Physician
Radiology
Radiology
WICHITA, KS
ASCENSION VIA CHRISTI HOSPITALS WICHITA, INC.
VIA CHRISTI HOSPITAL WICHITA ST TERESA, INC
healthcare.ascension.org/locations/kansas/kswic/wichita-ascension-via-christi-st-teresa
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 |
|---|---|---|---|---|
72157 Mri scan of middle spinal canal before and after contrast | $340 | $102 | $82 | 23 |
72158 Mri scan of lower spinal canal before and after contrast | $340 | $103 | $80 | 50 |
72156 Mri scan of upper spinal canal before and after contrast | $338 | $101 | $81 | 34 |
70553 Mri scan of brain before and after contrast | $338 | $105 | $83 | 75 |
74183 Mri scan of abdomen before and after contrast | $335 | $97 | $78 | 42 |
74174 Ct scan of blood vessels of abdomen and pelvis with contrast | $325 | $100 | $74 | 88 |
74178 Ct scan of abdomen and pelvis before and after contrast | $298 | $92 | $71 | 48 |
74177 Ct scan of abdomen and pelvis with contrast | $270 | $83 | $66 | 299 |
71275 Ct scan of blood vessels of chest with contrast | $270 | $82 | $64 | 228 |
70496 Ct scan of blood vessels of head with contrast | $259 | $79 | $62 | 209 |
74176 Ct scan of abdomen and pelvis without contrast | $258 | $80 | $64 | 18 |
70498 Ct scan of blood vessels of neck with contrast | $258 | $76 | $60 | 221 |
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect | $233 | $72 | $56 | 42 |
72148 Mri scan of lower spinal canal without contrast | $219 | $67 | $52 | 39 |
72146 Mri scan of middle spinal canal without contrast | $218 | $66 | $53 | 58 |
72141 Mri scan of upper spinal canal without contrast | $218 | $67 | $54 | 17 |
70551 Mri scan of brain without contrast | $218 | $67 | $52 | 191 |
74170 Ct scan of abdomen before and after contrast | $207 | $64 | $51 | 12 |
70491 Ct scan of soft tissue of neck with contrast | $204 | $62 | $48 | 57 |
70490 Ct scan of soft tissue of neck without contrast | $189 | $58 | $44 | 17 |
70480 Ct scan of cranial cavity without contrast | $189 | $59 | $43 | 13 |
70470 Ct scan of head or brain before and after contrast | $188 | $57 | $43 | 17 |
71260 Ct scan of chest with contrast | $184 | $51 | $41 | 148 |
72126 Ct scan of upper spine with contrast | $180 | $54 | $43 | 12 |
72132 Ct scan of lower spine with contrast | $180 | $54 | $43 | 17 |
70544 Mri scan of blood vessels of head without contrast | $177 | $55 | $44 | 22 |
72192 Ct scan of pelvis without contrast | $161 | $49 | $38 | 38 |
72125 Ct scan of upper spine without contrast | $158 | $45 | $36 | 235 |
71271 Low dose ct scan of chest for lung cancer screening | $153 | $49 | $49 | 16 |
71250 Ct scan of chest without contrast | $151 | $49 | $37 | 45 |
72131 Ct scan of lower spine without contrast | $147 | $44 | $35 | 136 |
72128 Ct scan of middle spine without contrast | $147 | $44 | $34 | 63 |
73700 Ct scan of leg without contrast | $147 | $45 | $36 | 36 |
77066 Diagnostic mammography of both breasts | $137 | $46 | $30 | 11 |
70450 Ct scan head or brain without contrast | $126 | $38 | $30 | 690 |
70486 Ct scan of face without contrast | $126 | $38 | $30 | 85 |
76642 Limited ultrasound scan of 1 breast | $123 | $35 | $27 | 14 |
76700 Complete ultrasound scan of abdomen | $119 | $37 | $29 | 11 |
93976 Ultrasound of abdomen and pelvis artery and vein blood flow | $118 | $36 | $29 | 17 |
93880 Ultrasound of both sides of head and neck blood flow | $116 | $36 | $26 | 30 |
93925 Ultrasound of leg arteries or artery grafts | $116 | $35 | $27 | 25 |
77067 Screening mammography | $113 | $35 | $35 | 81 |
77065 Diagnostic mammography of 1 breast | $113 | $37 | $24 | 16 |
76770 Complete ultrasound scan behind abdominal cavity | $108 | $34 | $27 | 19 |
93970 Ultrasound study of arm or leg veins with compression and maneuvers | $102 | $31 | $25 | 30 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $88 | $28 | $18 | 37 |
77063 Screening 3d breast mammography | $88 | $28 | $28 | 103 |
76705 Limited ultrasound scan of abdomen | $87 | $27 | $21 | 57 |
76775 Limited ultrasound scan behind abdominal cavity | $84 | $26 | $21 | 12 |
76536 Ultrasound scan of head and neck soft tissue | $82 | $26 | $21 | 26 |
Showing top 50 of 80 procedures by charge amount.
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.