Dartmouth-Hitchcock (Nashua)

2300 Southwood Drive Nashua, NH 03063
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Arthrocentesis (outpatient)$8970%$897
Bacterial Culture - Swab$1870%$187
Biopsy - Tangential Biopsy of Skin$1,1520%$1,152
Blood Test - Basic Metabolic Panel$480%$48
Blood Test - Blood Glucose Control (Hemoglobin A1C)$780%$78
Blood Test - Cholesterol Test, Lipid Panel$1230%$123
Blood Test - Clotting Time$620%$62
Blood Test - Coagulation Assessment$540%$54
Blood Test - Complete Blood Cell Count (Hemoglobin)$700%$70
Blood Test - Complete Blood Cell Count and Automated WBC$590%$59
Blood Test - Comprehensive Metabolic Panel$650%$65
Blood Test - Ferritin (Blood Protein) Level$830%$83
Blood Test - General Health Panel$1900%$190
Blood Test - Hepatitis C Antibody Level$1520%$152
Blood Test - Iron Level$200%$20
Blood Test - LDL Cholesterol Level$760%$76
Blood Test - Prostate Specific Antigen (PSA) Level$1120%$112
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1040%$104
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$560%$56
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$970%$97
Blood Test - Vitamin D-3 Level$1840%$184
Bone Density Scan (outpatient)$7090%$709
CT Scan - Abdomen and Pelvis, with Contrast$2,7150%$2,715
Destruction of Lesion (outpatient)$6210%$621
Destruction of Lesions, up to 14$4130%$413
Detection test for Human Papillomavirus (HPV)$1920%$192
Electrocardiogram (ECG or EKG)$6260%$626
Lab Test - Detection test for Hepatitis B Surface Antigen$1970%$197
Lab Test - Detection test for HIV-1 and HIV-2$1490%$149
Mammogram (outpatient)$5230%$523
MRI - Back (outpatient)$3,5390%$3,539
MRI - Brain (outpatient)$7,2450%$7,245
MRI - Knee (outpatient)$3,1400%$3,140
Office Visit - Basic$1620%$162
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$3890%$389
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$4800%$480
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$4610%$461
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$5210%$521
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$4080%$408
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$3680%$368
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$3100%$310
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3790%$379
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$4030%$403
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$4400%$440
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$3100%$310
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2890%$289
Office Visit - Established Patient, High Complexity$4920%$492
Office Visit - Established Patient, Low Complexity$2260%$226
Office Visit - Established Patient, Moderate Complexity$3440%$344
Office Visit - New Patient, Low Complexity$3440%$344
Office Visit - New Patient, Minor$2600%$260
Office Visit - New Patient, Moderate Complexity$5200%$520
Pap Test$2360%$236
Psychiatric Diagnostic Evaluation$2550%$255
Psychotherapy - 30 Minutes$1370%$137
Psychotherapy - 45 Minutes$1840%$184
Psychotherapy - Family Session$2360%$236
Strep Test (Streptococcus, group A)$1030%$103
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$200%$20
Ultrasound - Breast (outpatient)$8310%$831
Ultrasound - Pregnancy (outpatient)$7160%$716
Ultrasound - Pregnancy Follow-Up$5100%$510
Ultrasound - Transvaginal (non-maternity)$9020%$902
Urine Test - Automated with Microscope Examination$1710%$171
Urine Test - Automated without Microscope$1910%$191
Urine Test - Bacterial Culture, Quantitative Colony Count$870%$87
Urine Test - Chlamydia$1800%$180
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1640%$164
Urine Test - Microalbumin (Protein) Level$690%$69
Urine Test - Pregnancy$590%$59
Urine Test - Urinalysis, Manual Test$550%$55
Vaccine - Pneumococcal Conjugate for Injection into Muscle$6240%$624
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$1410%$141
X-Ray - Chest (outpatient)$5810%$581
X-Ray - Foot (outpatient)$5530%$553
X-Ray - Hand$8340%$834
X-Ray - Knee (outpatient)$5430%$543
X-Ray - Shoulder (outpatient)$7490%$749