Surgeries, Procedures, and Medical Conditions | Billing & Charges | Dartmouth-Hitchcock
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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 $6,923 $7,765 $14,688
Arthrocentesis $1,635 $410 $2,045
Carpal tunnel release (one hand) $2,174 $3,349 $5,523
Knee arthroscopy, with debridement $3,378 $3,574 $6,952
Knee arthroscopy, with meniscectomy $3,378 $4,499 $7,877
Rotator cuff repair $4,978 $5,133 $10,111
Shoulder arthroscopy, with decompression $4,978 $4,505 $9,483
Shoulder arthroscopy, with or without synovial biopsy $3,378 $2,738 $6,116

Breast Biopsies

Type of Visit Facility Charge Professional Charge Total Charge
Breast biopsy, first lesion, including stereotactic guidance N/A $3,287 $3,287
Breast biopsy, each additional lesion, including stereotactic guidance N/A $2,654 $2,654
Breast biopsy, first lesion, including ultrasound guidance N/A $3,262 $3,262
Breast biopsy, each additional lesion, including ultrasound guidance N/A $2,618 $2,618
Breast biopsy, first lesion, including MRI guidance N/A $4,941 $4,941
Breast biopsy, each additional lesion, including MRI guidance N/A $3,939 $3,939

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 $530 $530
Destruction of benign lesions, up to 14 lesions N/A $453 $453
Destruction of premalignant lesions, 2-14 lesions N/A $62 $62
Destruction of premalignant lesions, first lesion N/A $305 $305
Photochemotherapy N/A $206 $206

Digestive, Intestinal, Gastroenterology

Type of Visit Facility Charge Professional Charge Total Charge
Colonoscopy screening $2,174 $2,260 $4,434
Colonoscopy with polyp removal $2,174 $3,405 $5,579
Endoscopy (upper gastrointestinal) $2,174 $2,136 $4,310
Gall bladder surgery (laparoscopic) N/A $5,222 $5,222
Sigmoidoscopy (colon cancer screening test, with local anesthesia) $1,635 $719 $2,354

Ears, Nose, Throat

Type of Visit Facility Charge Professional Charge Total Charge
Tonsillectomy and adenoidectomy (under age 12) N/A $2,059 $2,059

Eyes, Ophthalmology

Type of Visit Facility Charge Professional Charge Total Charge
Cataract extraction with lens implant (one eye) N/A $5,901 $5,901

Family Planning

Type of Visit Facility Charge Professional Charge Total Charge
Insertion of IUD $1,635 $445 $2,080
Contraceptive IUD system N/A $1,818 $1,818
Removal of IUD $1,635 $488 $2,123
Tubal ligation, with general anesthesia (women) $3,378 $2,477 $5,855
Vasectomy, with local anesthesia (men) N/A $2,116 $2,116

Hernia

Type of Visit Facility Charge Professional Charge Total Charge
Inguinal hernia repair - age 5 and older $3,378 $2,529 $5,907

Obstetrics/Gynecology

Type of Visit Facility Charge Professional Charge Total Charge
Diagnostic hysteroscopy $2,681 $1,546 $4,227
Dilation and curettage (D&C) $2,174 $1,546 $3,720
Excision of breast lesion, open $2,681 $1,931 $4,612
Hysteroscopy with biopsy $2,681 $2,100 $4,781
Mastectomy, partial $2,681 $2,137 $4,818

Podiatry

Type of Visit Facility Charge Professional Charge Total Charge
Bunion repair $3,378 $4,030 $7,408
Excision of nail (ingrown) $1,635 $918 $2,553
Hammertoe operation (one toe) $2,681 $2,212 $4,893

Urology

Type of Visit Facility Charge Professional Charge Total Charge
Electrosurgical resection of prostate, complete N/A $5,940 $5,940
Lithotripsy, extracorporeal shock wave N/A $4,809 $4,809
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