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 |