Supplies, drugs & other prices at Holzer Medical Center - Jackson

Jackson, OH · every code in this section with a posted price and a Medicare benchmark.

30 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,004.50 $2,009 1.4×
2d tte w or w/o fol w/con,fu (C8924)
range across 2 matching MRF lines
$619.50–$638 $1,239–$1,276 varies
Admin hepatitis b vaccine (G0010) $43.50 $87 1.0×
Admin influenza virus vac (G0008) $54 $108 1.2×
Admin pneumococcal vaccine (G0009) $43.50 $87 1.0×
Covid-19 lab test non-cdc (U0002) $102.50 $205 2.0×
Direct refer hospital observ (G0379) $731 $1,462 1.3×
Drug test def 1-7 classes (G0480) $157.50 $315 1.4×
Drug test def 15-21 classes (G0482) $473 $946 2.4×
Drug test def 22+ classes (G0483) $495 $990 2.0×
Drug test def 8-14 classes (G0481) $314.50 $629 2.0×
Ekg tracing for initial prev (G0404) $100 $200 3.7×
Fecal blood scrn immunoassay (G0328) $80 $160 4.4×
Glyca nuc mr spectroscopy quantitative (0024U) $21.50 $43 0.6×
Hbot, full body chamber, 30m (G0277) $230 $460 1.8×
Hospital outpt clinic visit (G0463) $156.50 $313 1.2×
Mri w/o fol w/cont, breast, (C8908) $1,928 $3,856 5.8×
Perc d-e cor revasc chro sin (C9607) $12,217 $24,434 0.7×
Perc d-e cor revasc t cabg s (C9604) $12,217 $24,434 1.1×
Perc d-e cor stent ather s (C9602) $12,217 $24,434 0.7×
Perc drug-el cor stent sing (C9600) $12,217 $24,434 1.1×
Prostate biopsy, any mthd (G0416) $389.50 $779 1.1×
Psa screening (G0103) $126.50 $253 6.6×
Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) $377 $754 0.5×
Revasc intra lithotrip-stent (C9765) $21,536.50 $43,073 1.2×
Tomosynthesis, mammo (G0279) $30.50 $61 2.4×
Trim nail(s) (G0127) $113.50 $227 2.0×
Trluml Perip Athrc Iliac Art (0238T) $21,536.50 $43,073 1.2×
Tte w or w/o contr, cont ecg (C8930)
range across 2 matching MRF lines
$986.50–$1,016 $1,973–$2,032 varies
Tte w or wo fol wcon,doppler (C8929)
range across 2 matching MRF lines
$978.50–$1,008 $1,957–$2,016 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.