Dartmouth-Hitchcock (Walpole)

11 Westminster Street Walpole, NH 03608
http://www.dartmouth-hitchcock.org/index.html
(603) 756-3960

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%
Automated without Microscope $27 N/A $27
Blood Glucose (Sugar) Level $43 N/A $43
Cholesterol Test, Lipid Panel $107 N/A $107
Influenza Vaccine, Injected into Muscle $62 N/A $62
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $107
Office Visit for Established Patient, Basic $168 N/A $168
Office Visit for Established Patient, Low Complexity $235 N/A $235
Office Visit for Established Patient, Moderate Complexity $358 N/A $358
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
Screening Mammogram of Both Breasts $1,085 N/A $1,085
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $145 N/A $145
Triiodothyronine (T3) Thyroid Hormone Measurement $159 N/A $159
Urinalysis, Manual Test $57 N/A $57