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Pathology

Robert R. Cawley, D.O.

Dover, NH 03802

Education & Training

Board Certification

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Radiology

All procedural prices listed below are subject to separate hospital facility fees and professional fees from physicians for their services. Prices will vary.

Discounts:

  • 40% discount for self-pay patients (patients with no insurance).
  • 20% prompt pay discount with full bill payment in 30 days. This applies to self-pay accounts and self-pay balances after insurance.

CPT Code

X-ray

Right or Left

No Insurance
Right or Left

Both Sides

No Insurance
Both Sides

73610/73110

73630/73130

Ankle, Wrist, Foot or Hand 
3 views

$596

$358

$891

$535

71020

Chest

N/A

N/A

$551

$331

73510/73520

Hip

$436

$262

$483

$290

73030

Shoulder

$596

$358

$891

$535

72050

Spine

N/A

N/A

$711

$427



 

CPT Code

MRI

Right or Left

No Insurance
Right or Left

Both Sides

No Insurance
Both Sides

 

Brain

 

 

 

 

70552

Brain MRI w/contrast

N/A

N/A

$4,992

$2,995

70551

Brain MRI w/o contrast

N/A

N/A

$4,961

$2,977

70553

Brain MRI w/wo contrast

N/A

N/A

$5,206

$3,124

 

 

 

 

 

 

 

Joint - Upper

 

 

 

 

73222

Any Joint Upper Body w/contrast

$5,150

$3,090

$7,723

$4,634

73221

Any Joint Upper Body w/o contrast

$4,950

$2,970

$6,470

$3,882

73223

Any Joint Upper Body w/wo contrast

$5,460

$3,267

$8,192

$4,915

 

 

 

 

 

 

 

Joint - Lower

 

 

 

 

73722

Any Joint Lower Body w/contrast

$4,665

$2,799

$6,997

$4,198

73721

Any Joint Lower Body w/o contrast

$4,655

$2,793

$6,982

$4,189

73723

Any Joint Lower Body w/wo contrast

$5,130

$3,078

$7,695

$4,617

 

 

 

 

 

 

 

Spine - Lumbar

 

 

 

 

72149

Lumbar w/contrast

N/A

N/A

$5,526

$3,316

72148

Lumbar w/o contrast

N/A

N/A

$5,270

$3,162

72158

Lumbar w/wo contrast

N/A

N/A

$5,780

$3,468

 

 

 

 

 

 

 

Spine - Cervical

 

 

 

 

72142

Cervical w/contrast

N/A

N/A

$6,006

$3,604

72141

Cervical w/o contrast

N/A

N/A

$5,780

$3,468

72156

Cervical w/wo contrast

N/A

N/A

$6,304

$3,782

 

CPT Code

CT Scan

Cost

No Insurance
Cost

 

Abdomen

 

 

74160

Abdomen w/contrast

$4,743

$2,846

74150

Abdomen w/o contrast

$3,283

$1,970

74170

Abdomen w/wo contrast

$5,150

$3,090

 

 

 

 

 

Facial

 

 

70487

Facial w/contrast

$1,997

$1,198

70486

Facial w/o contrast

$1,936

$1,162

70488

Facial w/wo contrast

$2,108

$1,265

 

 

 

 

 

Head

 

 

70460

Head/Brain w/contrast

$4,303

$2,582

70450

Head/Brain w/o contrast

$2,964

$1,778

70470

Head/Brain w/wo contrast

$5,215

$3,129

 

 

 

 

 

Pelvis

 

 

72193

Pelvis w/contrast

$2,325

$1,395

72192

Pelvis w/o contrast

$1,987

$1,192

72194

Pelvis w/wo contrast

$2,357

$1,414

 

 

 

 

 

Thorax (upper trunk)

 

 

71260

Thorax w/contrast

$4,696

$2,818

71250

Thorax w/o contrast

$3,599

$2,159

71270

Thorax w/wo contrast

$5,011

$3,007

 

CPT Code

Ultrasound

Cost

No Insurance
Cost

76700

Abdomen

Complete Abdominal

$1,141

$685

76536

Head/Neck ST

Soft tissue of head/neck

$1,134

$680

76830

Vaginal

Transvaginal

$1,184

$710

76770

Kidney

Renal/Retroperitoneal

$714

$428

76870

Male Genitalia & Contents

Male Genitalia

$896

$538

Contact Us

For help with pricing information, please call (603) 740-2205.

For help understanding your bill or to make payment arrangements, please call our toll free customer service number at (855) 762-5219.