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 $99 N/A $99
Arthrocentesis $769 N/A $769
Bacterial Culture $34 N/A $34
Bacterial Culture Swab $126 N/A $126
Bacterial Culture, Quantitative Colony Count $70 N/A $70
Basic Metabolic Panel $46 N/A $46
Bilirubin Level $6 N/A $6
Biopsy of Skin Lesion $637 N/A $637
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
Borrelia Burgdorferi (Lyme disease) Antibody Level $150 N/A $150
C-reactive Protein (CRP) Level $88 N/A $88
Chlamydia Test $128 N/A $128
Cholesterol Test, Lipid Panel $108 N/A $108
Clotting Time $19 N/A $19
Complete Blood Cell Count and Automated White Blood Cells $41 N/A $41
Comprehensive Metabolic Panel $89 N/A $89
Detection for Strep (Streptococcus, group A) $37 N/A $37
Developmental Screening $42 N/A $42
Diagnostic Mammogram of One Breast $788 N/A $788
Electrocardiogram (ECG or EKG) With Report and Interpretation $84 N/A $84
Electrocardiogram (ECG or EKG) With Tracing $39 N/A $39
Folic Acid Level $105 N/A $105
General Health Panel $200 N/A $200
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $128 N/A $128
Hepatitis A Vaccine for Adults, Injected into Muscle $208 N/A $208
Hepatitis A Vaccine for Children, Injected into Muscle $252 N/A $252
Hepatitis C Antibody Level $168 N/A $168
Human Papilloma Virus Vaccine, Injected into Muscle $63 N/A $63
Influenza Vaccine, Injected into Muscle $105 N/A $105
Injection of Substance for Pain Management, Lower Back or Tailbone $2,340 N/A $2,340
Iron Binding Capacity $47 N/A $47
Iron Level $35 N/A $35
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 HIV-1 and HIV-2 $155 N/A $155
Lab Test to Detect Influenza Virus $37 N/A $37
Lab Test to Measure Creatinine Level $67 N/A $67
Lipase (Fat Enzyme) Level $54 N/A $54
Liver Enzyme (ALT or SGPT) Level $41 N/A $41
Liver Enzyme (AST or SGOT) Level $41 N/A $41
Microalbumin (Protein) Level $75 N/A $75
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $326 N/A $326
New Patient Preventive Care Visit for Adult, 40-64 $357 N/A $357
New Patient Preventive Care Visit for Adult, Ages 18-39 $336 N/A $336
New Patient Preventive Care Visit for Child, Ages 1-4 $273 N/A $273
New Patient Preventive Care Visit for Child, Ages 5-11 $284 N/A $284
New Patient Preventive Care Visit for Child, Under Age 1 $263 N/A $263
Office Visit for Established Patient, Basic $116 N/A $116
Office Visit for Established Patient, High Complexity $394 N/A $394
Office Visit for Established Patient, Low Complexity $210 N/A $210
Office Visit for Established Patient, Minimal Presenting Problem $58 N/A $58
Office Visit for Established Patient, Moderate Complexity $315 N/A $315
Office Visit for New Patient, High Complexity $446 N/A $446
Office Visit for New Patient, Low Complexity $263 N/A $263
Office Visit for New Patient, Minor Complexity $147 N/A $147
Office Visit for New Patient, Moderate Complexity $341 N/A $341
Pathology Examination of Tissue, Intermediate Complexity $98 N/A $98
Pneumococcal Vaccine for Children, Injected into Muscle $189 N/A $189
Pregnancy Test $26 N/A $26
Presence of Drug $84 N/A $84
Preventive Care Visit for Adolescent, Under Ages 12-17 $289 N/A $289
Preventive Care Visit for Adult, 40-64 $336 N/A $336
Preventive Care Visit for Adult, Ages 18-39 $310 N/A $310
Preventive Care Visit for Child, Under Age 1 $247 N/A $247
Preventive Care Visit for Child, Under Ages 1-4 $263 N/A $263
Preventive Care Visit for Child, Under Ages 5-11 $257 N/A $257
Prostate Specific Antigen (PSA) Level, Total $118 N/A $118
Psychiatric Diagnostic Evaluation $263 Near Average
State Average: 1
 $263
Psychotherapy, 30 Minutes with Patient $79 Near Average
State Average: 1
 $79
Psychotherapy, 45 Minutes with Patient $252 Near Average
State Average: 3
 $252
Psychotherapy, 60 Minutes with Patient $158 Below Average
State Average: 6
 $158
Screening Mammogram of Both Breasts $998 N/A $998
Single-Level Injection for Pain Management, Lower Back or Tailbone $2,172 N/A $2,172
Skin Growth Removal, Premalignant or Precancerous $494 N/A $494
Telehealth Visit for Established Patient, 11-20 minutes $189 N/A $189
Telehealth Visit for Established Patient, 21-30 minutes $252 N/A $252
Telehealth Visit for Established Patient, 5-10 minutes $126 N/A $126
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $126 N/A $126
Thyroid Stimulating Hormone (TSH) Level $126 N/A $126
Thyroxine (Thyroid Chemical) Level, Free $149 N/A $149
Ultrasound of Heart (Echocardiogram) $1,512 N/A $1,512
Urinalysis, Automated with Microscope Examination $40 N/A $40
Urinalysis, Automated without Microscope $21 N/A $21
Urinalysis, Manual Test $13 N/A $13
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $117 N/A $117
Vitamin D-3 Level $395 N/A $395
X-Ray of Fingers, 2 Views $139 N/A $139
X-Ray of Knee, 4 Views $263 N/A $263