Physician
Radiology
Radiology
MADISON, WI
SSM HEALTH ST MARY'S HOSPITAL - MADISON
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 | $5,299 | $317 | $235 | 21 |
74183 Mri scan of abdomen before and after contrast | $5,285 | $342 | $265 | 42 |
74177 Ct scan of abdomen and pelvis with contrast | $3,181 | $304 | $232 | 39 |
73221 Mri scan of arm joint without contrast | $2,786 | $204 | $152 | 12 |
73721 Mri scan of leg joint without contrast | $2,681 | $198 | $131 | 14 |
71260 Ct scan of chest with contrast | $2,393 | $133 | $104 | 30 |
93880 Ultrasound of both sides of head and neck blood flow | $2,339 | $183 | $147 | 13 |
71250 Ct scan of chest without contrast | $1,939 | $130 | $99 | 16 |
74174 Ct scan of blood vessels of abdomen and pelvis with contrast | $1,533 | $100 | $80 | 11 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $1,396 | $115 | $82 | 18 |
77067 Screening mammography | $1,319 | $124 | $124 | 173 |
78815 Nuclear medicine study from skull base to mid-thigh with ct scan | $1,202 | $109 | $87 | 14 |
76536 Ultrasound scan of head and neck soft tissue | $1,182 | $108 | $86 | 18 |
74176 Ct scan of abdomen and pelvis without contrast | $1,123 | $80 | $56 | 37 |
76856 Complete ultrasound scan of pelvis | $1,121 | $102 | $82 | 12 |
73720 Mri scan of leg before and after contrast | $1,048 | $98 | $73 | 15 |
71275 Ct scan of blood vessels of chest with contrast | $947 | $81 | $63 | 53 |
70498 Ct scan of blood vessels of neck with contrast | $862 | $75 | $56 | 40 |
70496 Ct scan of blood vessels of head with contrast | $857 | $78 | $60 | 40 |
77080 Dxa bone density measurement of hip, pelvis, spine | $796 | $35 | $35 | 165 |
72148 Mri scan of lower spinal canal without contrast | $725 | $67 | $52 | 25 |
73718 Mri scan of leg without contrast | $660 | $61 | $44 | 11 |
72131 Ct scan of lower spine without contrast | $572 | $44 | $33 | 15 |
72125 Ct scan of upper spine without contrast | $570 | $45 | $32 | 51 |
70486 Ct scan of face without contrast | $562 | $39 | $28 | 12 |
77063 Screening 3d breast mammography | $551 | $51 | $51 | 173 |
70450 Ct scan head or brain without contrast | $426 | $38 | $29 | 166 |
73502 X-ray of hip, 2-3 views | $410 | $42 | $26 | 32 |
73564 X-ray of knee, 4 or more views | $401 | $43 | $28 | 35 |
76770 Complete ultrasound scan behind abdominal cavity | $365 | $33 | $26 | 37 |
73110 X-ray of wrist, minimum of 3 views | $355 | $37 | $22 | 12 |
72100 X-ray of lower and sacral spine, 2-3 views | $317 | $33 | $26 | 27 |
77065 Diagnostic mammography of 1 breast | $307 | $37 | $27 | 14 |
73610 X-ray of ankle, minimum of 3 views | $301 | $33 | $18 | 14 |
71046 X-ray of chest, 2 views | $298 | $30 | $19 | 49 |
73630 X-ray of foot, minimum of 3 views | $297 | $32 | $23 | 24 |
77081 Dxa bone density measurement of forearm, finger, hand, or foot | $294 | $30 | $30 | 16 |
76705 Limited ultrasound scan of abdomen | $292 | $27 | $21 | 32 |
77002 Fluoroscopic guidance for needle placement | $265 | $26 | $20 | 12 |
73030 X-ray of shoulder, minimum of 2 views | $264 | $29 | $21 | 25 |
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | $259 | $28 | $21 | 22 |
76642 Limited ultrasound scan of 1 breast | $252 | $31 | $25 | 14 |
76706 Ultrasound scan of abdominal aorta | $208 | $25 | $25 | 13 |
76376 3d radiographic procedure | $111 | $9 | $7 | 40 |
74018 X-ray of abdomen, 1 view | $96 | $8 | $6 | 26 |
71045 X-ray of chest, 1 view | $96 | $8 | $7 | 166 |
73562 X-ray of knee, 3 views | $96 | $9 | $6 | 50 |
72170 X-ray of pelvis, 1-2 views | $93 | $8 | $6 | 13 |
73130 X-ray of hand, minimum of 3 views | $93 | $8 | $6 | 23 |
73560 X-ray of knee, 1-2 views | $93 | $8 | $6 | 29 |
Showing top 50 of 54 procedures by charge amount.
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.