New Hampshire Neurospine Institute
Medical Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| MRI - Back (outpatient) | $1,896 | 0% | $1,896 | Medium |
| Physical Therapy - Electrical Stimulation Therapy | $78 | 0% | $78 | Medium |
| Physical Therapy - High Complexity Evaluation | $294 | 0% | $294 | Medium |
| Physical Therapy - Low Complexity Evaluation | $210 | 0% | $210 | Medium |
| Physical Therapy - Manual Therapy | $58 | 0% | $58 | Medium |
| Physical Therapy - Moderate Complexity Evaluation | $263 | 0% | $263 | Medium |
| Physical Therapy - Neuromuscular Reeducation | $71 | 0% | $71 | Medium |
| Physical Therapy - Re-Evaluation | $158 | 0% | $158 | Medium |
| Physical Therapy - Therapeutic Activities | $89 | 0% | $89 | Medium |
| Physical Therapy - Therapeutic Exercises | $71 | 0% | $71 | Medium |
| Physical Therapy - Ultrasound Therapy | $53 | 0% | $53 | Medium |
| X-Ray - Middle Back, Thoracic Spine | $435 | 0% | $435 | Medium |
| X-Ray - Neck, Cervical Spine | $326 | 0% | $326 | Medium |
| X-Ray - Spine (outpatient) | $465 | 0% | $465 | Medium |
