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)$35570%$3557 Medium
Ultrasound - Pelvic (outpatient)$5420%$542 Medium
Ultrasound - Pregnancy (outpatient)$6780%$678 Medium
Ultrasound - Pregnancy follow-up$4640%$464 Medium
Ultrasound - Transvaginal (non-maternity)$5210%$521 Medium
X-Ray - Foot (outpatient)$8440%$844 Medium
X-Ray - Knee (outpatient)$5630%$563 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)$8670%$867 Medium
Biopsy, Skin lesion$11880%$1188 Medium
Destruction of Lesion (outpatient)$5190%$519 Medium
Destruction of lesions, up to 14$5660%$566 Medium
Diagnostic Laryngoscopy$11160%$1116 Medium
Nasal endoscopy, diagnostic$11660%$1166 Medium

Physical Therapy

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