COVID-19 Testing, Vaccine and Administration, and Telemedicine Services

The following cost information is provided by Dartmouth-Hitchcock (D-H) for COVID-19 testing, vaccine and administration, and telemedicine services.

The 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.

Note: 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.

Please also refer to the health care charges information on the Cheshire Medical Center website for the Keene, NH area.

COVID-19 testing

Type of Visit	Facility Charge	Professional Charge	Total Charge
Sars-Cov-2 (COVID-19) Test	$102	N/A	$102
Rapid Sars-Cov-2 (COVID-19) PCR Test	$190	N/A	$190
COVID-19 IGG Antibody Test	$54	N/A	$54

COVID-19 vaccine and administration

Type of Visit	Facility Charge	Professional Charge	Total Charge
Vaccine (no charge)	$0	N/A	$0
Administration Dose One	N/A	$20	$20
Administration Dose Two	N/A	$33	$33

Telemedicine services

New patient (D-H Lebanon)

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-to-Moderate-Level Visit (15-29 Min)	N/A	$262	$262
Moderate-Level Visit (30-44 Min)	N/A	$383	$383
Moderate-to-High-Level Visit (45-59 Min)	N/A	$565	$565
High-Level Visit (60-74 Min)	N/A	$708	$708

New patient (D-H Concord, D-H Manchester, and D-H Nashua)

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-to-Moderate-Level Visit (15-29 Min)	N/A	$272	$272
Moderate-Level Visit (30-44 Min)	N/A	$359	$359
Moderate-to-High-Level Visit (45-59 Min)	N/A	$542	$542
High-Level Visit (60-74 Min)	N/A	$681	$681

Established patient (D-H Lebanon)

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-to-Moderate-Level Visit (10-19 Min)	N/A	$163	$163
Moderate-Level Visit (20-29 Min)	N/A	$250	$250
Moderate-to-High-Level Visit (30-39 Min)	N/A	$368	$368
High-Level Visit (40-54 Min)	N/A	$497	$497

Established patient (D-H Concord, D-H Manchester, D-H Nashua)

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-to-Moderate-Level Visit (10-19 Min)	N/A	$167	$167
Moderate-Level Visit (20-29 Min)	N/A	$234	$234
Moderate-to-High-Level Visit (30-39 Min)	N/A	$357	$357
High-Level Visit (40-54 Min)	N/A	$510	$510

Consultation (D-H Lebanon)

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-Level Visit (15 Min)	N/A	$345	$345
Low-to-Moderate-Level Visit (30 Min)	N/A	$490	$490
Moderate-Level Visit (40 Min)	N/A	$621	$621
Moderate-to-High-Level Visit (60 Min)	N/A	$771	$771
High-Level Visit (80 Min)	N/A	$1,077	$1,077

Consultation (D-H Concord, D-H Manchester, D-H Nashua)

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-Level Visit (15 Min)	N/A	$319	$319
Low-to-Moderate-Level Visit (30 Min)	N/A	$415	$415
Moderate-Level Visit (40 Min)	N/A	$528	$528
Moderate-to-High-Level Visit (60 Min)	N/A	$739	$739
High-Level Visit (80 Min)	N/A	$949	$949