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/Dartmouth-Hitchcock.

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	$154	$154
Low-to-Moderate-Level Visit	N/A	$260	$260
Moderate-Level Visit	N/A	$343	$343
Moderate-to-High-Level Visit	N/A	$518	$518
High-Level Visit	N/A	$651	$651

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	$102	$102
Low-to-Moderate-Level Visit	N/A	$160	$160
Moderate-Level Visit	N/A	$224	$224
Moderate-to-High-Level Visit	N/A	$341	$341
High-Level Visit	N/A	$488	$488
Online Evaluation and Management Service, 5-10 minutes	N/A	$43	$43
Online Evaluation and Management Service, 10-20 minutes	N/A	$86	$86
Online Evaluation and Management Service, greater than 20 minutes	N/A	$139	$139

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	$305	$305
Low-to-Moderate-Level Visit	N/A	$397	$397
Moderate-Level Visit	N/A	$505	$505
Moderate-to-High-Level Visit	N/A	$706	$706
High-Level Visit	N/A	$907	$907

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	$288	$288
Refraction test	N/A	$75	$75
Screening test of visual acuity	N/A	$35	$35

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	$59	$59
Medical nutrition therapy	N/A	$98	$98
Physical therapy, therapeutic exercises	N/A	$106	$106

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	$367	$367
New Patient Physical: Age 1-4	N/A	$387	$387
New Patient Physical: Age 5-11	N/A	$457	$457
New Patient Physical: Age 12-17	N/A	$457	$457
New Patient Physical: Age 18-39	N/A	$519	$519
New Patient Physical: Age 40-64	N/A	$407	$407
New Patient Physical: Age 65 and over	N/A	$558	$558

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	$288	$288
Established Patient Physical: Age 1-4	N/A	$309	$309
Established Patient Physical: Age 5-11	N/A	$309	$309
Established Patient Physical: Age 12-17	N/A	$369	$369
Established Patient Physical: Age 18-39	N/A	$402	$402
Established Patient Physical: Age 40-64	N/A	$439	$439
Established Patient Physical: Age 65 and over	N/A	$485	$485