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%
Arthrocentesis $671 N/A $671
Bacterial Culture $39 N/A $39
Bacterial Culture, Quantitative Colony Count $73 N/A $73
Basic Metabolic Panel $46 N/A $46
Biopsy of Skin Lesion $721 N/A $721
Blood Glucose Control (Hemoglobin A1C) $32 N/A $32
Cholesterol Test, Lipid Panel $140 N/A $140
Clotting Time $19 N/A $19
Complete Blood Cell Count and Automated White Blood Cells $34 N/A $34
Comprehensive Metabolic Panel $51 N/A $51
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
Electrocardiogram (ECG or EKG) With Report and Interpretation $84 N/A $84
Electrocardiogram (ECG or EKG) With Tracing $36 N/A $36
General Health Panel $305 N/A $305
Hepatitis A Vaccine for Adults, Injected into Muscle $215 N/A $215
Hepatitis A Vaccine for Children, Injected into Muscle $347 N/A $347
Human Papilloma Virus Vaccine, Injected into Muscle $63 N/A $63
Injection of Substance for Pain Management, Lower Back or Tailbone $1,844 N/A $1,844
Lab Test to Detect Coronavirus (COVID-19) Antigen $74 N/A $74
Lab Test to Detect Influenza Virus $37 N/A $37
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $341 N/A $341
New Patient Preventive Care Visit for Adult, 40-64 $383 N/A $383
New Patient Preventive Care Visit for Adult, Ages 18-39 $336 N/A $336
New Patient Preventive Care Visit for Child, Ages 1-4 $299 N/A $299
New Patient Preventive Care Visit for Child, Ages 5-11 $310 N/A $310
New Patient Preventive Care Visit for Child, Under Age 1 $284 N/A $284
Office Visit for Established Patient, Basic $131 N/A $131
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 $473 N/A $473
Office Visit for New Patient, Low Complexity $263 N/A $263
Office Visit for New Patient, Minor Complexity $168 N/A $168
Office Visit for New Patient, Moderate Complexity $362 N/A $362
Pap Test Screening, Automated with Manual Review $136 N/A $136
Pregnancy Test $26 N/A $26
Preventive Care Visit for Adolescent, Under Ages 12-17 $305 N/A $305
Preventive Care Visit for Adult, 40-64 $368 N/A $368
Preventive Care Visit for Adult, Ages 18-39 $310 N/A $310
Preventive Care Visit for Child, Under Age 1 $268 N/A $268
Preventive Care Visit for Child, Under Ages 1-4 $284 N/A $284
Preventive Care Visit for Child, Under Ages 5-11 $294 N/A $294
Prostate Specific Antigen (PSA) Level, Total $175 N/A $175
Psychiatric Diagnostic Evaluation $294 Near Average
State Average: 1
 $294
Psychotherapy, 30 Minutes with Patient $79 Near Average
State Average: 1
 $79
Psychotherapy, 45 Minutes with Patient $368 Above Average
State Average: 3
 $368
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 $1,859 N/A $1,859
Skin Growth Removal, Premalignant or Precancerous $546 N/A $546
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
Ultrasound of Heart (Echocardiogram) $1,512 N/A $1,512
Urinalysis, Automated with Microscope Examination $48 N/A $48
Urinalysis, Automated without Microscope $21 N/A $21
Urinalysis, Manual Test $47 N/A $47
Urine Test with Examination $17 N/A $17
Vitamin B-12 (Cyanocobalamin) Level $117 N/A $117
Vitamin D-3 Level $343 N/A $343
X-Ray of Knee, 4 Views $263 N/A $263