Supplies, drugs & other prices at Jackson County Memorial Hospital Authority
Altus, OK · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $1,213.80 | $1,213.80 | 2.9× |
| Admin hepatitis b vaccine (G0010) | $40 | $40 | 0.9× |
| Admin influenza virus vac (G0008) | $46 | $46 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $40 | $40 | 0.9× |
| Catheterize for urine spec (P9612) | $9 | $9 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $154 | $154 | 3.0× |
| Diab manage trn per indiv (G0108) | $162.57 | $162.57 | 2.9× |
| Diab manage trn ind/group (G0109) | $45.27 | $45.27 | 2.8× |
| Direct refer hospital observ (G0379) | $667 | $667 | 1.2× |
| Drug test def 1-7 classes (G0480) | $49 | $49 | 0.4× |
| Elec stim other than wound (G0283) | $68.10 | $68.10 | 5.4× |
| Group mnt 2 or more 30 mins (G0271) | $46.23 | $46.23 | 2.7× |
| Home sleep test/type 3 porta (G0399) | $531.30 | $531.30 | 2.6× |
| Hospital outpt clinic visit (G0463) | $263.11 | $263.11 | 2.0× |
| Inj for sacroiliac jt anesth (G0260) | $1,970 | $1,970 | 2.9× |
| Mnt subs tx for change dx (G0270) | $82.41 | $82.41 | 2.6× |
| Mra w/o cont, abd (C8901) | $2,077.31 | $2,077.31 | 9.0× |
| Mra w/o fol w/cont, chest (C8911) | $2,756.94 | $2,756.94 | 8.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,121.90 | $1,121.90 | 3.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,708.83 | $2,708.83 | 8.0× |
| Mra, w/o&w/dye, upper extr (C8936) | $2,306.29 | $2,306.29 | 6.9× |
| Prostate biopsy, any mthd (G0416) | $567 | $567 | 1.6× |
| Psa screening (G0103) | $57.93 | $57.93 | 3.0× |
| Screen cerv/vag thin layer (G0123) | $79.83 | $79.83 | 3.9× |
| Screen pap by tech w md supv (P3000) | $45.36 | $45.36 | 2.4× |
| Trauma respons w/hosp criti (G0390) | $2,566.92 | $2,566.92 | 2.0× |
| Unsched dialysis esrd pt hos (G0257) | $1,919.88 | $1,919.88 | 2.9× |
| Wet mounts/ w preparations (Q0111) | $17.46 | $17.46 | 0.9× |