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Physician

JERRY POLASEK, M.D.

Radiology

HOUSTON, TX, 77030
NPI: 1043487911Also: General Practice

Contact

Radiology

HOUSTON, TX

HOUSTON METHODIST HOSPITAL

713-790-2221

houstonmethodist.org

HOUSTON METHODIST SUGARLAND HOSPITAL

281-274-8000

houstonmethodist.org/locations/sugar-land

HOUSTON METHODIST THE WOODLANDS HOSPITAL

936-270-2000

houstonmethodist.org/locations/the-woodlands

HOUSTON METHODIST WILLOWBROOK HOSPITAL

281-477-1000

houstonmethodist.org/locations/willowbrook

Hospital Affiliations

Search procedure prices at these hospitals only · all code types (Imaging & Radiology & related)

Common Procedures for Radiology

CT ScanMRIX-Ray InterpretationUltrasoundMammographyFluoroscopyPET ScanInterventional Radiology ProcedureImage-Guided BiopsyAngiography

Based on specialty. Actual services may vary — contact the provider's office to confirm.

Procedure Pricing (Medicare Data)

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

ProcedureAvg ChargeMedicare AllowedMedicare PaidServices
62304
X-ray of lower spinal canal with review by radiologist
$879$119$9525
72157
Mri scan of middle spinal canal before and after contrast
$869$104$8317
72156
Mri scan of upper spinal canal before and after contrast
$863$106$8433
72158
Mri scan of lower spinal canal before and after contrast
$809$106$8560
70553
Mri scan of brain before and after contrast
$799$108$8694
62323
Injection of substance into lower spine canal using imaging guidance
$706$99$7913
64483
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
$664$116$9312
70496
Ct scan of blood vessels of head with contrast
$594$82$65158
70498
Ct scan of blood vessels of neck with contrast
$592$79$63215
72146
Mri scan of middle spinal canal without contrast
$543$69$5557
72141
Mri scan of upper spinal canal without contrast
$540$69$55191
62328
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance
$531$86$6930
70543
Mri scan of bone of eye socket, face, and/or neck before and after contrast
$519$97$7811
70551
Mri scan of brain without contrast
$506$69$55135
72148
Mri scan of lower spinal canal without contrast
$504$70$56374
70491
Ct scan of soft tissue of neck with contrast
$466$64$5130
70490
Ct scan of soft tissue of neck without contrast
$433$59$4718
72132
Ct scan of lower spine with contrast
$414$58$4636
72126
Ct scan of upper spine with contrast
$413$54$4413
72129
Ct scan of middle spine with contrast
$409$58$4713
70547
Mri scan of blood vessels of neck without contrast
$405$54$4341
70544
Mri scan of blood vessels of head without contrast
$402$53$4346
72125
Ct scan of upper spine without contrast
$394$46$36346
72131
Ct scan of lower spine without contrast
$394$46$36232
72128
Ct scan of middle spine without contrast
$393$45$3650
70486
Ct scan of face without contrast
$383$39$3158
70450
Ct scan head or brain without contrast
$289$39$31461
76536
Ultrasound scan of head and neck soft tissue
$189$27$2132
72114
X-ray lower and sacral spine, minimum of 6 views
$125$15$1237
72052
X-ray of upper spine, 6 or more views
$124$15$1221
72110
X-ray of lower and sacral spine, minimum of 4 views
$106$12$1012
72050
X-ray of upper spine, 4-5 views
$105$13$1027
72082
X-ray of entire middle and lower spine, 2-3 views
$103$15$1282
72100
X-ray of lower and sacral spine, 2-3 views
$80$11$883
72072
X-ray of middle spine, 3 views
$77$11$915
72040
X-ray of upper spine, 2-3 views
$76$10$833
71045
X-ray of chest, 1 view
$61$9$713
72020
X-ray of spine, 1 view
$50$8$615

Compare prices for procedures performed by Radiology physicians

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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.