Mary Jo Montanarella, MD

30 Canton Street, Suite 6 Manchester, NH 03103
Medical Procedures
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Radiology Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Mammogram (outpatient)$9630%$963 High
Ultrasound - Pelvic (outpatient)$4990%$499 Medium
Ultrasound - Pregnancy (outpatient)$3200%$320 High
Ultrasound - Pregnancy follow-up$2630%$263 Medium
Ultrasound - Transvaginal (non-maternity)$5200%$520 Medium

Laboratory Services

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Pregnancy test, urine$260%$26 Medium

Office Visits

ProcedureEstimate of Total Cost Uninsured Discount What you Will Pay Typical Patient Complexity
Basic Office Visit$740%$74 Medium
Office Visit, Established Pt$1470%$147 Medium
Office Visit of Moderate Complexity$2360%$236 Medium
Office Visit of Moderate to High Complexity$2630%$263 Medium
Comp Preventive Medicine 18-39 yrs old$2360%$236 Medium
Comp Preventive Medicine 40-64 yrs old$2360%$236 Medium
New Patient, Comp Prevent Medicine 18-39 yrs old$2310%$231 Medium
New Patient, Comp Prevent Medicine 40-64 yrs old$3150%$315 Medium