Wentworth Health Partners

10 Members Way, Suite 400 Dover, NH 03820
https://www.wdhospital.com/whp/specialty-care/diabetes-endocrinology-metabolism/endocrinology-diabetes-consultants
(603) 664-2135

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 $95 N/A $95
Bacterial Culture, Quantitative Colony Count $64 N/A $64
Basic Metabolic Panel $109 N/A $109
Blood Count (Hemoglobin) $9 N/A $9
Blood Glucose (Sugar) Level $15 N/A $15
Blood Glucose Control (Hemoglobin A1C) $36 N/A $36
Borrelia Burgdorferi (Lyme disease) Antibody Level $150 N/A $150
C-reactive Protein (CRP) Level $78 N/A $78
Cholesterol Test, Lipid Panel $108 N/A $108
Clotting Time $15 N/A $15
Complete Blood Cell Count (Hemoglobin) $89 N/A $89
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) $42 N/A $42
Detection Test for Human Papillomavirus (HPV) $257 N/A $257
Developmental Screening $28 N/A $28
Diagnostic Laryngoscopy $621 N/A $621
Electrocardiogram (ECG or EKG) With Report and Interpretation $57 N/A $57
Electrocardiogram (ECG or EKG) With Tracing $28 N/A $28
Electrocardiogram (ECG or EKG), Report and Interpretation Only $28 N/A $28
Emergency Transport, Advanced Life Support $1,680 N/A $1,680
Emergency Transport, Basic Life Support $1,050 N/A $1,050
Ferritin (Blood Protein) Level $87 N/A $87
Folic Acid Level $109 N/A $109
General Health Panel $457 N/A $457
Hepatic (Liver) Function Panel $106 N/A $106
Hepatitis A Vaccine for Adults, Injected into Muscle $215 N/A $215
Hepatitis A Vaccine for Children, Injected into Muscle $23 N/A $23
Hepatitis C Antibody Level $118 N/A $118
Human Papilloma Virus Vaccine, Injected into Muscle $23 N/A $23
Influenza Vaccine, Injected into Muscle $71 N/A $71
Iron Binding Capacity $47 N/A $47
Iron Level $35 N/A $35
Lab Test to Detect Coronavirus (COVID-19) $131 N/A $131
Lab Test to Detect HIV-1 and HIV-2 $249 N/A $249
Lab Test to Detect Influenza Virus $42 N/A $42
Lab Test to Measure Creatinine Level $65 N/A $65
LDL Cholesterol Level $96 N/A $96
Lead Level $45 N/A $45
Microalbumin (Protein) Level $76 N/A $76
Mileage Rate for Ambulance Transport $37 N/A $37
Nasal Endoscopy $848 N/A $848
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $460 N/A $460
New Patient Preventive Care Visit for Adult, 40-64 $517 N/A $517
New Patient Preventive Care Visit for Adult, Ages 18-39 $446 N/A $446
New Patient Preventive Care Visit for Child, Ages 1-4 $336 N/A $336
New Patient Preventive Care Visit for Child, Ages 5-11 $320 N/A $320
New Patient Preventive Care Visit for Child, Under Age 1 $326 N/A $326
Non-Emergency Transport, Advanced Life Support $1,024 N/A $1,024
Non-Emergency Transport, Basic Life Support $788 N/A $788
Office Visit for Established Patient, Basic $152 N/A $152
Office Visit for Established Patient, High Complexity $489 N/A $489
Office Visit for Established Patient, Low Complexity $251 N/A $251
Office Visit for Established Patient, Minimal Presenting Problem $78 N/A $78
Office Visit for Established Patient, Moderate Complexity $364 N/A $364
Office Visit for New Patient, High Complexity $696 N/A $696
Office Visit for New Patient, Low Complexity $348 N/A $348
Office Visit for New Patient, Minor Complexity $254 N/A $254
Office Visit for New Patient, Moderate Complexity $499 N/A $499
Pap Test Screening, Automated with Manual Review $291 N/A $291
Pathology Examination of Tissue, Intermediate Complexity $425 N/A $425
Pneumococcal Vaccine for Children, Injected into Muscle $23 N/A $23
Pregnancy Test $24 N/A $24
Preventive Care Visit for Adolescent, Under Ages 12-17 $393 N/A $393
Preventive Care Visit for Adult, 40-64 $428 N/A $428
Preventive Care Visit for Adult, Ages 18-39 $402 N/A $402
Preventive Care Visit for Child, Under Age 1 $313 N/A $313
Preventive Care Visit for Child, Under Ages 1-4 $320 N/A $320
Preventive Care Visit for Child, Under Ages 5-11 $326 N/A $326
Prostate Cancer Screening $246 N/A $246
Prostate Specific Antigen (PSA) Level, Total $112 N/A $112
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
 $158
Psychotherapy, 30 Minutes with Patient $237 Above Average
State Average: 1
 $237
Psychotherapy, 45 Minutes with Patient $312 Below Average
State Average: 4
 $312
Psychotherapy, 60 Minutes with Patient $137 Near Average
State Average: 6
 $137
Red Blood Cell Sedimentation Rate, Non-Automated $48 N/A $48
Rotovirus Vaccine, Oral Administration $177 N/A $177
Sleep Monitoring $7,258 N/A $7,258
Telehealth Visit for Established Patient, 21-30 minutes $339 N/A $339
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $23 N/A $23
Thyroid Stimulating Hormone (TSH) Level $188 N/A $188
Thyroxine (Thyroid Chemical) Level, Free $189 N/A $189
Total Protein Level $41 N/A $41
Ultrasound of Heart (Echocardiogram) $3,208 N/A $3,208
Urinalysis, Automated with Microscope Examination $40 N/A $40
Urinalysis, Automated without Microscope $7 N/A $7
Urinalysis, Manual Test $9 N/A $9
Vitamin B-12 (Cyanocobalamin) Level $112 N/A $112
Vitamin D-3 Level $301 N/A $301