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 $110 N/A $110
Arthrocentesis $697 N/A $697
Bacterial Culture $31 N/A $31
Bacterial Culture Swab $126 N/A $126
Bacterial Culture, Quantitative Colony Count $64 N/A $64
Basic Metabolic Panel $44 N/A $44
Bilirubin Level $6 N/A $6
Biopsy of Skin Lesion $502 N/A $502
Blood Glucose (Sugar) Level $39 N/A $39
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
Borrelia Burgdorferi (Lyme disease) Antibody Level $146 N/A $146
Chlamydia Test $129 N/A $129
Cholesterol Test, Lipid Panel $103 N/A $103
Clotting Time $19 N/A $19
Complete Blood Cell Count (Hemoglobin) $35 N/A $35
Complete Blood Cell Count and Automated White Blood Cells $34 N/A $34
Comprehensive Metabolic Panel $68 N/A $68
Detection for Strep (Streptococcus, group A) $37 N/A $37
Detection Test for Human Papillomavirus (HPV) $192 N/A $192
Developmental Screening $42 N/A $42
Diagnostic Mammogram of Both Breasts $840 N/A $840
Diagnostic Mammogram of One Breast $662 N/A $662
Electrocardiogram (ECG or EKG) With Report and Interpretation $84 N/A $84
Electrocardiogram (ECG or EKG) With Tracing $36 N/A $36
Ferritin (Blood Protein) Level $118 N/A $118
Folic Acid Level $105 N/A $105
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 $202 N/A $202
Hepatitis A Vaccine for Children, Injected into Muscle $252 N/A $252
Human Papilloma Virus Vaccine, Injected into Muscle $63 N/A $63
Influenza Vaccine, Injected into Muscle $111 N/A $111
Injection of Substance for Pain Management, Lower Back or Tailbone $2,343 N/A $2,343
Iron Binding Capacity $48 N/A $48
Iron Level $42 N/A $42
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 $67 N/A $67
Lipase (Fat Enzyme) Level $69 N/A $69
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 $75 N/A $75
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 $263 N/A $263
New Patient Preventive Care Visit for Child, Ages 5-11 $268 N/A $268
New Patient Preventive Care Visit for Child, Under Age 1 $263 N/A $263
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 $263 N/A $263
Office Visit for New Patient, Moderate Complexity $341 N/A $341
Pap Test Screening, Automated with Manual Review $133 N/A $133
Pathology Examination of Tissue, Intermediate Complexity $192 N/A $192
Pneumococcal Vaccine for Children, Injected into Muscle $126 N/A $126
Pregnancy Test $26 N/A $26
Presence of Drug $84 N/A $84
Preventive Care Visit for Adolescent, Under Ages 12-17 $273 N/A $273
Preventive Care Visit for Adult, 40-64 $315 N/A $315
Preventive Care Visit for Adult, Ages 18-39 $294 N/A $294
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 Cancer Screening $205 N/A $205
Prostate Specific Antigen (PSA) Level, Total $112 N/A $112
Psychotherapy, 45 Minutes with Patient $200 Below Average
State Average: 4
 $200
Rotovirus Vaccine, Oral Administration $168 N/A $168
Screening Mammogram of Both Breasts $998 N/A $998
Single-Level Injection for Pain Management, Lower Back or Tailbone $2,159 N/A $2,159
Skin Growth Removal, Premalignant or Precancerous $491 N/A $491
Telehealth Visit for Established Patient, 11-20 minutes $249 N/A $249
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $74 N/A $74
Thyroid Stimulating Hormone (TSH) Level $115 N/A $115
Thyroxine (Thyroid Chemical) Level, Free $123 N/A $123
Transvaginal Ultrasound (Non-Maternity) $473 N/A $473
Ultrasound of Heart (Echocardiogram) $1,354 N/A $1,354
Urinalysis, Automated with Microscope Examination $38 N/A $38
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 $117 N/A $117
Vitamin D-3 Level $376 N/A $376
X-Ray of Knee, 4 Views $210 N/A $210
X-Ray of Neck, 4 to 5 Views $268 N/A $268