DMC Primary Care

6 Tsienneto Road, Suite 100 Derry, NH 03038
http://www.derrymedicalcenter.com/
(603) 537-1300

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%
Antinuclear Antibodies (ANA) Level $105 N/A $105
Arthrocentesis $676 N/A $676
Bacterial Culture, Quantitative Colony Count $76 N/A $76
Basic Metabolic Panel $44 N/A $44
Bilirubin Level $6 N/A $6
Biopsy of Skin Lesion $554 N/A $554
Blood Glucose Control (Hemoglobin A1C) $21 N/A $21
Chlamydia Test $129 N/A $129
Cholesterol Test, Lipid Panel $103 N/A $103
Clotting Time $19 N/A $19
Coagulation Assessment $46 N/A $46
Complete Blood Cell Count (Hemoglobin) $35 N/A $35
Complete Blood Cell Count and Automated White Blood Cells $33 N/A $33
Comprehensive Metabolic Panel $48 N/A $48
Detection for Strep (Streptococcus, group A) $26 N/A $26
Detection Test for Human Papillomavirus (HPV) $183 N/A $183
Developmental Screening $42 N/A $42
Diagnostic Mammogram of Both Breasts $1,691 N/A $1,691
Diagnostic Mammogram of One Breast $788 N/A $788
Electrocardiogram (ECG or EKG) With Report and Interpretation $410 N/A $410
Ferritin (Blood Protein) Level $83 N/A $83
Folic Acid Level $124 N/A $124
General Health Panel $190 N/A $190
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $129 N/A $129
Hepatic (Liver) Function Panel $43 N/A $43
Hepatitis A Vaccine for Adults, Injected into Muscle $149 N/A $149
Hepatitis A Vaccine for Children, Injected into Muscle $368 N/A $368
Hepatitis C Antibody Level $112 N/A $112
Human Papilloma Virus Vaccine, Injected into Muscle $37 N/A $37
Influenza Vaccine, Injected into Muscle $90 N/A $90
Iron Binding Capacity $45 N/A $45
Iron Level $36 N/A $36
Lab Test to Detect Coronavirus (COVID-19) $105 N/A $105
Lab Test to Detect Coronavirus (COVID-19) Antigen $74 N/A $74
Lab Test to Detect Influenza Virus $37 N/A $37
Lab Test to Measure Creatinine Level $62 N/A $62
Lead Level $78 N/A $78
Lipase (Fat Enzyme) Level $51 N/A $51
Liver Enzyme (ALT or SGPT) Level $39 N/A $39
Liver Enzyme (AST or SGOT) Level $39 N/A $39
Magnesium Level $39 N/A $39
Microalbumin (Protein) Level $77 N/A $77
Natriuretic Peptide Level $202 N/A $202
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $310 N/A $310
New Patient Preventive Care Visit for Adult, 40-64 $357 N/A $357
New Patient Preventive Care Visit for Adult, Ages 18-39 $315 N/A $315
New Patient Preventive Care Visit for Child, Ages 1-4 $226 N/A $226
New Patient Preventive Care Visit for Child, Ages 5-11 $268 N/A $268
New Patient Preventive Care Visit for Child, Under Age 1 $221 N/A $221
Office Visit for Established Patient, Basic $93 N/A $93
Office Visit for Established Patient, High Complexity $368 N/A $368
Office Visit for Established Patient, Low Complexity $189 N/A $189
Office Visit for Established Patient, Minimal Presenting Problem $58 N/A $58
Office Visit for Established Patient, Moderate Complexity $294 N/A $294
Office Visit for New Patient, High Complexity $420 N/A $420
Office Visit for New Patient, Low Complexity $221 N/A $221
Office Visit for New Patient, Moderate Complexity $341 N/A $341
Pap Test Screening, Automated with Manual Review $130 N/A $130
Pathology Examination of Tissue, Intermediate Complexity $187 N/A $187
Phosphate Level $39 N/A $39
Pneumococcal Vaccine for Children, Injected into Muscle $126 N/A $126
Pregnancy Test $21 N/A $21
Preventive Care Visit for Adolescent, Under Ages 12-17 $263 N/A $263
Preventive Care Visit for Adult, 40-64 $315 N/A $315
Preventive Care Visit for Adult, Ages 18-39 $289 N/A $289
Preventive Care Visit for Child, Under Age 1 $231 N/A $231
Preventive Care Visit for Child, Under Ages 1-4 $263 N/A $263
Preventive Care Visit for Child, Under Ages 5-11 $242 N/A $242
Prostate Cancer Screening $205 N/A $205
Prostate Specific Antigen (PSA) Level, Total $112 N/A $112
Psychotherapy, 45 Minutes with Patient $200 Near Average
State Average: 4
 $200
Rotovirus Vaccine, Oral Administration $252 N/A $252
Screening Mammogram of Both Breasts $998 N/A $998
Skin Growth Removal, Premalignant or Precancerous $478 N/A $478
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $51 N/A $51
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $63 N/A $63
Thyroid Stimulating Hormone (TSH) Level $109 N/A $109
Thyroxine (Thyroid Chemical) Level, Free $123 N/A $123
Urinalysis, Automated with Microscope Examination $50 N/A $50
Urinalysis, Automated without Microscope $53 N/A $53
Urinalysis, Manual Test $5 N/A $5
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $111 N/A $111
Vitamin D-3 Level $287 N/A $287
X-Ray of Fingers, 2 Views $473 N/A $473
X-Ray of Knee, 4 Views $504 N/A $504
X-Ray of Lower Leg, 2 Views $492 N/A $492
X-Ray of Neck, 4 to 5 Views $530 N/A $530