Physician
Radiology
Radiology
JACKSON, MS
ST DOMINIC-JACKSON MEMORIAL HOSPITAL
Based on specialty. Actual services may vary — contact the provider's office to confirm.
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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 |
|---|---|---|---|---|
78816 Nuclear medicine study whole body with ct scan | $612 | $107 | $84 | 79 |
78815 Nuclear medicine study from skull base to mid-thigh with ct scan | $602 | $107 | $82 | 645 |
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect | $600 | $71 | $54 | 21 |
74177 Ct scan of abdomen and pelvis with contrast | $462 | $81 | $61 | 122 |
74176 Ct scan of abdomen and pelvis without contrast | $452 | $78 | $62 | 13 |
70496 Ct scan of blood vessels of head with contrast | $398 | $77 | $61 | 20 |
71275 Ct scan of blood vessels of chest with contrast | $395 | $81 | $61 | 44 |
38792 Injection of radioactive material for x-ray identification of lymph node | $389 | $30 | $24 | 16 |
70498 Ct scan of blood vessels of neck with contrast | $380 | $75 | $60 | 21 |
71260 Ct scan of chest with contrast | $296 | $51 | $39 | 67 |
72131 Ct scan of lower spine without contrast | $280 | $44 | $31 | 12 |
78195 Nuclear medicine study of lymphatic system | $278 | $52 | $40 | 130 |
71250 Ct scan of chest without contrast | $276 | $48 | $35 | 81 |
78803 Nuclear medicine study, spect imaging, 1 area or single acquisition, single day imaging | $271 | $46 | $35 | 84 |
70486 Ct scan of face without contrast | $268 | $37 | $22 | 12 |
72125 Ct scan of upper spine without contrast | $260 | $44 | $32 | 52 |
78315 Nuclear medicine study of bone taken at different times | $255 | $45 | $34 | 22 |
78278 Nuclear medicine study to assess blood loss | $235 | $44 | $35 | 15 |
70450 Ct scan head or brain without contrast | $221 | $37 | $28 | 256 |
78431 Nuclear medicine studies of blood flow in heart muscle at rest and with stress with concurrent ct scan | $219 | $83 | $65 | 74 |
78630 Nuclear medicine study of cerebrospinal fluid flow after injection of contrast into lower spine | $215 | $30 | $23 | 23 |
78071 Nuclear medicine study of parathyroid with spect | $215 | $53 | $38 | 23 |
78306 Nuclear medicine study of bone and/or joint whole body | $211 | $36 | $27 | 101 |
78226 Nuclear medicine study of liver and bile duct system | $190 | $32 | $25 | 73 |
78264 Nuclear medicine study of stomach to assess emptying | $189 | $35 | $24 | 68 |
76770 Complete ultrasound scan behind abdominal cavity | $172 | $33 | $26 | 12 |
76705 Limited ultrasound scan of abdomen | $155 | $26 | $21 | 12 |
93970 Ultrasound study of arm or leg veins with compression and maneuvers | $125 | $31 | $23 | 25 |
78580 Nuclear medicine study of lung circulation | $119 | $32 | $24 | 43 |
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $91 | $31 | $25 | 21 |
78014 Nuclear medicine study of thyroid and thyroid function | $90 | $22 | $15 | 17 |
93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $85 | $20 | $15 | 15 |
73562 X-ray of knee, 3 views | $53 | $9 | $7 | 18 |
72100 X-ray of lower and sacral spine, 2-3 views | $51 | $10 | $7 | 13 |
74019 X-ray of abdomen, 2 views | $48 | $10 | $7 | 19 |
73560 X-ray of knee, 1-2 views | $46 | $8 | $5 | 40 |
74018 X-ray of abdomen, 1 view | $46 | $8 | $6 | 129 |
73130 X-ray of hand, minimum of 3 views | $45 | $8 | $6 | 16 |
71046 X-ray of chest, 2 views | $45 | $10 | $6 | 189 |
73030 X-ray of shoulder, minimum of 2 views | $42 | $9 | $6 | 52 |
73630 X-ray of foot, minimum of 3 views | $41 | $8 | $6 | 13 |
73502 X-ray of hip, 2-3 views | $38 | $10 | $7 | 59 |
73020 X-ray of shoulder, 1 view | $37 | $7 | $4 | 15 |
71045 X-ray of chest, 1 view | $34 | $8 | $6 | 19 |
73552 X-ray of thigh bone, minimum 2 views | $29 | $8 | $7 | 18 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.