Physician
Radiology
Radiology
KELSO, WA
LEGACY SALMON CREEK MEDICAL CENTER
legacyhealth.org/doctors-and-locations/hospitals/legacy-salmon-creek-medical-center
Based on specialty. Actual services may vary — contact the provider's office to confirm.
MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov
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 |
|---|---|---|---|---|
72158 Mri scan of lower spinal canal before and after contrast | $1,911 | $342 | $243 | 11 |
70553 Mri scan of brain before and after contrast | $1,899 | $328 | $253 | 36 |
74183 Mri scan of abdomen before and after contrast | $1,894 | $364 | $277 | 22 |
74176 Ct scan of abdomen and pelvis without contrast | $1,749 | $194 | $112 | 11 |
70551 Mri scan of brain without contrast | $1,384 | $209 | $145 | 20 |
72141 Mri scan of upper spinal canal without contrast | $1,374 | $183 | $125 | 43 |
72148 Mri scan of lower spinal canal without contrast | $1,337 | $201 | $152 | 95 |
72146 Mri scan of middle spinal canal without contrast | $1,123 | $166 | $120 | 13 |
73221 Mri scan of arm joint without contrast | $1,050 | $209 | $166 | 20 |
73721 Mri scan of leg joint without contrast | $1,048 | $211 | $169 | 17 |
71250 Ct scan of chest without contrast | $892 | $137 | $94 | 19 |
93880 Ultrasound of both sides of head and neck blood flow | $785 | $197 | $104 | 14 |
19083 Biopsy of breast and placement of locating device using ultrasound, first growth | $531 | $152 | $114 | 16 |
76705 Limited ultrasound scan of abdomen | $325 | $80 | $46 | 12 |
74177 Ct scan of abdomen and pelvis with contrast | $313 | $87 | $68 | 51 |
77002 Fluoroscopic guidance for needle placement | $281 | $120 | $96 | 11 |
72131 Ct scan of lower spine without contrast | $250 | $45 | $33 | 11 |
71260 Ct scan of chest with contrast | $250 | $54 | $41 | 24 |
72125 Ct scan of upper spine without contrast | $250 | $47 | $35 | 16 |
70450 Ct scan head or brain without contrast | $200 | $40 | $31 | 39 |
77066 Diagnostic mammography of both breasts | $175 | $47 | $37 | 29 |
77065 Diagnostic mammography of 1 breast | $124 | $39 | $28 | 77 |
77067 Screening mammography | $118 | $36 | $36 | 1,086 |
76642 Limited ultrasound scan of 1 breast | $117 | $34 | $26 | 66 |
73562 X-ray of knee, 3 views | $107 | $9 | $7 | 21 |
73030 X-ray of shoulder, minimum of 2 views | $104 | $9 | $7 | 23 |
71046 X-ray of chest, 2 views | $100 | $30 | $9 | 25 |
73630 X-ray of foot, minimum of 3 views | $97 | $8 | $6 | 11 |
74018 X-ray of abdomen, 1 view | $97 | $31 | $20 | 20 |
77063 Screening 3d breast mammography | $97 | $29 | $29 | 1,084 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $77 | $29 | $22 | 89 |
73130 X-ray of hand, minimum of 3 views | $50 | $8 | $6 | 17 |
73502 X-ray of hip, 2-3 views | $36 | $11 | $8 | 16 |
71045 X-ray of chest, 1 view | $30 | $9 | $7 | 170 |
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | $5 | $2 | $1 | 855 |
A9585 Injection, gadobutrol, 0.1 ml | $1 | $0 | $0 | 1,955 |
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $1 | $0 | $0 | 2,075 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.