Dartmouth-Hitchcock (Keene)

580-590 Court Street Keene, NH 03431
Medical Procedures
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Bone Density Scan (outpatient)$6490%$649 Medium
Mammogram (outpatient)$10120%$1012 Medium
Ultrasound - Pregnancy (outpatient)$6780%$678 High
Ultrasound - Pregnancy follow-up$4640%$464 Medium
Ultrasound - Transvaginal (non-maternity)$5890%$589 Medium
Urine Capacity Measurement$5820%$582 Medium
X-Ray - Ankle (outpatient)$6440%$644 Medium
X-Ray - Foot (outpatient)$6370%$637 Medium
X-Ray - Knee (outpatient)$8830%$883 High
X-Ray - Shoulder (outpatient)$8320%$832 High
X-Ray - Wrist (outpatient)$9410%$941 Medium

Outpatient Tests and Procedures

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$8720%$872 Medium
Biopsy, Skin lesion$10910%$1091 Medium
Destruction of Lesion (outpatient)$5500%$550 Medium
Destruction of lesions, up to 14$6650%$665 Medium
Diagnostic Laryngoscopy$10570%$1057 Medium
Nasal endoscopy, diagnostic$11660%$1166 Medium

Physical Therapy

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Low Complexity Evaluation - PT$1260%$126 Medium
Re-Evaluation - PT$740%$74 Medium
Manual Therapy - PT$580%$58 Medium
Therapeutic Activities - PT$530%$53 Medium
Therapeutic Exercises - PT$530%$53 Medium
Electrical Stimulation Therapy - PT$260%$26 Medium
Neuromuscular Reeducation - PT$530%$53 Medium