Derry Imaging Center
Medical Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Biopsy - Breast | $4,536 | 0% | $4,536 | High |
| Bone Density Scan (outpatient) | $263 | 0% | $263 | Medium |
| CT Scan - Chest, with Contrast (outpatient) | $1,145 | 0% | $1,145 | Medium |
| Mammogram (outpatient) | $777 | 0% | $777 | Medium |
| MRI - Back (outpatient) | $1,250 | 0% | $1,250 | Medium |
| MRI - Pelvis (outpatient) | $2,310 | 0% | $2,310 | Medium |
| Myocardial Imaging (outpatient) | $2,909 | 0% | $2,909 | Medium |
| Ultrasound - Abdominal, Complete | $483 | 0% | $483 | Medium |
| Ultrasound - Pelvic (outpatient) | $425 | 0% | $425 | Medium |
| Ultrasound - Pregnancy (outpatient) | $499 | 0% | $499 | Medium |
| Ultrasound - Transvaginal (non-maternity) | $1,360 | 0% | $1,360 | Medium |
| X-Ray - Knee (outpatient) | $378 | 0% | $378 | Medium |
