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.
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-to-moderate-level visit | N/A | $285 | $285 |
| Moderate-level visit | N/A | $376 | $376 |
| Moderate-to-high-level visit | N/A | $567 | $567 |
| High-level visit | N/A | $708 | $708 |
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 | $107 | $107 |
| Low-to-moderate-level visit | N/A | $175 | $175 |
| Moderate-level visit | N/A | $243 | $243 |
| Moderate-to-high-level visit | N/A | $374 | $374 |
| High-level visit | N/A | $530 | $530 |
| Online evaluation and management service, 5 to 10 minutes | N/A | $47 | $47 |
| Online evaluation and management service, 10 to 20 minutes | N/A | $94 | $94 |
| Online evaluation and management service, greater than 20 minutes | N/A | $152 | $152 |
Doctor's office visit for consultation
(examination and coordination between health care 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 | $334 | $334 |
| Low-to-moderate-level visit | N/A | $434 | $434 |
| Moderate-level visit | N/A | $553 | $553 |
| Moderate-to-high-level visit | N/A | $774 | $774 |
| High-level visit | N/A | $987 | $987 |
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 | $313 | $313 |
| Refraction test | N/A | $82 | $82 |
| Screening test of visual acuity | N/A | $39 | $39 |
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 | $64 | $64 |
| Medical nutrition therapy | N/A | $108 | $108 |
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 to 1 | N/A | $402 | $402 |
| New patient physical: age 1 to 4 | N/A | $424 | $424 |
| New patient physical: age 5 to 11 | N/A | $443 | $443 |
| New patient physical: age 12 to 17 | N/A | $500 | $500 |
| New patient physical: age 18 to 39 | N/A | $500 | $500 |
| New patient physical: age 40 to 64 | N/A | $565 | $565 |
| New patient physical: age 65 and over | N/A | $607 | $607 |
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 to 1 | N/A | $313 | $313 |
| Established patient physical: age 1 to 4 | N/A | $338 | $338 |
| Established patient physical: age 5 to 11 | N/A | $336 | $336 |
| Established patient physical: age 12 to 17 | N/A | $401 | $401 |
| Established patient physical: age 18 to 39 | N/A | $438 | $438 |
| Established patient physical: age 40 to 64 | N/A | $477 | $477 |
| Established patient physical: age 65 and over | N/A | $527 | $527 |