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 $866 N/A $866
Automated Pap Test Screening and Manual Rescreening $261 N/A $261
Automated with Microscope Examination $156 N/A $156
Automated without Microscope $53 N/A $53
Back MRI $3,539 N/A $3,539
Bacterial Culture Swab $172 N/A $172
Bacterial Culture, Quantitative Colony Count $90 N/A $90
Blood Count (Hemoglobin) $44 N/A $44
Blood Glucose (Sugar) Level $22 N/A $22
Blood Glucose Control (Hemoglobin A1C) $78 N/A $78
Blood Typing (ABO) $82 N/A $82
Blood Typing (Rh (D)) $113 N/A $113
Bone Density Scan $709 N/A $709
Brain MRI $7,405 N/A $7,405
C-reactive Protein (CRP) Level $33 N/A $33
Chlamydia Test $196 N/A $196
Cholesterol Test, Lipid Panel $123 N/A $123
Clotting Time $53 N/A $53
Coagulation Assessment $55 N/A $55
Complete Blood Cell Count (Hemoglobin) $59 N/A $59
Complete Blood Cell Count and Automated White Blood Cells $71 N/A $71
Comprehensive Metabolic Panel $65 N/A $65
CT Scan of Abdomen and Pelvis, With Contrast $2,781 N/A $2,781
Detection for Strep (Streptococcus, group A) $108 N/A $108
Detection Test for Hepatitis B Surface Antigen $197 N/A $197
Detection Test for Human Papillomavirus (HPV) $195 N/A $195
Developmental Screening $70 N/A $70
Electrocardiogram (ECG or EKG) With Report and Interpretation $576 N/A $576
Electrocardiogram (ECG or EKG) With Tracing $602 N/A $602
Ferritin (Blood Protein) Level $82 N/A $82
Folic Acid Level $88 N/A $88
Follow-Up Pregnancy Ultrasound $531 N/A $531
General Health Panel $190 N/A $190
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $135 N/A $135
Hepatic (Liver) Function Panel $53 N/A $53
Hepatitis C Antibody Level $112 N/A $112
Influenza Vaccine, Injected into Muscle $62 N/A $62
Iron Binding Capacity $53 N/A $53
Iron Level $39 N/A $39
Knee MRI $3,288 N/A $3,288
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $107
Lab Test to Detect HIV-1 and HIV-2 $134 N/A $134
Lab Test to Detect Influenza Virus $75 N/A $75
LDL Cholesterol Level $76 N/A $76
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $480 N/A $480
New Patient Preventive Care Visit for Adult, 40-64 $545 N/A $545
New Patient Preventive Care Visit for Adult, Ages 18-39 $480 N/A $480
New Patient Preventive Care Visit for Child, Ages 5-11 $427 N/A $427
New Patient Preventive Care Visit for Child, Under Age 1 $385 N/A $385
Office Visit for Established Patient, Basic $168 N/A $168
Office Visit for Established Patient, High Complexity $512 N/A $512
Office Visit for Established Patient, Low Complexity $235 N/A $235
Office Visit for Established Patient, Minimal Presenting Problem $107 N/A $107
Office Visit for Established Patient, Moderate Complexity $358 N/A $358
Office Visit for New Patient, High Complexity $684 N/A $684
Office Visit for New Patient, Low Complexity $300 N/A $300
Office Visit for New Patient, Minor Complexity $273 N/A $273
Office Visit for New Patient, Moderate Complexity $544 N/A $544
Pathology Examination of Tissue, Intermediate Complexity $342 N/A $342
Pneumococcal Conjugate Vaccine, Injected into Muscle $654 N/A $654
Pregnancy Test $62 N/A $62
Pregnancy Ultrasound (Outpatient) $744 N/A $744
Preventive Care Visit for Adolescent, Under Ages 12-17 $387 N/A $387
Preventive Care Visit for Adult, 40-64 $461 N/A $461
Preventive Care Visit for Adult, Ages 18-39 $422 N/A $422
Preventive Care Visit for Child, Under Age 1 $302 N/A $302
Preventive Care Visit for Child, Under Ages 1-4 $324 N/A $324
Preventive Care Visit for Child, Under Ages 5-11 $324 N/A $324
Prostate Specific Antigen (PSA) Level $113 N/A $113
Psychotherapy, 30 Minutes with Patient $169 Above Average
State Average: 1
$169
Screening Mammogram of Both Breasts $547 N/A $547
Skin Growth Removal, Premalignant or Precancerous $645 N/A $645
Skin Growth Removal, Up to 14, Benign or Noncancerous $628 N/A $628
Tangential Biopsy of Skin $1,150 N/A $1,150
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 $864 N/A $864
Ultrasound of Pelvis $595 N/A $595
Urinalysis, Manual Test $57 N/A $57
Vitamin B-12 (Cyanocobalamin) Level $88 N/A $88
Vitamin D-3 Level $203 N/A $203
X-Ray of Ankle $606 N/A $606
X-Ray of Chest, 2 Views $606 N/A $606
X-Ray of Foot $603 N/A $603
X-Ray of Hand $875 N/A $875
X-Ray of Knee $583 N/A $583
X-Ray of Shoulder $782 N/A $782