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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 $4,555 $8,132 $12,687
Arthrocentesis $2,045 $429 $2,474
Carpal tunnel release (one hand) $3,230 $3,507 $6,737
Knee arthroscopy, with debridement $5,150 $3,743 $8,893
Knee arthroscopy, with meniscectomy $5,150 $4,711 $9,861
Rotator cuff repair $6,560 $5,375 $11,935
Shoulder arthroscopy, with decompression $4,555 $4,718 $9,273
Shoulder arthroscopy, with or without synovial biopsy $4,555 $2,867 $7,422

Breast Biopsies

Type of Visit Facility Charge Professional Charge Total Charge
Breast biopsy, first lesion, including stereotactic guidance #N/A $3,442 $3,442
Breast biopsy, each additional lesion, including stereotactic guidance #N/A $2,779 $2,779
Breast biopsy, first lesion, including ultrasound guidance #N/A $3,416 $3,416
Breast biopsy, each additional lesion, including ultrasound guidance #N/A $2,742 $2,742
Breast biopsy, first lesion, including MRI guidance #N/A $5,174 $5,174
Breast biopsy, each additional lesion, including MRI guidance #N/A $4,125 $4,125

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 $555 $555
Destruction of benign lesions, up to 14 lesions #N/A $474 $474
Destruction of premalignant lesions, 2-14 lesions #N/A $65 $65
Destruction of premalignant lesions, first lesion #N/A $319 $319
Photochemotherapy #N/A $216 $216

Digestive, Intestinal, Gastroenterology

Type of Visit Facility Charge Professional Charge Total Charge
Colonoscopy screening $3,230 $2,367 $5,597
Colonoscopy with polyp removal $3,230 $3,566 $6,796
Endoscopy (upper gastrointestinal) $3,230 $2,237 $5,467
Gall bladder surgery (laparoscopic) N/A $5,468 $5,468
Sigmoidoscopy (colon cancer screening test, with local anesthesia) $2,045 $753 $2,798

Ears, Nose, Throat

Type of Visit Facility Charge Professional Charge Total Charge
Tonsillectomy and adenoidectomy (under age 12) #N/A $2,156 $2,156

Eyes, Ophthalmology

Type of Visit Facility Charge Professional Charge Total Charge
Cataract extraction with lens implant (one eye) #N/A $6,180 $6,180

Family Planning

Type of Visit Facility Charge Professional Charge Total Charge
Insertion of IUD N/A $466 $466
Contraceptive IUD system N/A $1,907 $1,907
Removal of IUD $2,045 $511 $2,556
Tubal ligation, with general anesthesia (women) $4,555 $2,594 $7,149
Vasectomy, with local anesthesia (men) N/A $2,216 $2,216

Hernia

Type of Visit Facility Charge Professional Charge Total Charge
Inguinal hernia repair - age 5 and older $5,150 $2,648 $7,798

Obstetrics/Gynecology

Type of Visit Facility Charge Professional Charge Total Charge
Diagnostic hysteroscopy $2,045 $1,619 $3,664
Dilation and curettage (D&C) $3,230 $1,619 $4,849
Excision of breast lesion, open $4,555 $2,022 $6,577
Hysteroscopy with biopsy $4,555 $2,199 $6,754
Mastectomy, partial $4,555 $2,238 $6,793

Podiatry

Type of Visit Facility Charge Professional Charge Total Charge
Bunion repair $4,555 $4,220 $8,775
Excision of nail (ingrown) $2,045 $961 $3,006
Hammertoe operation (one toe) $4,555 $2,316 $6,871

Urology

Type of Visit Facility Charge Professional Charge Total Charge
Electrosurgical resection of prostate, complete #N/A $6,220 $6,220
Lithotripsy, extracorporeal shock wave #N/A $5,036 $5,036
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