Average charges are estimates; your out-of-pocket expense will depend on your individual insurance coverage (such as co-insurance or deductibles).
如果您有任何疑问，请联系患者账户客户服务部 1-844-808-0730.
下面列出的所有费用都是在十大正规博彩网站评级正规博彩平台希区柯克诊所提供的服务, Manchester, or Nashua.
有时服务由十大正规博彩网站评级正规博彩平台希区柯克诊所的医生在当地医院提供. In those cases, 可能会有更多的费用账单没有在这里列出，你可能会收到其他设施的账单. 请与您将使用的医院联系，以获取未在十大正规博彩网站评级正规博彩平台希区柯克诊所进行的程序和测试的费用信息.
参见卫生保健费用 黎巴嫩十大正规博彩网站评级正规博彩平台希区柯克医疗中心 or 柴郡医疗中心.
计算机断层扫描
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 腹部CT扫描，有对比 | $2,255 | $506 | $2,761 |
| 胸部CT扫描，未做对比 | $1,913 | $485 | $2,398 |
| 头部或脑部CT扫描，无对比 | $1,518 | $378 | $1,896 |
| 骨盆CT扫描，有对比 | $2,227 | $495 | $2,722 |
| 骨盆CT扫描，无造影剂，随后进行造影剂 | $2,777 | $493 | $3,270 |
| 鼻窦CT扫描，有限，未见对比 | $1,638 | $435 | $2,073 |
消化，肠道，胃肠病学
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 结肠镜检查 | $4,086 | $3,028 | $7,114 |
| 息肉切除结肠镜检查 | $4,086 | $5,493 | $9,579 |
| 内窥镜检查(上消化道) | $2,587 | $2,483 | $5,070 |
| 乙状结肠镜检查(结肠癌筛检，局部麻醉) | $2,587 | $1,126 | $3,713 |
Lab tests
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 基础代谢组 | $83 | N/A | $83 |
| 全血细胞计数 | $81 | N/A | $81 |
| 综合代谢组 | $117 | N/A | $117 |
| Glucose test | $33 | N/A | $33 |
| Hemoglobin A1c | $55 | N/A | $55 |
| Lipid profile | $139 | N/A | $139 |
| Pap test | $265 | N/A | $265 |
| 前列腺特异性抗原(PSA) | $103 | N/A | $103 |
| 常规静脉穿刺 | $40 | N/A | $40 |
| Strep test | $155 | N/A | $155 |
| 促甲状腺激素(TSH) | $96 | N/A | $96 |
| 尿液分析(尿液分析)(办公室) | $154 | N/A | $154 |
Mammograms
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 数字化和计算机辅助检测的诊断性乳房x光片(双乳) | $502 | $212 | $714 |
| 用数字化和计算机辅助检测筛查乳房x光检查(双乳) | $459 | $178 | $637 |
磁共振成像(MRI)扫描
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 脑部核磁共振，没有对比 | $3,912 | $570 | $4,482 |
| 大脑核磁共振，不做对比，再做对比 | $8,035 | $1,168 | $9,203 |
| 颈椎MRI，无对比 | $3,623 | $643 | $4,266 |
| 膝关节MRI，无对比 | $3,821 | $544 | $4,365 |
| 骨盆MRI，不做对比，再做对比 | $7,168 | $1,055 | $8,223 |
| 脊柱MRI，无对比 | $4,044 | $654 | $4,698 |
Neurology
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 脑电图，清醒和睡眠 | $1,088 | $536 | $1,624 |
正电子发射断层扫描
| Type of Visit | Facility Charge | 专业负责 | Total Charge |
|---|---|---|---|
| Whole body scan | $14,644 | $931 | $15,575 |
妊娠和产前检查
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| ABO血型(血型) | $206 | N/A | $206 |
| 胎儿无应激试验 | $280 | $251 | $531 |
| 产科超声检查 | $622 | $361 | $983 |
| 产科超声-妊娠早期 | $437 | $358 | $795 |
| 验孕棒(办公室) | $80 | N/A | $80 |
| 验孕棒，验血 | $86 | N/A | $86 |
| 妊娠超声，孕早期后，有限 | $400 | $258 | $658 |
| Rh type | $220 | N/A | $220 |
| Urine culture | $170 | N/A | $170 |
心电图，压力测试和超声心动图
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 超声心动图，经胸，全彩色血流 | $1,6810 | $662 | $2,342 |
| 心电图心电图 | $164 | $112 | $276 |
| 核压力试验 | $5,960 | $1,169 | $7,129 |
| 超声心动图压力测试(实时图像) | $1,552 | $984 | $2,506 |
Ultrasounds
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 腹部超声检查，完成 | $658 | $314 | $972 |
| 超声检查，骨盆，完成 | $465 | $322 | $787 |
| 阴道超声，非妇产科，非妊娠 | $547 | $365 | $912 |
X-rays
| Type of visit | Facility charge | 专业负责 | Total charge |
|---|---|---|---|
| 脚踝x光片(3+片) | $186 | $105 | $291 |
| 骨密度扫描(DEXA扫描) | $713 | $229 | $942 |
| 胸部x光片(单面) | $153 | $85 | $238 |
| 胸部x光片(2张) | $230 | $100 | $330 |
| Foot X-ray | $184 | $103 | $287 |
| Spine X-ray | $142 | $65 | $207 |
| 脊柱x线片(腰椎PA-LAT) | $209 | $120 | $329 |