Visits & medical services prices at Jackson County Memorial Hospital Authority
Altus, OK · every code in this section with a posted price and a Medicare benchmark.
131 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) | $551.82 | $551.82 | 2.6× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $41.91 | $41.91 | 2.9× |
| Application Modality 1/> Areas Infrared (97026) | $18 | $18 | 2.7× |
| Assessment of aphasia per hr (96105) | $302.49 | $302.49 | 3.1× |
| Behavral qualit analys voice (92524) | $263.94 | $263.94 | 2.4× |
| Biofeedback training any modality (90901) | $115.35 | $115.35 | 2.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$102.30–$759.21 | $102.30–$759.21 | varies |
| Canalith repositioning proc (95992) | $130.98 | $130.98 | 3.2× |
| Car seat/bed test 60 min (94780) | $100.29 | $100.29 | 2.8× |
| Cardiac Stress Tst,Tracing Only (93017) | $759.21 | $759.21 | 3.6× |
| Cardiopulmonary resuscitation (92950) range across 4 matching MRF lines |
$453.50–$927.30 | $453.50–$927.30 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$457.05–$1,609.20 | $457.05–$1,609.20 | varies |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $74.85 | $74.85 | 2.9× |
| Cbt 1st hour (94644) | $327.06 | $327.06 | 2.5× |
| Chemo IV infusion addl hr (96415) | $312 | $312 | 4.5× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $896.70 | $896.70 | 2.8× |
| Chest Wall Manipulation (94668) | $327.06 | $327.06 | 2.5× |
| Color/duplex Doppler, complete (93975) | $1,194.90 | $1,194.90 | 5.2× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $333.93 | $333.93 | 2.6× |
| Continuous Pulse Ox (94762) | $414.99 | $414.99 | 3.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $442 | $442 | 2.1× |
| Cpt initial (94667) | $327.06 | $327.06 | 2.5× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$712.10–$1,999.74 | $712.10–$1,999.74 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$272.22–$539 | $272.22–$539 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $847.35 | $847.35 | 3.7× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $716.10 | $716.10 | 7.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,224.30 | $1,224.30 | 5.3× |
| Dup-scan xtr veins unilateral/limited study (93971) | $830.55 | $830.55 | 8.2× |
| Duplex Scan Hemodialysis Access (93990) | $432.60 | $432.60 | 4.3× |
| Duplex up extrem art bilat (93930) | $660.45 | $660.45 | 2.9× |
| Duplex up extrem art unilat/ltd (93931) | $628.95 | $628.95 | 6.2× |
| Echo Heart Xthoracic,Limited (93308) | $607.95 | $607.95 | 2.6× |
| Eeg 41-60 Minutes (95812) | $759.21 | $759.21 | 3.6× |
| EEG awake and asleep (95819) | $759.21 | $759.21 | 3.6× |
| EEG awake drowsy (95816) | $759.21 | $759.21 | 3.6× |
| EEG cerebral death evaluation (95824) | $1,456.65 | $1,456.65 | 4.0× |
| EEG extended monitoring 61-119 minutes (95813) | $759.21 | $759.21 | 3.6× |
| Eeg Sleep Only (95822) | $759.21 | $759.21 | 3.6× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$43.35–$145.95 | $43.35–$145.95 | varies |
| Electrocardiogram Tracing (93005) | $165.03 | $165.03 | 2.9× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$129.30–$500 | $129.30–$500 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$193.77–$850 | $193.77–$850 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$355.80–$1,055.25 | $355.80–$1,055.25 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$67.23–$280 | $67.23–$280 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$517.11–$1,513.38 | $517.11–$1,513.38 | varies |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $262.74 | $262.74 | 2.1× |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$252–$551.82 | $252–$551.82 | varies |
| Evaluate Speech Production (92522) | $269.67 | $269.67 | 2.4× |
| Evaluate Swallowing Function (92610) | $214.50 | $214.50 | 2.5× |
| Evaluation of speech fluency (92521) | $329.37 | $329.37 | 2.5× |
| Extracranial Bilat Study (93880) | $1,144.50 | $1,144.50 | 5.0× |
| Group Therapeutic Procedures (97150) | $53.43 | $53.43 | 3.0× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,919.88 | $1,919.88 | 2.9× |
| Immunization administration (90471) range across 2 matching MRF lines |
$19.58–$181.38 | $19.58–$181.38 | varies |
| Inital newborn e/m (99460) | $399.50 | $399.50 | 3.1× |
| Iontophoresis 15 min (97033) | $59.79 | $59.79 | 3.1× |
| Irrig Drug Delivery Device (96523) | $165.03 | $165.03 | 2.9× |
| IV infusion hydration each additional hour (96361) | $264 | $264 | 5.8× |
| IV infusion hydration initial 31 min-1 hour (96360) | $551.16 | $551.16 | 2.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$170.10–$181.38 | $170.10–$181.38 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$114.33–$141.75 | $114.33–$141.75 | varies |
| IV push initial (96374) | $551.16 | $551.16 | 2.7× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $83.22 | $83.22 | 2.6× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $98.58 | $98.58 | 2.7× |
