Dartmouth-Hitchcock (Walpole)

11 Westminster Street Walpole, NH 03608
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay Typical Patient Complexity
Blood Test - Basic Metabolic Panel$1580%$158 Medium
Blood Test - Blood Glucose Control (Hemoglobin A1C)$850%$85 Medium
Blood Test - Cholesterol Test, Lipid Panel$1490%$149 Medium
Blood Test - Complete Blood Cell Count and Automated WBC$660%$66 Medium
Blood Test - Hepatic (Liver) Function Panel$1540%$154 Medium
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1410%$141 Medium
Office Visit - Basic$1530%$153 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2930%$293 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$3500%$350 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$3820%$382 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$4170%$417 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2930%$293 Medium
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2730%$273 Medium
Office Visit - Established Patient, Low Complexity$2140%$214 Medium
Office Visit - Established Patient, Moderate Complexity$3270%$327 Medium
Office Visit - New Patient, Low Complexity$3270%$327 Medium
Pap Test$1790%$179 Medium
Strep Test (Streptococcus, group A)$980%$98 Medium
Urine Test - Pregnancy$590%$59 Medium