Visits & medical services prices at Holzer Medical Center - Jackson

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

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

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650) $8,771.50 $17,543 1.2×
Airway Inhalation Treatment (94640) $251 $502 1.2×
Analyze neurostim complex (95972) $171.50 $343 1.9×
Analyze Pacemaker System (93724) $1,829.50 $3,659 6.3×
Application on-body injector (96377) $55.50 $111 1.3×
Arrhythmia Induction (93618) $4,797 $9,594 4.2×
Bioimpedance Cv Analysis (93701) $152 $304 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $182.50 $365 0.5×
Bundle of his recording (93600) $4,649 $9,298 0.6×
Cardiac Stress Tst,Tracing Only (93017) $570 $1,140 2.8×
Cardiopulmonary resuscitation (92950) $340 $680 1.7×
Cardioversion (92960) $1,351 $2,702 2.2×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,857.50 $13,715 2.2×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $5,867.50 $11,735 1.9×
Cbt 1st hour (94644) $152 $304 1.2×
Chemo Admin Peritoneal Cavity (96446) $339 $678 1.1×
Chemo Anti-Neopl Sq/Im (96401) $85 $170 1.2×
Chemo Hormon Antineopl Sq/Im (96402) $85 $170 1.2×
Chemo Ia Push (96420) $231 $462 0.7×
Chemo Intralesional Over 7 (96406) $132 $264 0.7×
Chemo intralesional up to 7 (96405) $65.50 $131 1.0×
Chemo IV infusion addl hr (96415) $204 $408 3.0×
Chemo IV push addl drug (96411) $172 $344 2.5×
Chemother Prolong Infuse W/Pump (96416) $353 $706 1.1×
Chemotherapy Admin Intra-Arterial Infus </1 Hr (96422) $339 $678 1.1×
Chemotherapy Admn Intraarterial Infusion Ea Hr (96423) $132 $264 3.0×
Chemotherapy Into Cns (96450) $506 $1,012 1.6×
Chemotherapy Intracavitary (96440) $339 $678 1.1×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $339 $678 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $204 $408 3.0×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $376 $752 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $231 $462 0.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $231 $462 0.7×
Chest Wall Manipulation (94668) $152 $304 1.2×
Color/duplex Doppler, complete (93975) $441.50 $883 2.0×
Color/duplex Doppler, limited (93976) $270.50 $541 2.7×
Continuous Pulse Ox (94762) $190.50 $381 1.6×
Coronary Art/Grft Angio S&I (93455) $3,088 $6,176 1.0×
Coronary Artery Angio S&I (93454) $2,224 $4,448 0.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $251 $502 1.2×
Cpt initial (94667) $152 $304 1.2×
Critical care first hour (99291) $1,008 $2,016 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $470 $940 2.5×
Dialysis One Evaluation (90945) $517 $1,034 1.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $393 $786 4.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $336 $672 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $311 $622 3.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $788 $1,576 3.5×
Dup-scan xtr veins unilateral/limited study (93971) $513 $1,026 5.2×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $333.50 $667 1.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $167 $334 1.7×
Duplex Scan Hemodialysis Access (93990) $227 $454 2.3×
Duplex up extrem art bilat (93930) $311 $622 1.4×
Duplex up extrem art unilat/ltd (93931) $446.50 $893 4.5×
Echo Heart Xthoracic,Limited (93308) $302 $604 1.3×
Echo transesophageal (93312) $876 $1,752 1.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,410.50 $2,821 2.7×
Eeg 41-60 Minutes (95812) $562.50 $1,125 2.8×
EEG awake and asleep (95819) $617.50 $1,235 3.0×
EEG awake drowsy (95816) $562.50 $1,125 2.8×
EEG cerebral death evaluation (95824) $617.50 $1,235 1.7×
Eeg Sleep Only (95822) $562.50 $1,125 2.8×
Electrocardiogram Tracing (93005)
range across 4 matching MRF lines		 $100–$103 $200–$206 varies
Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) $4,500.50 $9,001 0.6×
Electrophysiology Evaluation (93642) $3,224.50 $6,449 2.8×
Emergency Dept Visit Level 2 (99282) $227 $454 1.6×
Emergency Dept Visit Level 3 (99283) $284 $568 1.1×
Emergency Dept Visit Level 4 (99284) $339.50 $679 0.9×
Emg 3 Extremities (95863) $230 $460 1.9×
Ep & ablate supravent arrhyt (93653) $18,417.50 $36,835 0.7×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,607 $15,214 1.0×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $7,157.50 $14,315 1.0×
Ep Esophageal Recording Atria+Pacing (93616) $7,787.50 $15,575 6.8×
Er level 1 (99281) $112.50 $225 1.4×
Er level v (99285) $417.50 $835 0.7×
Esoph Atrial Electrogram (93615) $7,707.50 $15,415 6.7×
