New Hampshire Neurospine Institute
Medical Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| MRI - Back (outpatient) | $2,028 | 0% | $2,028 |
| Physical Therapy - Application of Mechanical Traction | $68 | 0% | $68 |
| Physical Therapy - Electrical Stimulation Therapy | $78 | 0% | $78 |
| Physical Therapy - Low Complexity Evaluation | $210 | 0% | $210 |
| Physical Therapy - Manual Electrical Stimulation Therapy, 15 minutes | $59 | 0% | $59 |
| Physical Therapy - Manual Therapy | $58 | 0% | $58 |
| Physical Therapy - Moderate Complexity Evaluation | $263 | 0% | $263 |
| Physical Therapy - Neuromuscular Reeducation | $71 | 0% | $71 |
| Physical Therapy - Re-Evaluation | $158 | 0% | $158 |
| Physical Therapy - Therapeutic Activities | $87 | 0% | $87 |
| Physical Therapy - Therapeutic Exercises | $71 | 0% | $71 |
| Physical Therapy - Ultrasound Therapy | $53 | 0% | $53 |
| X-Ray - Middle Back, Thoracic Spine | $508 | 0% | $508 |
| X-Ray - Neck, Cervical Spine | $326 | 0% | $326 |
| X-Ray - Spine (outpatient) | $465 | 0% | $465 |