $671
Smear for Microorganism $101 N/A $101
Tangential Biopsy of Skin $1,080 N/A $1,080
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $163 N/A $163
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $144 N/A $144
Thyroid Stimulating Hormone (TSH) Level $101 N/A $101
Thyroxine (Thyroid Chemical) Level, Free $54 N/A $54
Transvaginal Ultrasound (Non-Maternity) $973 N/A $973
Ultrasound of Breast $371 N/A $371
Ultrasound of Pelvis $649 N/A $649
Urea Nitrogen Level $24 N/A $24
Urinalysis, Manual Test $57 N/A $57
Vitamin B-12 (Cyanocobalamin) Level $88 N/A $88
Vitamin D-3 Level $145 N/A $145
X-Ray of Ankle $783 N/A $783
X-Ray of Chest, 2 Views $634 N/A $634
X-Ray of Foot $603 N/A $603
X-Ray of Hand $956 N/A $956
X-Ray of Knee $717 N/A $717
X-Ray of Shoulder $818 N/A $818