Diagnostic Services and Tests (Concord, Manchester, Nashua)

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 1-844-808-0730.

All charges listed below are for services provided at Dartmouth Hitchcock Clinics Concord, Manchester, or Nashua.

Sometimes services are provided by Dartmouth Hitchcock Clinics 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 Clinics location.

See health care charges at Dartmouth Hitchcock Medical Center (DHMC) in Lebanon or Cheshire Medical Center.

CT (computed tomography) scans

Type of visit Facility charge Professional charge Total charge
Abdominal CT scan, with contrast N/A $2,168 $2,168
Chest CT scan, without contrast N/A $1,883 $1,883
Head or brain CT scan, without contrast N/A $1,489 $1,489
Pelvis CT scan, with contrast N/A $2,138 $2,138
Pelvis CT scan, without contrast, followed by contrast N/A $2,568 $2,568
Sinus CT scan, limited, without contrast N/A $1,628 $1,628

Lab tests

Type of visit Facility charge Professional charge Total charge
Assay thyroid stim hormone (TSH) $96 N/A $96
Basic metabolic panel $82 N/A $82
Complete blood count (CBC) $72 N/A $72
Comprehensive metabolic panel $92 N/A $92
Glucose test $22 N/A $22
Hemoglobin A1C $55 N/A $55
Lipid profile $137 N/A $137
Pap test $251 N/A $251
Prostate specific antigen (PSA) $103 N/A $103
Prothrombin time N/A $75 $75
Routine venipuncture N/A $32 $32
Strep test $115 N/A $115
Urinalysis $157 N/A $157
Urine culture $133 N/A $133

Mammograms

Type of visit Facility charge Professional charge Total charge
Bilateral screening (both breasts) with digitization N/A $500 $500

MRI (magnetic resonance imaging) scans

Type of visit Facility charge Professional charge Total charge
Brain MRI, without contrast N/A $3,520 $3,520
Brain MRI, without contrast, followed by contrast N/A $7,228 $7,228
Cervical spine MRI, without contrast N/A $3,351 $3,351
Knee MRI, without contrast N/A $3,429 $3,429
Pelvis MRI, without contrast, followed by contrast N/A $6,458 $6,458
Spine MRI, without contrast N/A $3,690 $3,690

Neurology

Type of visit Facility charge Professional charge Total charge
EEG, awake and asleep N/A $1,330 $1,330
Nerve conduction studies; 1 to 2 studies N/A $635 $635
Nerve conduction studies; 3 to 4 studies N/A $1,275 $1,275
Nerve conduction studies; 5 to 6 studies N/A $1,914 $1,914
Nerve conduction studies; 7 to 8 studies N/A $2,553 $2,553
Nerve conduction studies; 9 to 10 studies N/A $3,192 $3,192
Nerve conduction studies; 11 to 12 studies N/A $3,830 $3,830
Nerve conduction studies; 13 or more studies N/A $4,177 $4,177

PET (positron emission tomography) scans

Type of Visit Facility Charge Professional Charge Total Charge
Whole body scan N/A $12,233 $12,233

Pregnancy and prenatal tests

Type of visit Facility charge Professional charge Total charge
ABO type (blood typing) $224 N/A $224
Chlamydia test $197 N/A $197
Fetal non-stress test N/A $435 $435
Obstetric ultrasound N/A $772 $772
Pregnancy test N/A $59 $59
Pregnancy ultrasound, after 1st trimester, limited N/A $539 $539
Rh type $225 N/A $225

Stress tests and echocardiograms

Type of visit Facility charge Professional charge Total charge
Cardio stress test N/A $833 $833
Doppler (flow velocity mapping) echocardiogram N/A $705 $705
Doppler (pulsed wave) echocardiogram N/A $555 $555
Echocardiogram, without color or doppler N/A $1,313 $1,313
EKG, tracing only N/A $119 $119
Stress test with echocardiogram (real-time image) N/A $1,135 $1,135
Stress test, TEE echocardiogram (real-time, 2-dimensional image) N/A $1,489 $1,489

Ultrasounds

Type of visit Facility charge Professional charge Total charge
Ultrasound, abdomen, complete N/A $764 $764
Ultrasound, pelvis, complete N/A $618 $618
Vaginal ultrasound, non OBGYN, non pregnancy N/A $597 $597

X-rays

Type of visit Facility charge Professional charge Total charge
Ankle X-ray (3+ views) N/A $228 $228
Bone density scan (DEXA scan) N/A $740 $740
Chest X-ray (1 view) N/A $187 $187
Chest X-ray (2 views) N/A $259 $259
Foot X-ray N/A $225 $225
Spine X-ray N/A $163 $163
Spine X-ray (lumbar PA-LAT) N/A $258 $258