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 $1,039 N/A $1,039
Back MRI $3,875 N/A $3,875
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
Biopsy of Skin Lesion $1,080 N/A $1,080
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 $7,799 N/A $7,799
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 $2,959 N/A $2,959
CT Scan of Chest, With Contrast $2,455 N/A $2,455
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 $603 N/A $603
Electrocardiogram (ECG or EKG) With Tracing $520 N/A $520
Electrocardiogram (ECG or EKG), Report and Interpretation Only $457 N/A $457
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 $135 N/A $135
Hepatic (Liver) Function Panel $49 N/A $49
Hepatitis A Vaccine for Children, Injected into Muscle $422 N/A $422
Hepatitis C Antibody Level $84 N/A $84
Human Papilloma Virus Vaccine, Injected into Muscle $65 N/A $65
Influenza Vaccine, Injected into Muscle $124 N/A $124
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 $134 N/A $134
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 $525 N/A $525
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 $729 N/A $729
Office Visit for New Patient, Low Complexity $337 N/A $337
Office Visit for New Patient, Minor Complexity $286 N/A $286
Office Visit for New Patient, Moderate Complexity $569 N/A $569
Pap Test Screening, Automated with Manual Review $261 N/A $261
Pathology Examination of Tissue, Intermediate Complexity $310 N/A $310
Pneumococcal Vaccine for Children, Injected into Muscle $65 N/A $65
Pregnancy Test $62 N/A $62
Pregnancy Ultrasound (Outpatient) $779 N/A $779
Presence of Drug $105 N/A $105
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, Total $108 N/A $108
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
$158
Psychotherapy, 30 Minutes with Patient $184 Near Average
State Average: 1
$184
Psychotherapy, 45 Minutes with Patient $105 Below Average
State Average: 4
$105
Psychotherapy, 60 Minutes with Patient $131 Below Average
State Average: 6
$131
Rotovirus Vaccine, Oral Administration $65 N/A $65
Screening Mammogram of Both Breasts $573 N/A $573
Skin Growth Removal, Premalignant or Precancerous $551 N/A $551
Skin Growth Removal, Up to 14, Benign or Noncancerous $723 N/A $723
Sleep Monitoring $5,905 N/A $5,905
Smear for Microorganism $101 N/A $101
Thyroid Stimulating Hormone (TSH) Level $101 N/A $101
Thyroxine (Thyroid Chemical) Level, Free $54 N/A $54
Ultrasound of Breast $371 N/A $371
Ultrasound of Pelvis $649 N/A $649
Urea Nitrogen Level $24 N/A $24
Urinalysis, Automated with Microscope Examination $156 N/A $156
Urinalysis, Automated without Microscope $8 N/A $8
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 Chest, 2 Views $634 N/A $634
X-Ray of Foot $631 N/A $631
X-Ray of Hand $1,071 N/A $1,071
X-Ray of Knee $823 N/A $823
X-Ray of Shoulder $818 N/A $818