Derry Imaging Center
Medical Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Biopsy - Breast | $5,082 | 0% | $5,082 | Medium |
| Bone Density Scan (outpatient) | $263 | 0% | $263 | Medium |
| CT Scan - Chest, with Contrast (outpatient) | $1,145 | 0% | $1,145 | Medium |
| Mammogram (outpatient) | $998 | 0% | $998 | Medium |
| MRI - Back (outpatient) | $1,386 | 0% | $1,386 | Medium |
| MRI - Pelvis (outpatient) | $2,310 | 0% | $2,310 | High |
| Myocardial Imaging (outpatient) | $3,098 | 0% | $3,098 | Medium |
| Ultrasound - Abdominal, Complete | $630 | 0% | $630 | Medium |
| Ultrasound - Pelvic (outpatient) | $578 | 0% | $578 | Medium |
| Ultrasound - Pregnancy (outpatient) | $735 | 0% | $735 | Low |
| Ultrasound - Transvaginal (non-maternity) | $1,360 | 0% | $1,360 | Medium |
| X-Ray - Knee (outpatient) | $417 | 0% | $417 | Medium |
