Dartmouth-Hitchcock (Concord)
253 Pleasant Street Concord, NH 03301
Medical Procedures
Radiology Services
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Mammogram (outpatient) | $912 | 0% | $912 | Medium |
| MRI - Knee (outpatient) | $3299 | 0% | $3299 | Medium |
| Ultrasound - Pelvic (outpatient) | $542 | 0% | $542 | High |
| Ultrasound - Pregnancy (outpatient) | $678 | 0% | $678 | Medium |
| Ultrasound - Pregnancy follow-up | $560 | 0% | $560 | Medium |
| Ultrasound - Transvaginal (non-maternity) | $735 | 0% | $735 | Medium |
| X-Ray - Ankle (outpatient) | $479 | 0% | $479 | Medium |
| X-Ray - Foot (outpatient) | $510 | 0% | $510 | Medium |
| X-Ray - Hand | $675 | 0% | $675 | High |
| X-Ray - Hip | $561 | 0% | $561 | Medium |
| X-Ray - Knee (outpatient) | $419 | 0% | $419 | High |
| X-Ray - Shoulder (outpatient) | $557 | 0% | $557 | Medium |
Outpatient Tests and Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What you Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Arthrocentesis (outpatient) | $795 | 0% | $795 | Medium |
| Biopsy, Skin lesion | $1514 | 0% | $1514 | Medium |
| Destruction of Lesion (outpatient) | $630 | 0% | $630 | Medium |
| Destruction of lesions, up to 14 | $665 | 0% | $665 | Medium |