Women's Life Imaging

200 NH-108, Suite 3 Somersworth, NH 03878
http://www.womenslifeimaging.com/
(603) 742-6673

All cost information is based on claims data collected in the New Hampshire Comprehensive Healthcare Information System which is updated quarterly. All quality information is based on claims and administrative data collected by the Centers for Medicare and Medicaid Services which is updated annually. For more information click the links above and review our methodology section.

Methodology
Procedure Estimate of Procedure Cost Estimate of Procedure Cost
This is an estimate of the total charge for the health care service before any discounts provided to the uninsured. 		Number of Visits Number of Visits
When the number of visits varies, it is difficult to estimate the total cost of care. This indicates the number of visits you can expect, calculated using the median. To determine the total you might pay, multiply the Estimate of Procedure Cost and the Statewide Average for Number of Visits.
- Above Average: Expect to visit the provider more than the average number of visits.
- Near Average: Expect the visit the provider close to the average number of visits.
- Below Average: Expect to visit the provider less than the average number of visits.
 		What You Will Pay What You Will Pay
The estimated charge amount minus the uninsured discount (when available).
Uninsured Discount: 0%
Application of Blood Vessel Compression or Decompression Device $63 Below Average
State Average: 3
 $63
Low Complexity Occupational Therapy Evaluation $326 Near Average
State Average: 1
 $326
Low Complexity Physical Therapy Evaluation $326 Near Average
State Average: 1
 $326
Manual Physical Therapy $116 Below Average
State Average: 4
 $116
Moderate Complexity Physical Therapy Evaluation $326 Near Average
State Average: 1
 $326
Neuromuscular Reeducation $96 Below Average
State Average: 4
 $96
Physical Therapy Re-Evaluation $153 Near Average
State Average: 1
 $153
Screening Mammogram of Both Breasts $673 N/A $673
Therapeutic Activities $114 Near Average
State Average: 3
 $114
Therapeutic Exercises $114 Near Average
State Average: 4
 $114
Ultrasound Therapy $77 Below Average
State Average: 3
 $77