Physician
Radiology
Radiology
TRAVERSE CITY, MI
MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
munsonhealthcare.org/otsego-memorial-hospital/otsego-memorial-hospital
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 |
|---|---|---|---|---|
75635 Ct scan of abdominal aorta and both leg arteries with contrast | $357 | $109 | $81 | 30 |
75574 Ct scan of blood vessels and grafts of heart with contrast | $356 | $110 | $87 | 19 |
70553 Mri scan of brain before and after contrast | $344 | $106 | $75 | 13 |
32555 Aspiration of fluid from chest cavity using imaging guidance | $342 | $106 | $71 | 13 |
74174 Ct scan of blood vessels of abdomen and pelvis with contrast | $329 | $99 | $76 | 51 |
74178 Ct scan of abdomen and pelvis before and after contrast | $302 | $93 | $64 | 16 |
27096 Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance | $301 | $88 | $64 | 15 |
74177 Ct scan of abdomen and pelvis with contrast | $275 | $84 | $60 | 199 |
71275 Ct scan of blood vessels of chest with contrast | $274 | $82 | $61 | 130 |
74175 Ct scan of blood vessels of abdomen with contrast | $272 | $81 | $61 | 23 |
70496 Ct scan of blood vessels of head with contrast | $264 | $80 | $62 | 41 |
70498 Ct scan of blood vessels of neck with contrast | $264 | $76 | $61 | 44 |
74176 Ct scan of abdomen and pelvis without contrast | $263 | $81 | $59 | 109 |
77012 Review by radiologist of ct guidance for needle placement | $223 | $68 | $52 | 14 |
71260 Ct scan of chest with contrast | $187 | $52 | $39 | 90 |
71271 Low dose ct scan of chest for lung cancer screening | $183 | $49 | $49 | 62 |
71250 Ct scan of chest without contrast | $176 | $49 | $36 | 83 |
72125 Ct scan of upper spine without contrast | $161 | $45 | $32 | 66 |
72131 Ct scan of lower spine without contrast | $151 | $44 | $28 | 22 |
77066 Diagnostic mammography of both breasts | $151 | $46 | $34 | 14 |
70486 Ct scan of face without contrast | $129 | $39 | $25 | 16 |
70450 Ct scan head or brain without contrast | $128 | $38 | $27 | 188 |
77065 Diagnostic mammography of 1 breast | $123 | $37 | $25 | 24 |
76700 Complete ultrasound scan of abdomen | $122 | $37 | $30 | 14 |
93880 Ultrasound of both sides of head and neck blood flow | $121 | $37 | $26 | 40 |
77067 Screening mammography | $114 | $35 | $35 | 227 |
76642 Limited ultrasound scan of 1 breast | $114 | $33 | $25 | 29 |
76770 Complete ultrasound scan behind abdominal cavity | $111 | $34 | $23 | 24 |
93970 Ultrasound study of arm or leg veins with compression and maneuvers | $104 | $32 | $24 | 17 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $90 | $28 | $21 | 37 |
77063 Screening 3d breast mammography | $90 | $28 | $28 | 209 |
76705 Limited ultrasound scan of abdomen | $88 | $27 | $20 | 46 |
76775 Limited ultrasound scan behind abdominal cavity | $87 | $27 | $16 | 67 |
76536 Ultrasound scan of head and neck soft tissue | $85 | $26 | $19 | 32 |
76706 Ultrasound scan of abdominal aorta | $83 | $25 | $25 | 13 |
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $74 | $32 | $25 | 25 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $68 | $20 | $15 | 69 |
74022 X-ray series of abdomen with single x-ray of chest | $49 | $15 | $10 | 28 |
73523 X-ray of both hips, minimum of 5 views | $49 | $15 | $9 | 13 |
72110 X-ray of lower and sacral spine, minimum of 4 views | $48 | $12 | $8 | 22 |
71101 X-ray of ribs on side of body, minimum of 3 views | $41 | $12 | $10 | 31 |
99152 Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | $40 | $12 | $10 | 24 |
74019 X-ray of abdomen, 2 views | $35 | $11 | $7 | 17 |
72100 X-ray of lower and sacral spine, 2-3 views | $34 | $10 | $7 | 27 |
73502 X-ray of hip, 2-3 views | $34 | $10 | $8 | 96 |
73564 X-ray of knee, 4 or more views | $34 | $11 | $7 | 56 |
71046 X-ray of chest, 2 views | $33 | $10 | $7 | 33 |
73562 X-ray of knee, 3 views | $29 | $9 | $6 | 20 |
73030 X-ray of shoulder, minimum of 2 views | $29 | $9 | $7 | 15 |
73552 X-ray of thigh bone, minimum 2 views | $28 | $8 | $5 | 25 |
Showing top 50 of 61 procedures by charge amount.
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.