Doctor's Office Visits

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.

Doctor's Office Visit for a New Patient
(first visit or patients not seen within past 3 years)

Charges do not include diagnostic testing such as lab services or X-rays.

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-Level Visit	N/A	$161	$161
Low-to-Moderate-Level Visit	N/A	$272	$272
Moderate-Level Visit	N/A	$359	$359
Moderate-to-High-Level Visit	N/A	$542	$542
High-Level Visit	N/A	$681	$681

Doctor's Office Visit for an Established Patient
(return visit for follow-up)

Charges do not include diagnostic testing such as lab services or X-rays.

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-Level Visit	N/A	$107	$107
Low-to-Moderate-Level Visit	N/A	$167	$167
Moderate-Level Visit	N/A	$234	$234
Moderate-to-High-Level Visit	N/A	$357	$357
High-Level Visit	N/A	$510	$510
Online Evaluation and Management Service, 5-10 minutes	N/A	$45	$45
Online Evaluation and Management Service, 10-20 minutes	N/A	$90	$90
Online Evaluation and Management Service, greater than 20 minutes	N/A	$145	$145

Doctor's Office Visit for Consultation
(examination and coordination between healthcare providers)

Charges do not include diagnostic testing such as lab services or X-rays.

Type of Visit	Facility Charge	Professional Charge	Total Charge
Low-Level Visit	N/A	$319	$319
Low-to-Moderate-Level Visit	N/A	$415	$415
Moderate-Level Visit	N/A	$528	$528
Moderate-to-High-Level Visit	N/A	$739	$739
High-Level Visit	N/A	$949	$949

Eye Exams

Charges do not include diagnostic testing such as lab services or X-rays.

Type of Visit	Facility Charge	Professional Charge	Total Charge
Established patient comprehensive eye exam	N/A	$301	$301
Refraction test	N/A	$78	$78
Screening test of visual acuity	N/A	$37	$37

Other Services Performed During a Doctor's Office Visit

Charges do not include diagnostic testing such as lab services or X-rays.

Type of Visit	Facility Charge	Professional Charge	Total Charge
Flu administration	N/A	$62	$62
Medical nutrition therapy	N/A	$103	$103

Routine Annual Physical for a New Patient
(charge is based on age groups)

Charges do not include diagnostic testing such as lab services or X-rays.

Type of Visit	Facility Charge	Professional Charge	Total Charge
New Patient Physical: Age 0-1	N/A	$384	$384
New Patient Physical: Age 1-4	N/A	$405	$405
New Patient Physical: Age 5-11	N/A	$478	$478
New Patient Physical: Age 12-17	N/A	$478	$478
New Patient Physical: Age 18-39	N/A	$543	$543
New Patient Physical: Age 40-64	N/A	$426	$426
New Patient Physical: Age 65 and over	N/A	$584	$584

Routine Annual Physical for an Established Patient
(charge is based on age groups)

Charges do not include diagnostic testing such as lab services or X-rays.

Type of Visit	Facility Charge	Professional Charge	Total Charge
Established Patient Physical: Age 0-1	N/A	$301	$301
Established Patient Physical: Age 1-4	N/A	$323	$323
Established Patient Physical: Age 5-11	N/A	$323	$323
Established Patient Physical: Age 12-17	N/A	$386	$386
Established Patient Physical: Age 18-39	N/A	$421	$421
Established Patient Physical: Age 40-64	N/A	$459	$459
Established Patient Physical: Age 65 and over	N/A	$507	$507