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Surgeries, Procedures, and Medical Conditions

Average charges are estimates; your out-of-pocket expense will depend on your individual insurance coverage (such as co-insurance or deductibles).

If you have questions, please contact Patient Accounts Customer Service at (844) 808-0730.

All charges listed below are for services provided at Dartmouth-Hitchcock Concord, Manchester, or Nashua.

Sometimes services are provided by Dartmouth-Hitchcock physicians at local hospitals. In those cases, there may be more charges billed that are not listed here and you may receive bills from other facilities. Please contact the hospital you will be using to get cost information for procedures and tests not performed at a Dartmouth-Hitchcock location.

See health care charges at DHMC in Lebanon or Cheshire Medical Center/Dartmouth-Hitchcock.

Bones, Muscles, Orthopaedics

Type of Visit Facility Charge Professional Charge Total Charge
ACL repair $6,556 $7,353 $13,909
Arthrocentesis $1,548 $388 $1,936
Carpal tunnel release (one hand) $2,059 $3,171 $5,230
Knee arthroscopy, with debridement $3,199 $3,384 $6,583
Knee arthroscopy, with meniscectomy $3,199 $4,260 $7,459
Rotator cuff repair $4,714 $4,861 $9,575
Shoulder arthroscopy, with decompression $4,714 $4,266 $8,980
Shoulder arthroscopy, with or without synovial biopsy $3,199 $2,593 $5,792

Breast Biopsies

Type of Visit Facility Charge Professional Charge Total Charge
Breast biopsy, first lesion, including stereotactic guidance N/A $3,113 $3,113
Breast biopsy, each additional lesion, including stereotactic guidance N/A $2,513 $2,513
Breast biopsy, first lesion, including ultrasound guidance N/A $3,089 $3,089
Breast biopsy, each additional lesion, including ultrasound guidance N/A $2,479 $2,479
Breast biopsy, first lesion, including MRI guidance N/A $4,679 $4,679
Breast biopsy, each additional lesion, including MRI guidance N/A $3,730 $3,730

Dermatology

Type of Visit Facility Charge Professional Charge Total Charge
Botox injection (cosmetic procedure) N/A $168 $168
Botox toxin per unit (cosmetic procedure) N/A $10 $10
Microdermabrasion (cosmetic procedure) N/A $110 $110
Wrinkle lift treatment (cosmetic procedure) N/A $110 $110
Destruction of benign lesions, 15 or more lesions N/A $502 $502
Destruction of benign lesions, up to 14 lesions N/A $429 $429
Destruction of premalignant lesions, 2-14 lesions N/A $59 $59
Destruction of premalignant lesions, first lesion N/A $289 $289
Nerve conduction studies; 1-2 studies N/A $531 $531
Nerve conduction studies; 3-4 studies N/A $1,060 $1,060
Nerve conduction studies; 5-6 studies N/A $1,591 $1,591
Nerve conduction studies; 7-8 studies N/A $2,122 $2,122
Nerve conduction studies; 9-10 studies N/A $2,653 $2,653
Nerve conduction studies; 11-12 studies N/A $3,184 $3,184
Nerve conduction studies; 13 or more studies N/A $3,449 $3,449
Photochemotherapy N/A $195 $195

Digestive, Intestinal, Gastroenterology

Type of Visit Facility Charge Professional Charge Total Charge
Colonoscopy screening $2,059 $2,140 $4,199
Colonoscopy with polyp removal $2,059 $3,224 $5,283
Endoscopy (upper gastrointestinal) $2,059 $2,023 $4,082
Gall bladder surgery (laparoscopic) N/A $4,945 $4,945
Sigmoidoscopy (colon cancer screening test, with local anesthesia) $1,548 $681 $2,229

Ears, Nose, Throat

Type of Visit Facility Charge Professional Charge Total Charge
Tonsillectomy and adenoidectomy (under age 12) N/A $1,950 $1,950

Eyes, Ophthalmology

Type of Visit Facility Charge Professional Charge Total Charge
Cataract extraction with lens implant (one eye) N/A $5,588 $5,588

Family Planning

Type of Visit Facility Charge Professional Charge Total Charge
Insertion of IUD $1,548 $421 $1,969
Contraceptive IUD system N/A $1,974 $1,974
Removal of IUD $1,548 $462 $2,010
Tubal ligation, with general anesthesia $3,199 $2,346 $5,545
Vasectomy, with local anesthesia N/A $2,004 $2,004

Hernia

Type of Visit Facility Charge Professional Charge Total Charge
Hernia repair (inguinal) - age 5 and older $3,199 $2,395 $5,594

Obstetrics/Gynecology

Type of Visit Facility Charge Professional Charge Total Charge
Diagnostic hysteroscopy $2,539 $1,464 $4,003
Dilation and curettage (D&C) $2,059 $1,464 $3,523
Excision of breast lesion, open $2,539 $1,829 $4,368
Hysteroscopy with biopsy $2,539 $1,989 $4,528
Mastectomy, partial $2,539 $2,024 $4,563

Podiatry

Type of Visit Facility Charge Professional Charge Total Charge
Bunion repair $3,199 $3,816 $7,015
Excision of nail (ingrown) $1,548 $869 $2,417
Hammertoe operation (one toe) $2,539 $2,095 $4,634

Urology

Type of Visit Facility Charge Professional Charge Total Charge
Electrosurgical resection of prostate, complete N/A $5,625 $5,625
Lithotripsy, extracorporeal shock wave N/A $4,554 $4,554
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