Physician
Radiology
Radiology
TROY, OH
UPPER VALLEY MEDICAL CENTER
premierhealth.com/locations/hospitals/upper-valley-medical-center
Based on specialty. Actual services may vary — contact the provider's office to confirm.
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
76706 Ultrasound scan of abdominal aorta | $344 | $26 | $26 | 11 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $232 | $28 | $22 | 85 |
93970 Ultrasound study of arm or leg veins with compression and maneuvers | $225 | $33 | $26 | 13 |
77067 Screening mammography | $220 | $35 | $35 | 848 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $208 | $21 | $16 | 24 |
76770 Complete ultrasound scan behind abdominal cavity | $157 | $34 | $27 | 101 |
77066 Diagnostic mammography of both breasts | $157 | $46 | $33 | 45 |
77065 Diagnostic mammography of 1 breast | $150 | $38 | $29 | 44 |
76856 Complete ultrasound scan of pelvis | $148 | $32 | $24 | 14 |
76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $147 | $33 | $25 | 73 |
93880 Ultrasound of both sides of head and neck blood flow | $140 | $38 | $29 | 54 |
76642 Limited ultrasound scan of 1 breast | $136 | $33 | $25 | 87 |
76705 Limited ultrasound scan of abdomen | $124 | $28 | $20 | 58 |
76775 Limited ultrasound scan behind abdominal cavity | $124 | $27 | $20 | 92 |
77063 Screening 3d breast mammography | $117 | $28 | $28 | 848 |
76857 Limited ultrasound scan of pelvis | $81 | $23 | $18 | 71 |
77080 Dxa bone density measurement of hip, pelvis, spine | $63 | $9 | $9 | 455 |
73564 X-ray of knee, 4 or more views | $48 | $11 | $8 | 54 |
72100 X-ray of lower and sacral spine, 2-3 views | $47 | $11 | $8 | 11 |
71046 X-ray of chest, 2 views | $47 | $10 | $8 | 948 |
73502 X-ray of hip, 2-3 views | $43 | $11 | $8 | 149 |
73562 X-ray of knee, 3 views | $41 | $9 | $7 | 19 |
74018 X-ray of abdomen, 1 view | $39 | $9 | $6 | 18 |
71045 X-ray of chest, 1 view | $39 | $9 | $7 | 2,799 |
73030 X-ray of shoulder, minimum of 2 views | $39 | $9 | $6 | 181 |
73560 X-ray of knee, 1-2 views | $38 | $8 | $6 | 42 |
Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.