Southern New Hampshire Radiology Consultants
Medical Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay |
|---|---|---|---|
| Bone Density Scan (outpatient) | $582 | 0% | $582 |
| CT Scan - Abdomen and Pelvis, with Contrast | $5,009 | 0% | $5,009 |
| CT Scan - Chest, with Contrast (outpatient) | $2,675 | 0% | $2,675 |
| Mammogram (outpatient) | $547 | 0% | $547 |
| MRI - Back (outpatient) | $3,558 | 0% | $3,558 |
| MRI - Brain (outpatient) | $7,182 | 0% | $7,182 |
| MRI - Knee (outpatient) | $3,288 | 0% | $3,288 |
| MRI - Pelvis (outpatient) | $5,612 | 0% | $5,612 |
| Office Visit - Basic | $92 | 0% | $92 |
| Office Visit - Established Patient, High Complexity | $307 | 0% | $307 |
| Office Visit - Established Patient, Low Complexity | $153 | 0% | $153 |
| Office Visit - Established Patient, Moderate Complexity | $228 | 0% | $228 |
| Office Visit - New Patient, Low Complexity | $228 | 0% | $228 |
| Office Visit - New Patient, Moderate Complexity | $349 | 0% | $349 |
| Ultrasound - Breast (outpatient) | $960 | 0% | $960 |
| Ultrasound - Pregnancy (outpatient) | $980 | 0% | $980 |
| X-Ray - Chest (outpatient) | $636 | 0% | $636 |