Evaluate pt use of inhaler (94664) $251 $502 1.2×
Evaluate Speech Production (92522) $170 $340 1.5×
External ECG rec>48hr<7d recording (93242) $77.50 $155 2.2×
External ECG rec>7d<15d recording (93246) $77.50 $155 2.2×
External Ecg Scanning Analysis Report (93226) $379.50 $759 6.8×
Extracranial Bilat Study (93880) $622.50 $1,245 2.8×
Extracranial Uni/Ltd Study (93882) $463.50 $927 4.7×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $7,397 $14,794 2.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $870 $1,740 1.3×
Holter monitor recording (93225) $372.50 $745 3.0×
Im Adm Intransl/Oral 1 Vaccine (90473) $43.50 $87 0.6×
Immunization administration (90471) $84 $168 1.2×
Insert/Place Heart Catheter (93503) $910 $1,820 0.6×
Intra-atrial pacing (93610) $3,868 $7,736 0.5×
Intra-atrial recording (93602) $4,562.50 $9,125 0.6×
Intraventricular pacing (93612) $3,975.50 $7,951 0.5×
Irrig Drug Delivery Device (96523) $71.50 $143 1.3×
IV infusion hydration each additional hour (96361) $59.50 $119 1.3×
IV infusion hydration initial 31 min-1 hour (96360)
range across 4 matching MRF lines		 $128–$172 $256–$344 varies
IV infusion ther proph addl sequential to 1 hr (96367) $59.50 $119 0.9×
IV infusion therapy prophylaxis/dx ea hour (96366) $59.50 $119 1.3×
IV push initial (96374) $110 $220 0.5×
L Hrt Art/Grft Angio (93459) $6,249 $12,498 2.0×
Mechanical chest wall oscillation per session (94669) $251 $502 1.2×
Microvolt T-Wave Assess (93025) $774.50 $1,549 6.4×
Motion Fluoroscopy/Swallow (92611) $410.50 $821 4.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $470 $940 1.2×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $470 $940 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $208 $416 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $307.50 $615 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $76.50 $153 0.4×
Nerve Conduction Studies 9-10 Studies (95911) $142.50 $285 0.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $85 $170 0.2×
Orthc/Prostc Mgmt Sbsq Enc (97763) $54.50 $109 1.1×
Ot eval high complexity (97167) $138.50 $277 1.4×
Ot Eval Low Complex (97165) $138.50 $277 1.4×
Ot Eval Moderate Complexity (97166) $138.50 $277 1.4×
Ot Re-Eval Est Plan Care (97168) $101.50 $203 1.5×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $6,332 $12,664 1.2×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $9,616 $19,232 0.9×
Phlebotomy therapeutic (99195) $85 $170 0.7×
Plethysmography (94726) $121.50 $243 0.3×
Pm device eval in person (93288) $55.50 $111 1.6×
Pm Device Progr Eval Sngl (93279) $55.50 $111 1.6×
Pm/Icd Remote Tech Serv (93296) $82.50 $165 2.3×
Prq Card Angio/Athrect 1 Art (92924) $12,073 $24,146 1.1×
Prq Card Stent W/Angio 1 Vsl (92928) $9,616 $19,232 0.9×
Prq Revasc Byp Graft 1 Vsl (92937) $9,616 $19,232 0.9×
Pt Eval High Complex (97163) $138.50 $277 1.4×
Pt eval low complex 20 min (97161) $138.50 $277 1.4×
Pt Eval Mod Complex (97162) $138.50 $277 1.4×
Pt Re-Eval Est Plan Care (97164) $101.50 $203 1.5×
R Hrt Art/Grft Angio (93457) $5,328 $10,656 1.7×
R hrt coronary artery angio (93456) $4,464 $8,928 1.5×
Refill/Maint Portable Pump (96521) $339 $678 1.7×
Refill/Maint Pump/Resvr Syst (96522) $231 $462 1.1×
Remote 30 Day Ecg Rev/Report (93270) $51.50 $103 1.5×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines		 $65–$67 $130–$134 varies
Right Heart Cath (93451) $2,838.50 $5,677 0.9×
Right ventricular recording (93603) $4,577 $9,154 4.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $308.50 $617 1.6×
Sleep study unattended (95806) $198.50 $397 1.0×
Speech sound lang comprehen (92523) $170 $340 0.8×
Spirometry (94010) $190 $380 0.9×
Stress Tte Only (93350) $633.50 $1,267 1.2×
Temp transcutaneous pacing (92953) $326 $652 0.5×
Ther/Prop/Diag Inj/Inf Proc (96379) $33 $66 0.7×
Ther/Proph/Diag Inj Ia (96373) $85 $170 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $85 $170 1.2×
Ther/Proph/Diag Iv Inf Init (96365) $172 $344 0.9×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $771.50 $1,543 2.2×
Tte w/doppler, complete (93306) $671 $1,342 1.3×
Tx atrial fib pulm vein isol (93656) $17,540.50 $35,081 0.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $108.50 $217 2.4×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines		 $161.50–$346 $323–$692 varies
Vent Mgmt Inpat Init Day (94002) $728.50 $1,457 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $728.50 $1,457 1.2×
Vital capacity, total (94150) $190 $380 1.6×

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.