Based on public Medicaid payment data.
Dartmouth-Hitchcock Clinic
Medicaid Provider in Lebanon, NH
Type
Organization
Address
One Medical Center Dr
Lebanon, NH 037560001
Phone
6036505000
NPI
1548210198
Procedures
11
Total Claims
5.9K
Patients Served
4.9K
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Office Visit | $21.43 | 2,816 | 2,275 |
| Upper Endoscopy (EGD) | $193.03 | 1,365 | 1,274 |
| Colonoscopy | $224.84 | 697 | 640 |
| Vaccines & Immunizations | $2.38 | 306 | 221 |
| EKG / ECG (Electrocardiogram) | $0.97 | 264 | 157 |
| CT Scan (Computed Tomography) | $1.71 | 129 | 90 |
| Psychiatric Evaluation | $46.01 | 113 | 73 |
| Pathology & Lab Services | $0.00 | 107 | 71 |
| Tonsillectomy | $312.83 | 73 | 71 |
| Nursing Facility Care | $0.00 | 27 | 24 |
| X-Ray | $0.35 | 20 | 14 |
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