Dmc Primary Care

6 Tsienneto Road, Suite 100 Derry, NH 03038
Medical Procedures
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ProcedureEstimate of Total Cost Uninsured Discount What You Will Pay
Arthrocentesis (outpatient)$6180%$618
Biopsy - Punch Biopsy of Skin$4440%$444
Biopsy - Tangential Biopsy of Skin$5120%$512
Blood Test - Basic Metabolic Panel$180%$18
Blood Test - Blood Glucose Control (Hemoglobin A1C)$210%$21
Blood Test - Cholesterol Test, Lipid Panel$1030%$103
Blood Test - Clotting Time$160%$16
Blood Test - Complete Blood Cell Count and Automated WBC$330%$33
Blood Test - Comprehensive Metabolic Panel$480%$48
Blood Test - Ferritin (Blood Protein) Level$860%$86
Blood Test - General Health Panel$1900%$190
Blood Test - Hepatitis C Antibody Level$1120%$112
Blood Test - Iron Level$320%$32
Blood Test - Prostate Specific Antigen (PSA) Level$1120%$112
Blood Test - Thyroid Stimulating Hormone (TSH) Level$1090%$109
Blood Test - Thyroxine (Thyroid Chemical) Level, Free$1230%$123
Blood Test - Triiodothyronine (T3) Thyroid Hormone Measurement$1630%$163
Blood Test - Vitamin B-12 (Cyanocobalamin) Level$1110%$111
Blood Test - Vitamin D-3 Level$680%$68
Destruction of Lesion (outpatient)$3730%$373
Detection test for Human Papillomavirus (HPV)$1780%$178
Electrocardiogram (ECG or EKG)$1,0190%$1,019
Lab Test - Detection test for HIV-1 and HIV-2$1760%$176
Lab Test - Detection test for Influenza Virus$260%$26
Mammogram (outpatient)$9340%$934
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 1-4 Years Old$2630%$263
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 12-17 Years Old$3100%$310
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 18-39 Years Old$2940%$294
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 40-64 Years Old$3410%$341
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, 5-11 Years Old$2470%$247
Office Visit - Comprehensive Preventive Medicine Evaluation and Management, New Patient, Younger than 1 Year Old$2050%$205
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 1-4 Years Old$2630%$263
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 12-17 Years Old$2630%$263
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 18-39 Years Old$2890%$289
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 40-64 Years Old$2840%$284
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, 5-11 Years Old$2360%$236
Office Visit - Comprehensive Preventive Medicine Reevaluation and Management, Younger than 1 Year Old$2310%$231
Office Visit - Established Patient, High Complexity$2890%$289
Office Visit - Established Patient, Low Complexity$1890%$189
Office Visit - Established Patient, Moderate Complexity$2630%$263
Office Visit - New Patient, Low Complexity$2210%$221
Office Visit - New Patient, Moderate Complexity$3410%$341
Pap Test$1300%$130
Psychiatric Diagnostic Evaluation$2630%$263
Psychotherapy - 45 Minutes$1840%$184
Strep Test (Streptococcus, group A)$260%$26
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition$190%$19
Urine Test - Automated with Microscope Examination$380%$38
Urine Test - Bacterial Culture, Quantitative Colony Count$760%$76
Urine Test - Chlamydia$1290%$129
Urine Test - Gonorrhoeae (Neisseria Gonorrhoeae Bacteria)$1290%$129
Urine Test - Microalbumin (Protein) Level$720%$72
Urine Test - Pregnancy$210%$21
Urine Test - Urinalysis, Manual Test$50%$5
Vaccine - Pneumococcal Conjugate for Injection into Muscle$2680%$268
Vaccine - Tetanus, Diptheria Toxoids, and Acellular Pertussis (Whooping Cough) for Injection into Muscle$680%$68