Physician
Diagnostic Radiology
Diagnostic Radiology
JACKSON, MS
ST DOMINIC-JACKSON 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 |
|---|---|---|---|---|
77295 3d radiation therapy planning | $650 | $210 | $167 | 43 |
77263 Complex radiation therapy planning | $495 | $157 | $122 | 43 |
77427 Radiation treatment management, 5 treatment sessions | $462 | $177 | $138 | 174 |
77470 Special radiation treatment | $275 | $100 | $80 | 21 |
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 | $265 | $77 | $60 | 48 |
99205 New patient office or other outpatient visit, 60-74 minutes | $250 | $168 | $116 | 36 |
77334 Design and construction of complex radiation treatment device | $250 | $56 | $45 | 123 |
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | $240 | $162 | $129 | 11 |
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | $150 | $35 | $26 | 62 |
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | $150 | $19 | $15 | 317 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $137 | $62 | $39 | 56 |
77332 Design and construction of simple radiation treatment device | $125 | $22 | $18 | 27 |
77300 Calculation of radiation therapy dose | $125 | $31 | $24 | 173 |
Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.