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%
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
Blood Count (Hemoglobin) $17 N/A $17
Blood Glucose (Sugar) Level $37 N/A $37
Blood Glucose Control (Hemoglobin A1C) $35 N/A $35
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) $41 N/A $41
Detection Test for Hepatitis B Surface Antigen $134 N/A $134
Detection Test for Human Papillomavirus (HPV) $249 N/A $249
Developmental Screening $28 N/A $28
Diagnostic Laryngoscopy $621 N/A $621
Electrocardiogram (ECG or EKG) With Report and Interpretation $481 N/A $481
Ferritin (Blood Protein) Level $176 N/A $176
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 A Vaccine for Adults, Injected into Muscle $235 N/A $235
Hepatitis A Vaccine for Children, Injected into Muscle $46 N/A $46
Hepatitis C Antibody Level $185 N/A $185
Human Papilloma Virus Vaccine, Injected into Muscle $23 N/A $23
Influenza Vaccine, Injected into Muscle $71 N/A $71
Iron Binding Capacity $113 N/A $113
Iron Level $84 N/A $84
Lab Test to Detect Coronavirus (COVID-19) $107 N/A $107
Lab Test to Detect HIV-1 and HIV-2 $176 N/A $176
Lab Test to Detect Influenza Virus $41 N/A $41
Lab Test to Measure Creatinine Level $71 N/A $71
Lead Level $44 N/A $44
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 $908 N/A $908
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 $395 N/A $395
New Patient Preventive Care Visit for Child, Under Age 1 $326 N/A $326
Office Visit for Established Patient, Basic $152 N/A $152
Office Visit for Established Patient, High Complexity $449 N/A $449
Office Visit for Established Patient, Low Complexity $242 N/A $242
Office Visit for Established Patient, Minimal Presenting Problem $78 N/A $78
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 $337 N/A $337
Office Visit for New Patient, Minor Complexity $254 N/A $254
Office Visit for New Patient, Moderate Complexity $372 N/A $372
Pap Test Screening, Automated with Manual Review $281 N/A $281
Parathyroid Hormone (PTH) Level $365 N/A $365
Phosphate Level $62 N/A $62
Pneumococcal Vaccine for Children, Injected into Muscle $23 N/A $23
Pregnancy Test $32 N/A $32
Presence of Drug $754 N/A $754
Preventive Care Visit for Adolescent, Under Ages 12-17 $331 N/A $331
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 $238 N/A $238
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 $234 Above Average
State Average: 1
 $234
Psychotherapy, 45 Minutes with Patient $233 Below Average
State Average: 4
 $233
Psychotherapy, 60 Minutes with Patient $137 Above 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 $6,949 N/A $6,949
Smear for Microorganism $34 N/A $34
Telehealth Visit for Established Patient, 11-20 minutes $173 N/A $173
Telehealth Visit for Established Patient, 21-30 minutes $364 N/A $364
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 $23 N/A $23
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
Triiodothyronine (T3) Thyroid Hormone Measurement $83 N/A $83
Ultrasound of Heart (Echocardiogram) $3,208 N/A $3,208
Urinalysis, Automated with Microscope Examination $43 N/A $43
Urinalysis, Automated without Microscope $7 N/A $7
Urinalysis, Manual Test $11 N/A $11
Vitamin B-12 (Cyanocobalamin) Level $75 N/A $75
Vitamin D-3 Level $263 N/A $263
X-Ray of Low Back, 4 Views $1,358 N/A $1,358
X-Ray of Neck, 4 to 5 Views $1,316 N/A $1,316