Physician
Radiology
Radiology
MISSOULA, MT
ST. PATRICK HOSPITAL
COMMUNITY MEDICAL CENTER
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PROV SACRED HRT MED CTR & CHILDS HOSP.
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 |
|---|---|---|---|---|
75561 Mri scan of heart before and after contrast | $364 | $119 | $95 | 60 |
77067 Screening mammography | $348 | $106 | $106 | 181 |
78815 Nuclear medicine study from skull base to mid-thigh with ct scan | $346 | $112 | $89 | 16 |
75574 Ct scan of blood vessels and grafts of heart with contrast | $333 | $112 | $80 | 29 |
74183 Mri scan of abdomen before and after contrast | $319 | $103 | $71 | 53 |
72197 Mri scan of pelvis before and after contrast | $319 | $103 | $77 | 37 |
74174 Ct scan of blood vessels of abdomen and pelvis with contrast | $312 | $102 | $78 | 172 |
74178 Ct scan of abdomen and pelvis before and after contrast | $285 | $95 | $66 | 24 |
71275 Ct scan of blood vessels of chest with contrast | $272 | $82 | $64 | 240 |
74177 Ct scan of abdomen and pelvis with contrast | $258 | $86 | $62 | 170 |
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow | $256 | $55 | $43 | 19 |
71555 Mri scan of blood vessels of chest | $255 | $85 | $56 | 11 |
74176 Ct scan of abdomen and pelvis without contrast | $247 | $82 | $63 | 88 |
75572 Ct scan of heart structure with contrast | $243 | $78 | $61 | 170 |
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect | $224 | $74 | $58 | 67 |
76641 Complete ultrasound scan of 1 breast | $188 | $52 | $33 | 28 |
71260 Ct scan of chest with contrast | $176 | $53 | $39 | 89 |
72192 Ct scan of pelvis without contrast | $153 | $51 | $33 | 16 |
71271 Low dose ct scan of chest for lung cancer screening | $150 | $51 | $51 | 23 |
77063 Screening 3d breast mammography | $150 | $47 | $47 | 176 |
71250 Ct scan of chest without contrast | $144 | $50 | $36 | 168 |
77066 Diagnostic mammography of both breasts | $126 | $47 | $33 | 26 |
76642 Limited ultrasound scan of 1 breast | $120 | $33 | $23 | 75 |
76700 Complete ultrasound scan of abdomen | $115 | $38 | $26 | 15 |
76770 Complete ultrasound scan behind abdominal cavity | $105 | $35 | $25 | 46 |
77065 Diagnostic mammography of 1 breast | $102 | $38 | $24 | 59 |
74221 Double contrast x-ray of esophagus | $98 | $33 | $26 | 12 |
76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $98 | $33 | $26 | 14 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $85 | $29 | $20 | 64 |
93880 Ultrasound of both sides of head and neck blood flow | $85 | $38 | $29 | 24 |
76705 Limited ultrasound scan of abdomen | $83 | $28 | $21 | 51 |
76536 Ultrasound scan of head and neck soft tissue | $79 | $27 | $20 | 36 |
75571 Ct scan of heart with evaluation of blood vessel calcium | $79 | $28 | $16 | 15 |
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $70 | $33 | $24 | 16 |
71046 X-ray of chest, 2 views | $70 | $24 | $16 | 26 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $65 | $20 | $15 | 32 |
73502 X-ray of hip, 2-3 views | $35 | $11 | $7 | 21 |
73030 X-ray of shoulder, minimum of 2 views | $28 | $9 | $5 | 36 |
73562 X-ray of knee, 3 views | $28 | $9 | $5 | 13 |
76376 3d radiographic procedure | $27 | $9 | $6 | 13 |
71045 X-ray of chest, 1 view | $26 | $9 | $7 | 398 |
74018 X-ray of abdomen, 1 view | $26 | $9 | $7 | 47 |
73610 X-ray of ankle, minimum of 3 views | $25 | $8 | $7 | 12 |
73110 X-ray of wrist, minimum of 3 views | $25 | $8 | $5 | 12 |
73630 X-ray of foot, minimum of 3 views | $24 | $8 | $6 | 11 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.