Physician
Radiology
Radiology
EDMOND, OK
SSM HEALTH ST ANTHONY HOSPITAL - OKLAHOMA CITY
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 |
|---|---|---|---|---|
72197 Mri scan of pelvis before and after contrast | $538 | $100 | $68 | 186 |
70553 Mri scan of brain before and after contrast | $504 | $104 | $77 | 32 |
74170 Ct scan of abdomen before and after contrast | $384 | $63 | $50 | 15 |
73221 Mri scan of arm joint without contrast | $317 | $62 | $41 | 18 |
73721 Mri scan of leg joint without contrast | $316 | $62 | $44 | 30 |
72141 Mri scan of upper spinal canal without contrast | $300 | $67 | $54 | 14 |
71260 Ct scan of chest with contrast | $271 | $53 | $37 | 25 |
71250 Ct scan of chest without contrast | $219 | $49 | $33 | 20 |
72131 Ct scan of lower spine without contrast | $214 | $45 | $33 | 11 |
76700 Complete ultrasound scan of abdomen | $170 | $37 | $24 | 18 |
76830 Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina | $170 | $32 | $24 | 18 |
77049 Mri scan of both breasts | $168 | $105 | $78 | 17 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $167 | $20 | $15 | 37 |
70450 Ct scan head or brain without contrast | $160 | $39 | $31 | 15 |
76770 Complete ultrasound scan behind abdominal cavity | $157 | $33 | $24 | 22 |
76856 Complete ultrasound scan of pelvis | $152 | $32 | $22 | 20 |
74178 Ct scan of abdomen and pelvis before and after contrast | $146 | $91 | $70 | 36 |
76705 Limited ultrasound scan of abdomen | $126 | $27 | $17 | 27 |
76536 Ultrasound scan of head and neck soft tissue | $119 | $26 | $18 | 52 |
72148 Mri scan of lower spinal canal without contrast | $109 | $66 | $50 | 58 |
77066 Diagnostic mammography of both breasts | $93 | $45 | $35 | 33 |
77065 Diagnostic mammography of 1 breast | $76 | $37 | $27 | 27 |
77067 Screening mammography | $68 | $35 | $35 | 233 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $60 | $28 | $21 | 46 |
77063 Screening 3d breast mammography | $59 | $27 | $27 | 233 |
77080 Dxa bone density measurement of hip, pelvis, spine | $54 | $9 | $9 | 166 |
76642 Limited ultrasound scan of 1 breast | $49 | $31 | $25 | 33 |
73502 X-ray of hip, 2-3 views | $17 | $10 | $6 | 28 |
72100 X-ray of lower and sacral spine, 2-3 views | $16 | $10 | $7 | 34 |
71046 X-ray of chest, 2 views | $16 | $10 | $7 | 160 |
73030 X-ray of shoulder, minimum of 2 views | $14 | $9 | $6 | 11 |
73630 X-ray of foot, minimum of 3 views | $12 | $8 | $5 | 15 |
73560 X-ray of knee, 1-2 views | $12 | $8 | $5 | 20 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.