Dartmouth-Hitchcock (Manchester)

100 Htichcock Way Manchester, NH 03104
Medical Procedures
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Mammogram (outpatient)$9120%$912 High
MRI - Knee (outpatient)$34920%$3492 Medium
Ultrasound - Pelvic (outpatient)$5130%$513 Medium
Ultrasound - Pregnancy (outpatient)$6430%$643 Medium
Ultrasound - Pregnancy follow-up$4400%$440 Medium
Ultrasound - Transvaginal (non-maternity)$4940%$494 Medium
X-Ray - Hip$6000%$600 Medium
X-Ray - Knee (outpatient)$4610%$461 High
X-Ray - Shoulder (outpatient)$6720%$672 High

Outpatient Tests and Procedures

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Arthrocentesis (outpatient)$8480%$848 Medium
Biopsy, Skin lesion$13250%$1325 Medium
Destruction of Lesion (outpatient)$5490%$549 Medium
Destruction of lesions, up to 14$5720%$572 Medium
Diagnostic Laryngoscopy$10570%$1057 Medium
Nasal endoscopy, diagnostic$12980%$1298 Medium

Physical Therapy

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Therapeutic Exercises - PT$1470%$147 Medium