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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.

Bones, Muscles, Orthopaedics

Type of Visit Facility Charge Professional Charge Total Charge
ACL repair $4,765 $8,507 $13,272
Arthrocentesis $2,139 $446 $2,585
Carpal tunnel release (one hand) $3,379 $3,669 $7,048
Knee arthroscopy, with debridement $5,387 $3,916 $9,303
Knee arthroscopy, with meniscectomy $5,387 $4,928 $10,315
Rotator cuff repair $6,560 $5,623 $12,183
Shoulder arthroscopy, with decompression $4,765 $4,935 $9,700
Shoulder arthroscopy, with or without synovial biopsy $4,765 $2,999 $7,764

Breast Biopsies

Type of Visit Facility Charge Professional Charge Total Charge
Breast biopsy, first lesion, including stereotactic guidance #N/A $3,601 $3,601
Breast biopsy, each additional lesion, including stereotactic guidance #N/A $2,907 $2,907
Breast biopsy, first lesion, including ultrasound guidance #N/A $3,573 $3,573
Breast biopsy, each additional lesion, including ultrasound guidance #N/A $2,868 $2,868
Breast biopsy, first lesion, including MRI guidance #N/A $5,413 $5,413
Breast biopsy, each additional lesion, including MRI guidance #N/A $4,315 $4,315

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 $581 $581
Destruction of benign lesions, up to 14 lesions #N/A $496 $496
Destruction of premalignant lesions, 2-14 lesions #N/A $68 $68
Destruction of premalignant lesions, first lesion #N/A $334 $334
Photochemotherapy #N/A $226 $226

Digestive, Intestinal, Gastroenterology

Type of Visit Facility Charge Professional Charge Total Charge
Colonoscopy screening $3,379 $2,476 $5,855
Colonoscopy with polyp removal $3,379 $3,730 $7,109
Endoscopy (upper gastrointestinal) $3,379 $2,340 $5,719
Gall bladder surgery (laparoscopic) #N/A $5,720 $5,720
Sigmoidoscopy (colon cancer screening test, with local anesthesia) $2,129 $788 $2,927

Ears, Nose, Throat

Type of Visit Facility Charge Professional Charge Total Charge
Tonsillectomy and adenoidectomy (under age 12) #N/A $2,255 $2,255

Eyes, Ophthalmology

Type of Visit Facility Charge Professional Charge Total Charge
Cataract extraction with lens implant (one eye) #N/A $6,475 $6,475

Family Planning

Type of Visit Facility Charge Professional Charge Total Charge
Insertion of IUD N/A $487 $487
Contraceptive IUD system N/A $1,907 $1,907
Removal of IUD $2,139 $535 $2,674
Tubal ligation, with general anesthesia (women) $4,765 $2,714 $7,479
Vasectomy, with local anesthesia (men) N/A $2,318 $2,318

Hernia

Type of Visit Facility Charge Professional Charge Total Charge
Inguinal hernia repair - age 5 and older $5,387 $2,770 $8,157

Obstetrics/Gynecology

Type of Visit Facility Charge Professional Charge Total Charge
Diagnostic hysteroscopy $2,139 $1,694 $3,833
Dilation and curettage (D&C) $3,379 $1,694 $5,073
Excision of breast lesion, open $4,765 $2,115 $6,880
Hysteroscopy with biopsy $4,765 $2,300 $7,065
Mastectomy, partial $4,765 $2,341 $7,106

Podiatry

Type of Visit Facility Charge Professional Charge Total Charge
Bunion repair $4,765 $4,415 $9,180
Excision of nail (ingrown) $2,139 $1,005 $3,144
Hammertoe operation (one toe) $4,765 $2,423 $7,188

Urology

Type of Visit Facility Charge Professional Charge Total Charge
Electrosurgical resection of prostate, complete #N/A $6,507 $6,507
Lithotripsy, extracorporeal shock wave #N/A $5,268 $5,268
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