Physician
Radiology
Radiology
TRAVERSE CITY, MI
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
munsonhealthcare.org/otsego-memorial-hospital/otsego-memorial-hospital
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 |
|---|---|---|---|---|
19081 Biopsy of breast and placement of locating device using x-ray with needle, first growth | $515 | $161 | $104 | 14 |
19083 Biopsy of breast and placement of locating device using ultrasound, first growth | $485 | $148 | $107 | 42 |
78815 Nuclear medicine study from skull base to mid-thigh with ct scan | $359 | $112 | $79 | 56 |
77049 Mri scan of both breasts | $345 | $108 | $77 | 19 |
70553 Mri scan of brain before and after contrast | $344 | $108 | $84 | 28 |
74183 Mri scan of abdomen before and after contrast | $332 | $103 | $72 | 24 |
74178 Ct scan of abdomen and pelvis before and after contrast | $302 | $94 | $69 | 12 |
74177 Ct scan of abdomen and pelvis with contrast | $275 | $85 | $62 | 174 |
71275 Ct scan of blood vessels of chest with contrast | $274 | $85 | $66 | 68 |
70496 Ct scan of blood vessels of head with contrast | $264 | $82 | $60 | 35 |
70498 Ct scan of blood vessels of neck with contrast | $264 | $79 | $59 | 33 |
74176 Ct scan of abdomen and pelvis without contrast | $263 | $82 | $64 | 78 |
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect | $237 | $75 | $56 | 24 |
72148 Mri scan of lower spinal canal without contrast | $225 | $69 | $51 | 32 |
73721 Mri scan of leg joint without contrast | $205 | $64 | $39 | 13 |
73221 Mri scan of arm joint without contrast | $205 | $61 | $43 | 16 |
71260 Ct scan of chest with contrast | $187 | $53 | $38 | 82 |
71271 Low dose ct scan of chest for lung cancer screening | $183 | $51 | $51 | 22 |
71250 Ct scan of chest without contrast | $176 | $50 | $38 | 50 |
72125 Ct scan of upper spine without contrast | $161 | $45 | $32 | 66 |
72131 Ct scan of lower spine without contrast | $151 | $43 | $31 | 20 |
73700 Ct scan of leg without contrast | $151 | $46 | $28 | 13 |
72128 Ct scan of middle spine without contrast | $151 | $43 | $32 | 11 |
77066 Diagnostic mammography of both breasts | $151 | $47 | $32 | 13 |
70486 Ct scan of face without contrast | $129 | $36 | $25 | 14 |
70450 Ct scan head or brain without contrast | $128 | $39 | $29 | 183 |
77065 Diagnostic mammography of 1 breast | $123 | $38 | $26 | 82 |
93880 Ultrasound of both sides of head and neck blood flow | $121 | $38 | $28 | 15 |
77067 Screening mammography | $114 | $36 | $36 | 677 |
76642 Limited ultrasound scan of 1 breast | $113 | $34 | $25 | 54 |
77063 Screening 3d breast mammography | $90 | $29 | $29 | 537 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $90 | $29 | $21 | 64 |
76705 Limited ultrasound scan of abdomen | $88 | $28 | $21 | 37 |
76775 Limited ultrasound scan behind abdominal cavity | $87 | $26 | $20 | 19 |
74230 Imaging for evaluation of swallowing function | $80 | $25 | $19 | 16 |
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $74 | $32 | $25 | 23 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $68 | $21 | $16 | 28 |
73523 X-ray of both hips, minimum of 5 views | $49 | $15 | $12 | 15 |
74022 X-ray series of abdomen with single x-ray of chest | $49 | $15 | $12 | 22 |
72110 X-ray of lower and sacral spine, minimum of 4 views | $48 | $12 | $9 | 18 |
71101 X-ray of ribs on side of body, minimum of 3 views | $41 | $13 | $9 | 19 |
73502 X-ray of hip, 2-3 views | $34 | $10 | $8 | 54 |
73564 X-ray of knee, 4 or more views | $34 | $11 | $8 | 35 |
72070 X-ray of middle spine, 2 views | $34 | $10 | $7 | 14 |
72100 X-ray of lower and sacral spine, 2-3 views | $34 | $10 | $8 | 31 |
71046 X-ray of chest, 2 views | $33 | $10 | $7 | 123 |
77080 Dxa bone density measurement of hip, pelvis, spine | $30 | $9 | $9 | 33 |
76376 3d radiographic procedure | $30 | $9 | $7 | 16 |
73030 X-ray of shoulder, minimum of 2 views | $29 | $9 | $6 | 50 |
71045 X-ray of chest, 1 view | $28 | $9 | $6 | 516 |
Showing top 50 of 60 procedures by charge amount.
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.