Southern New Hampshire Radiology Consultants
Medical Procedures
| Procedure | Estimate of Total Cost | Uninsured Discount | What You Will Pay | Typical Patient Complexity |
|---|---|---|---|---|
| Bone Density Scan (outpatient) | $482 | 0% | $482 | Medium |
| CT Scan - Abdomen and Pelvis, with Contrast | $5,336 | 0% | $5,336 | Medium |
| CT Scan - Chest, with Contrast (outpatient) | $2,579 | 0% | $2,579 | Medium |
| Mammogram (outpatient) | $783 | 0% | $783 | Medium |
| MRI - Back (outpatient) | $3,558 | 0% | $3,558 | Medium |
| MRI - Brain (outpatient) | $5,467 | 0% | $5,467 | High |
| MRI - Knee (outpatient) | $3,154 | 0% | $3,154 | Medium |
| MRI - Pelvis (outpatient) | $5,734 | 0% | $5,734 | Medium |
| Office Visit - Basic | $92 | 0% | $92 | Medium |
| Office Visit - Established Patient, Low Complexity | $153 | 0% | $153 | Medium |
| Office Visit - Established Patient, Moderate Complexity | $228 | 0% | $228 | Medium |
| Office Visit - New Patient, Low Complexity | $228 | 0% | $228 | Medium |
| Ultrasound - Breast (outpatient) | $749 | 0% | $749 | Medium |
| Ultrasound - Pelvic (outpatient) | $939 | 0% | $939 | Medium |
| Ultrasound - Pregnancy (outpatient) | $938 | 0% | $938 | Medium |
| X-Ray - Chest (outpatient) | $592 | 0% | $592 | Medium |
