Physician
Radiology
Radiology
SUGAR LAND, TX
ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS
ST LUKES HOSPITAL BETHLEHEM
slhn.org/locations/stlukes-university-hospital-bethlehem-campus
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 |
|---|---|---|---|---|
73221 Mri scan of arm joint without contrast | $1,612 | $143 | $100 | 31 |
73721 Mri scan of leg joint without contrast | $1,246 | $122 | $83 | 49 |
72148 Mri scan of lower spinal canal without contrast | $938 | $90 | $61 | 33 |
72158 Mri scan of lower spinal canal before and after contrast | $499 | $111 | $89 | 18 |
74177 Ct scan of abdomen and pelvis with contrast | $497 | $89 | $71 | 19 |
74176 Ct scan of abdomen and pelvis without contrast | $388 | $86 | $67 | 60 |
72141 Mri scan of upper spinal canal without contrast | $346 | $72 | $58 | 55 |
72146 Mri scan of middle spinal canal without contrast | $336 | $73 | $58 | 23 |
71250 Ct scan of chest without contrast | $277 | $50 | $40 | 12 |
70486 Ct scan of face without contrast | $268 | $42 | $34 | 14 |
72131 Ct scan of lower spine without contrast | $245 | $48 | $36 | 13 |
76770 Complete ultrasound scan behind abdominal cavity | $241 | $36 | $29 | 15 |
70450 Ct scan head or brain without contrast | $225 | $41 | $32 | 64 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $219 | $22 | $17 | 21 |
73718 Mri scan of leg without contrast | $192 | $64 | $51 | 22 |
76705 Limited ultrasound scan of abdomen | $172 | $29 | $21 | 11 |
71045 X-ray of chest, 1 view | $91 | $9 | $7 | 96 |
72050 X-ray of upper spine, 4-5 views | $66 | $13 | $11 | 37 |
72110 X-ray of lower and sacral spine, minimum of 4 views | $66 | $13 | $10 | 58 |
71046 X-ray of chest, 2 views | $61 | $11 | $8 | 119 |
73552 X-ray of thigh bone, minimum 2 views | $52 | $9 | $7 | 15 |
73564 X-ray of knee, 4 or more views | $50 | $11 | $9 | 48 |
72100 X-ray of lower and sacral spine, 2-3 views | $49 | $11 | $9 | 45 |
73502 X-ray of hip, 2-3 views | $48 | $11 | $9 | 70 |
72072 X-ray of middle spine, 3 views | $47 | $11 | $9 | 31 |
72040 X-ray of upper spine, 2-3 views | $47 | $11 | $9 | 19 |
72070 X-ray of middle spine, 2 views | $47 | $10 | $8 | 28 |
73562 X-ray of knee, 3 views | $44 | $9 | $7 | 28 |
73560 X-ray of knee, 1-2 views | $44 | $8 | $7 | 32 |
73590 X-ray of lower leg, 2 views | $43 | $8 | $6 | 14 |
72220 X-ray of sacrum and tailbone, minimum of 2 views | $42 | $9 | $7 | 17 |
73610 X-ray of ankle, minimum of 3 views | $42 | $9 | $7 | 41 |
73630 X-ray of foot, minimum of 3 views | $41 | $8 | $6 | 96 |
73030 X-ray of shoulder, minimum of 2 views | $41 | $9 | $7 | 51 |
73130 X-ray of hand, minimum of 3 views | $41 | $9 | $7 | 30 |
73110 X-ray of wrist, minimum of 3 views | $38 | $9 | $7 | 35 |
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $1 | $0 | $0 | 1,200 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.