| Motion Fluoroscopy/Swallow (92611) | $267.69 | $267.69 | 2.9× |
| Multiple Sleep Latency Test (95805) | $1,465.65 | $1,465.65 | 1.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $77.73 | $77.73 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $84.12 | $84.12 | 0.2× |
| Neuromuscular Reeducation (97112) | $164 | $164 | 5.0× |
| Newborn resuscitation (99465) range across 2 matching MRF lines |
$753.10–$1,545.24 | $753.10–$1,545.24 | varies |
| Oral Function Therapy (92526) | $379 | $379 | 4.5× |
| Oral Speech Device Eval (92597) | $214.95 | $214.95 | 3.0× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $149.76 | $149.76 | 3.0× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 4 matching MRF lines |
$140.43–$174.59 | $140.43–$174.59 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $43.83 | $43.83 | 3.1× |
| Ot eval high complexity (97167) | $261.24 | $261.24 | 2.6× |
| Ot Eval Low Complex (97165) | $262.20 | $262.20 | 2.6× |
| Ot Eval Moderate Complexity (97166) | $261.24 | $261.24 | 2.6× |
| Ot manual therapy 15 min (97140) | $219 | $219 | 7.9× |
| Ot paraffin bath (97018) range across 4 matching MRF lines |
$17.04–$48.30 | $17.04–$48.30 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) | $120.27 | $120.27 | 3.0× |
| Ot Re-Eval Est Plan Care (97168) | $179.94 | $179.94 | 2.6× |
| Phlebotomy therapeutic (99195) | $234.15 | $234.15 | 1.8× |
| Physical Performance Test (97750) | $100.47 | $100.47 | 3.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,350 | $3,350 | 4.0× |
| Polysom <6 yrs 4/> paramtrs (95782) | $2,726.52 | $2,726.52 | 3.3× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $2,726.52 | $2,726.52 | 3.3× |
| Psychiatric diagnostic evaluation (90791) | $376.38 | $376.38 | 2.2× |
| Pt Eval High Complex (97163) | $247.80 | $247.80 | 2.5× |
| Pt eval low complex 20 min (97161) | $247.80 | $247.80 | 2.5× |
| Pt Eval Mod Complex (97162) | $247.80 | $247.80 | 2.5× |
| Pt gait training 15 min (97116) | $163 | $163 | 5.6× |
| Pt mechanical traction (97012) | $44.31 | $44.31 | 3.1× |
| Pt Re-Eval Est Plan Care (97164) | $169.41 | $169.41 | 2.5× |
| Pulm function test by gas (94727) | $414.99 | $414.99 | 2.0× |
| Respiratory flow volume loop (94375) | $759.21 | $759.21 | 3.6× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$80.07–$231 | $80.07–$231 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $373.77 | $373.77 | 3.1× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $149.58 | $149.58 | 3.1× |
| Same day nb discharge (99463) | $399.50 | $399.50 | 3.1× |
| Self Care Mngment Training (97535) | $189 | $189 | 5.8× |
| Sensory Integration Ea 15 Min (97533) | $146.91 | $146.91 | 2.4× |
| Short-latency somatosens ep std upr limbs (95925) | $759.21 | $759.21 | 3.6× |
| Slp caregiver training 1st 30 min (97550) | $149.64 | $149.64 | 2.8× |
| Speech sound lang comprehen (92523) | $564.42 | $564.42 | 2.5× |
| Spirometry (94010) | $414.99 | $414.99 | 2.0× |
| Ssep lower limbs (95926) | $759.21 | $759.21 | 3.6× |
| Standardized Cognitive Performance Testing (96125) | $299.97 | $299.97 | 2.9× |
| Subcutaneous Infusion Each Additional Hour (96370) range across 2 matching MRF lines |
$114.33–$148.30 | $114.33–$148.30 | varies |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) range across 2 matching MRF lines |
$243.11–$551.16 | $243.11–$551.16 | varies |
| Surfactant Admin Thru Tube (94610) | $551.82 | $551.82 | 2.6× |
| Temp transcutaneous pacing (92953) | $1,609.20 | $1,609.20 | 2.5× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $68.25 | $68.25 | 3.0× |
| Ther Ivntj Ea Addl 15 Min (97130) | $68.25 | $68.25 | 3.2× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $111.39 | $111.39 | 3.0× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 4 matching MRF lines |
$83.91–$88.20 | $83.91–$88.20 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $313.86 | $313.86 | 3.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $181.38 | $181.38 | 2.6× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$443.10–$551.16 | $443.10–$551.16 | varies |
| Therapeutic Activities (97530) | $157 | $157 | 4.5× |
| Tte w/doppler, complete (93306) range across 2 matching MRF lines |
$371–$2,478 | $371–$2,478 | varies |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $247 | $247 | 3.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $134 | $134 | 3.0× |
| Unlisted Psychiatric Service/Procedure (90899) | $81.96 | $81.96 | 2.3× |
| Vasopneumatic device (97016) | $35.79 | $35.79 | 3.0× |
| Vent Mgmt Inpat Init Day (94002) | $1,393.44 | $1,393.44 | 2.3× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,393.44 | $1,393.44 | 2.3× |
| Visual Evoked Potential Test (95930) | $414.99 | $414.99 | 2.0× |
| Vital capacity, total (94150) | $269.85 | $269.85 | 2.2× |
| Wheelchair Mgmt Ea 15 Min (97542) | $96.06 | $96.06 | 3.1× |
| Whirlpool Therapy (97022) range across 4 matching MRF lines |
$43.35–$51 | $43.35–$51 | 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.