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 $59 N/A $59
Automated Pap Test Screening and Manual Rescreening $281 N/A $281
Automated with Microscope Examination $43 N/A $43
Automated without Microscope $8 N/A $8
Bacterial Culture Swab $68 N/A $68
Bacterial Culture Swab for Aerobic Isolates $64 N/A $64
Bacterial Culture, Quantitative Colony Count $64 N/A $64
Basic Metabolic Panel $109 N/A $109
Bilirubin Level $65 N/A $65
Blood Count (Hemoglobin) $17 N/A $17
Blood Glucose (Sugar) Level $51 N/A $51
Blood Glucose Control (Hemoglobin A1C) $49 N/A $49
Blood Typing (ABO) $44 N/A $44
Blood Typing (Rh (D)) $44 N/A $44
Borrelia Burgdorferi (Lyme disease) Antibody Level $221 N/A $221
C-reactive Protein (CRP) Level $67 N/A $67
Chlamydia Test $276 N/A $276
Cholesterol Test, Lipid Panel $173 N/A $173
Clotting Time $22 N/A $22
Coagulation Assessment $83 N/A $83
Complete Blood Cell Count (Hemoglobin) $89 N/A $89
Complete Blood Cell Count and Automated White Blood Cells $107 N/A $107
Comprehensive Metabolic Panel $137 N/A $137
Creatinine Level $66 N/A $66
Detection for Strep (Streptococcus, group A) $57 N/A $57
Detection Test for Hepatitis B Surface Antigen $134 N/A $134
Detection Test for Human Papillomavirus (HPV) $249 N/A $249
Diagnostic Laryngoscopy $621 N/A $621
Electrocardiogram (ECG or EKG) With Report and Interpretation $481 N/A $481
Evaluation of Antimicrobial Drug (antibiotic, antifungal, antiviral) $147 N/A $147
Ferritin (Blood Protein) Level $176 N/A $176
Folic Acid Level $72 N/A $72
General Health Panel $462 N/A $462
Gonorrhoeae (Neisseria Gonorrhoeae Bacteria) Test $276 N/A $276
Hepatic (Liver) Function Panel $106 N/A $106
Hepatitis B Core Antibody Level $156 N/A $156
Hepatitis B Surface Antibody Level $140 N/A $140
Hepatitis C Antibody Level $185 N/A $185
Influenza Vaccine, Injected into Muscle $25 N/A $25
Iron Binding Capacity $113 N/A $113
Iron Level $84 N/A $84
Lab Test to Detect Coronavirus (COVID-19) $158 N/A $158
Lab Test to Detect HIV-1 and HIV-2 $176 N/A $176
Lab Test to Measure Creatinine Level $79 N/A $79
Lead Level $44 N/A $44
Lipase (Fat Enzyme) Level $89 N/A $89
Liver Enzyme (ALT or SGPT) Level $68 N/A $68
Liver Enzyme (AST or SGOT) Level $67 N/A $67
Magnesium Level $87 N/A $87
Microalbumin (Protein) Level $75 N/A $75
Nasal Endoscopy $877 N/A $877
New Patient Preventive Care Visit for Adolescent, Ages 12-17 $431 N/A $431
New Patient Preventive Care Visit for Adult, 40-64 $487 N/A $487
New Patient Preventive Care Visit for Adult, Ages 18-39 $439 N/A $439
New Patient Preventive Care Visit for Child, Ages 1-4 $364 N/A $364
New Patient Preventive Care Visit for Child, Ages 5-11 $395 N/A $395
New Patient Preventive Care Visit for Child, Under Age 1 $364 N/A $364
Office Visit for Established Patient, Basic $148 N/A $148
Office Visit for Established Patient, High Complexity $449 N/A $449
Office Visit for Established Patient, Low Complexity $235 N/A $235
Office Visit for Established Patient, Minimal Presenting Problem $88 N/A $88
Office Visit for Established Patient, Moderate Complexity $338 N/A $338
Office Visit for New Patient, High Complexity $655 N/A $655
Office Visit for New Patient, Low Complexity $242 N/A $242
Office Visit for New Patient, Minor Complexity $239 N/A $239
Office Visit for New Patient, Moderate Complexity $372 N/A $372
Parathyroid Hormone (PTH) Level $536 N/A $536
Phosphate Level $62 N/A $62
Pneumococcal Conjugate Vaccine, Injected into Muscle $460 N/A $460
Pregnancy Test $32 N/A $32
Presence of Drug $754 N/A $754
Preventive Care Visit for Adolescent, Under Ages 12-17 $321 N/A $321
Preventive Care Visit for Adult, 40-64 $353 N/A $353
Preventive Care Visit for Adult, Ages 18-39 $317 N/A $317
Preventive Care Visit for Child, Under Age 1 $313 N/A $313
Preventive Care Visit for Child, Under Ages 1-4 $310 N/A $310
Preventive Care Visit for Child, Under Ages 5-11 $315 N/A $315
Prostate Specific Antigen (PSA) Level $112 N/A $112
Psychiatric Diagnostic Evaluation $158 Near Average
State Average: 1
$158
Psychotherapy, 30 Minutes with Patient $184 Above Average
State Average: 1
$184
Psychotherapy, 45 Minutes with Patient $126 Below Average
State Average: 4
$126
Psychotherapy, 60 Minutes with Patient $137 Below Average
State Average: 6
$137
Red Blood Cell Sedimentation Rate, Non-Automated $48 N/A $48
Smear for Microorganism $34 N/A $34
Test for Disease-Causing (Pathogenic) Organisms, Not Limited to a Specific Condition $53 N/A $53
Tetanus, Diphtheria Toxoids, and Acellular Pertussis (Whooping Cough) Vaccine, Injected into Muscle $100 N/A $100
Thyroglobulin (Thyroid Protein) Antibody Level $79 N/A $79
Thyroid Stimulating Hormone (TSH) Level $218 N/A $218
Thyroxine (Thyroid Chemical) Level, Free $117 N/A $117
Total Protein Level $47 N/A $47
Triiodothyronine (T3) Thyroid Hormone Measurement $83 N/A $83
Urea Nitrogen Level $51 N/A $51
Urinalysis, Manual Test $26 N/A $26
Vitamin B-12 (Cyanocobalamin) Level $75 N/A $75
Vitamin D-3 Level $384 N/A $384
X-Ray of Spine, 4 Views $1,387 N/A $1,387