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Physician

STANLEY GUTIONTOV, MD

Diagnostic Radiology

SHEBOYGAN, WI, 53081
NPI: 1063803963

Hospital Affiliations

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

Common Procedures for Diagnostic 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
77301
High precision radiation therapy planning
$2,123$368$28846
77263
Complex radiation therapy planning
$1,519$146$11458
77295
3d radiation therapy planning
$1,213$200$15617
77338
Design and construction of radiation treatment device for high precision radiation therapy
$1,093$199$14652
77427
Radiation treatment management, 5 treatment sessions
$1,062$168$130204
77290
Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved
$814$73$5719
99205
New patient office or other outpatient visit, 60-74 minutes
$616$155$12149
77334
Design and construction of complex radiation treatment device
$556$54$41102
77470
Special radiation treatment
$530$95$7417
99215
Established patient office or other outpatient visit, 40-54 minutes
$490$125$9716
77280
Obtaining data needed to develop the optimal radiation treatment, 1 treatment area
$434$34$2619
77300
Calculation of radiation therapy dose
$286$29$22222
77014
Ct guidance for insertion of radiation therapy fields
$250$40$3172
99213
Established patient office or other outpatient visit, 20-29 minutes
$225$58$3814
99212
Established patient office or other outpatient visit, 10-19 minutes
$121$29$2041
G6002
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy
$100$18$14154

Compare prices for procedures performed by Diagnostic Radiology physicians

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