Dartmouth-Hitchcock (Walpole)

11 Westminster Street Walpole, NH 03608
Medical Procedures
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Mammogram (outpatient)$10120%$1012 Medium

Laboratory Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Blood test for basic metabolic panel$1540%$154 Medium
Blood test for blood glucose control (Hemoglobin A1C)$910%$91 Medium
Blood test for complete blood cell count and automated WBC$660%$66 Medium
Hepatic (Liver) Function Panel$1540%$154 Medium
Lipid Panel - Cholesterol Test$1490%$149 Medium
Pap Test$1790%$179 Medium
Pregnancy test, urine$590%$59 Medium
Strep Test (Streptococcus, group A)$980%$98 Medium

Office Visits

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Basic Office Visit$1530%$153 Medium
Office Visit, Established Pt$2140%$214 Medium
Office Visit of Moderate Complexity$3270%$327 Medium
Office Visit, New Pt, Low$3270%$327 Medium
Comp Preventive Medicine younger than 1 yrs old$2730%$273 Medium
Comp Preventive Medicine 1-4 yrs old$2870%$287 Medium
Comp Preventive Medicine 5-11 yrs old$2770%$277 Medium
Comp Preventive Medicine 12-17 yrs old$3500%$350 Medium
Comp Preventive Medicine 18-39 yrs old$3620%$362 Medium
Comp Preventive Medicine 40-64 yrs old$4170%$417 Medium