Physician
Radiology
Radiology
BEND, OR
ST CHARLES MEDICAL CENTER PRINEVILLE
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 |
|---|---|---|---|---|
19083 Biopsy of breast and placement of locating device using ultrasound, first growth | $1,928 | $491 | $381 | 17 |
19081 Biopsy of breast and placement of locating device using x-ray with needle, first growth | $1,882 | $466 | $372 | 11 |
78830 Nuclear medicine study, spect imaging with concurrent ct scan, 1 area or single acquisition, single day imaging | $644 | $183 | $146 | 23 |
73221 Mri scan of arm joint without contrast | $511 | $89 | $70 | 59 |
72148 Mri scan of lower spinal canal without contrast | $494 | $88 | $68 | 96 |
72141 Mri scan of upper spinal canal without contrast | $493 | $86 | $68 | 22 |
73721 Mri scan of leg joint without contrast | $461 | $85 | $65 | 79 |
73700 Ct scan of leg without contrast | $352 | $64 | $46 | 20 |
71275 Ct scan of blood vessels of chest with contrast | $275 | $82 | $61 | 31 |
74177 Ct scan of abdomen and pelvis with contrast | $256 | $84 | $63 | 33 |
70496 Ct scan of blood vessels of head with contrast | $251 | $80 | $64 | 16 |
70498 Ct scan of blood vessels of neck with contrast | $251 | $77 | $59 | 15 |
74176 Ct scan of abdomen and pelvis without contrast | $245 | $80 | $60 | 18 |
77066 Diagnostic mammography of both breasts | $213 | $72 | $51 | 107 |
70551 Mri scan of brain without contrast | $211 | $66 | $53 | 13 |
76536 Ultrasound scan of head and neck soft tissue | $179 | $54 | $43 | 31 |
71260 Ct scan of chest with contrast | $178 | $51 | $37 | 12 |
77065 Diagnostic mammography of 1 breast | $170 | $58 | $41 | 187 |
77067 Screening mammography | $168 | $57 | $57 | 970 |
76770 Complete ultrasound scan behind abdominal cavity | $159 | $47 | $37 | 11 |
72125 Ct scan of upper spine without contrast | $152 | $45 | $34 | 21 |
76642 Limited ultrasound scan of 1 breast | $133 | $42 | $30 | 191 |
70450 Ct scan head or brain without contrast | $121 | $38 | $29 | 86 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $86 | $28 | $19 | 21 |
77063 Screening 3d breast mammography | $84 | $28 | $28 | 56 |
77080 Dxa bone density measurement of hip, pelvis, spine | $84 | $18 | $18 | 130 |
77085 Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment | $76 | $25 | $25 | 102 |
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $66 | $27 | $16 | 18 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $65 | $20 | $16 | 16 |
71046 X-ray of chest, 2 views | $63 | $21 | $15 | 82 |
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries | $62 | $15 | $12 | 12 |
73502 X-ray of hip, 2-3 views | $58 | $20 | $16 | 11 |
72100 X-ray of lower and sacral spine, 2-3 views | $55 | $19 | $11 | 12 |
73562 X-ray of knee, 3 views | $52 | $18 | $15 | 14 |
77081 Dxa bone density measurement of forearm, finger, hand, or foot | $39 | $15 | $15 | 132 |
73030 X-ray of shoulder, minimum of 2 views | $29 | $9 | $6 | 15 |
72170 X-ray of pelvis, 1-2 views | $27 | $8 | $6 | 12 |
74018 X-ray of abdomen, 1 view | $26 | $8 | $7 | 13 |
71045 X-ray of chest, 1 view | $26 | $8 | $7 | 90 |
A9585 Injection, gadobutrol, 0.1 ml | $1 | $0 | $0 | 1,550 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.