Physician
Diagnostic Radiology
Diagnostic Radiology
SPOKANE VALLEY, WA
PROV SACRED HRT MED CTR & CHILDS HOSP.
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 |
|---|---|---|---|---|
77301 High precision radiation therapy planning | $6,148 | $1,864 | $1,482 | 83 |
77373 Cranial lesion surgery using radiation over multiple sessions | $4,770 | $1,028 | $819 | 51 |
78815 Nuclear medicine study from skull base to mid-thigh with ct scan | $3,900 | $1,487 | $1,177 | 322 |
78816 Nuclear medicine study whole body with ct scan | $3,900 | $1,466 | $1,160 | 70 |
A9596 Gallium ga-68 gozetotide, diagnostic, (illuccix), 1 millicurie | $2,820 | $1,037 | $826 | 430 |
77295 3d radiation therapy planning | $2,123 | $413 | $329 | 11 |
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 | $1,630 | $462 | $368 | 18 |
77338 Design and construction of radiation treatment device for high precision radiation therapy | $1,600 | $468 | $373 | 99 |
G6015 Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session | $1,218 | $369 | $292 | 868 |
77470 Special radiation treatment | $1,038 | $139 | $111 | 41 |
74177 Ct scan of abdomen and pelvis with contrast | $900 | $238 | $187 | 99 |
77280 Obtaining data needed to develop the optimal radiation treatment, 1 treatment area | $870 | $275 | $219 | 15 |
71260 Ct scan of chest with contrast | $803 | $66 | $48 | 104 |
G6013 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev | $782 | $241 | $192 | 68 |
G6012 Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev | $694 | $241 | $190 | 131 |
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries | $638 | $348 | $276 | 315 |
71250 Ct scan of chest without contrast | $600 | $80 | $57 | 39 |
77427 Radiation treatment management, 5 treatment sessions | $524 | $190 | $150 | 264 |
99205 New patient office or other outpatient visit, 60-74 minutes | $513 | $216 | $165 | 94 |
77334 Design and construction of complex radiation treatment device | $468 | $118 | $94 | 163 |
77263 Complex radiation therapy planning | $450 | $167 | $133 | 91 |
77014 Ct guidance for insertion of radiation therapy fields | $450 | $122 | $97 | 990 |
77370 Special medical radiation therapy consultation | $381 | $141 | $104 | 13 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $359 | $175 | $130 | 64 |
77333 Design and construction of intermediate radiation treatment device | $303 | $140 | $112 | 40 |
77336 Continuing radiation therapy consultation per week | $275 | $88 | $70 | 360 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $266 | $125 | $95 | 122 |
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | $236 | $75 | $60 | 130 |
77300 Calculation of radiation therapy dose | $223 | $66 | $53 | 267 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $177 | $90 | $63 | 251 |
77417 X-ray during radiation therapy | $57 | $14 | $11 | 17 |
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $40 | $8 | $8 | 100 |
36415 Insertion of needle into vein for collection of blood sample | $12 | $8 | $8 | 310 |
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | $3 | $0 | $0 | 15,160 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.