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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $551.82 $551.82 2.6×
Assessment of aphasia (96105) $302.49 $302.49 3.1×
Behavioral and qualitative analysis of voice and resonance (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) $430.76 $430.76 1.2×
Canalith Repositioning (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) $683.60 $683.60 3.3×
Cardioversion (92960) $1,033.12 $1,033.12 1.6×
Caregiver training 1st 30 min (97550) $149.64 $149.64 2.8×
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×
Chemother, IV infusion, 1 hr (96413) $896.70 $896.70 2.8×
Chemother, IV infusion, ea add hr (96415) $312 $312 4.5×
Color/duplex Doppler, complete (93975) $1,194.90 $1,194.90 5.2×
Continuous Glucose Monitoring (95250) $333.93 $333.93 2.6×
Cpap initiation and management (94660) $442 $442 2.1×
Cpt initial (94667) $327.06 $327.06 2.5×
Critical care (99291) $811.62 $811.62 1.0×
Debridement Open Wound 20 Sq Cm< (97597) $524.13 $524.13 2.7×
Demo &/or eval,pt use,aerosol device (94664) $252 $252 1.2×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $660.45 $660.45 2.9×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $628.95 $628.95 6.2×
Dup-scan xtr veins unilateral/limited study (93971) $830.55 $830.55 8.2×
Duplex hemodialysis access (93990) $432.60 $432.60 4.3×
Duplex scan extracranial art compl bi study (93880) $1,144.50 $1,144.50 5.0×
Echo Heart Xthoracic,Limited (93308) $607.95 $607.95 2.6×
EEG awake 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 coma or sleep only (95822) $759.21 $759.21 3.6×
Eeg Extended Monitoring 61-119 Minutes (95813) $759.21 $759.21 3.6×
EKG (93005) $165.03 $165.03 2.9×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $759.21 $759.21 3.6×
Er level 1 (99281) $173.62 $173.62 2.1×
Er level ii (99282) $314.65 $314.65 2.1×
Er level iii (99283) $521.88 $521.88 2.0×
Er level IV (99284) $705.52 $705.52 1.8×
Er level v (99285) $1,015.24 $1,015.24 1.8×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $262.74 $262.74 2.1×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $214.95 $214.95 3.0×
Evaluation of speech fluency (92521) $329.37 $329.37 2.5×
Evaluation of speech sound production (92522) $269.67 $269.67 2.4×
Evaluation of swallowing function (92610) $214.50 $214.50 2.5×
Evaluation with prescription of speech-generating alternative (92607) $373.77 $373.77 3.1×
Flow volume loop (94375) $759.21 $759.21 3.6×
Group Therapeutic Procedures (97150) $53.43 $53.43 3.0×
Hemodialysis (90935) $1,919.88 $1,919.88 2.9×
Immunization Admin (90471) $100.48 $100.48 1.4×
Inital newborn e/m (99460) $399.50 $399.50 3.1×
Initial normal newborn care, same day discharge (99463) $399.50 $399.50 3.1×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $175.74 $175.74 2.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $497.13 $497.13 2.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $128.04 $128.04 2.8×
IV push initial (96374) $551.16 $551.16 2.7×
Manual therapy 15 min (97140) $219 $219 7.9×
Massage 15 min (97124) $86.06 $86.06 2.9×
Mechanical traction (97012) $44.31 $44.31 3.1×
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 Fluor Eval Swlng Funcj C/V Rec (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×
Newborn resuscitation (99465) $1,149.17 $1,149.17 1.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $414.99 $414.99 3.3×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $157.51 $157.51 3.4×
Ot Contrast Bath Ea 15 Min (97034) $43.83 $43.83 3.1×
Ot eval high complex 60 min (97167) $261.24 $261.24 2.6×
Ot eval low complex 30 min (97165) $262.20 $262.20 2.6×
Ot eval mod complex 45 min (97166) $261.24 $261.24 2.6×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $149.76 $149.76 3.0×
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×
Paraffin bath (97018) $32.67 $32.67 5.4×
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×
Pr unlisted procedure psychiatric service/therapy, psychiatric service (90899) $81.96 $81.96 2.3×
Psychiatric diagnostic evaluation (90791) $376.38 $376.38 2.2×
Pt Aquatic Therapy/Exercises (97113) $111.39 $111.39 3.0×
Pt Electric Current Therapy (97033) $59.79 $59.79 3.1×
Pt Electrical Stimulation (97032) $94.65 $94.65 6.4×
Pt eval high complex 45 min (97163) $247.80 $247.80 2.5×
Pt eval low complex 20 min (97161) $247.80 $247.80 2.5×
Pt Gait Training Therapy (97116) $163 $163 5.6×
Pt Infrared Therapy (97026) $18 $18 2.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $164 $164 5.0×
Pt Physical Performance Test (97750) $100.47 $100.47 3.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $247.80 $247.80 2.5×
Pt re-evaluation (97164) $169.41 $169.41 2.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $189 $189 5.8×
Pt Ultrasound Therapy (97035) $41.91 $41.91 2.9×
Pt Whirlpool Therapy (97022) $47.18 $47.18 3.0×
Pulm function test by gas (94727) $414.99 $414.99 2.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $155.54 $155.54 0.8×
Rt Chest Wall Manipulation,Subsequent (94668) $327.06 $327.06 2.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $149.58 $149.58 3.1×
Sensory Integration Ea 15 Min (97533) $146.91 $146.91 2.4×
Short-latency somatosens ep std lwr limbs (95926) $759.21 $759.21 3.6×
Short-latency somatosens ep std upr limbs (95925) $759.21 $759.21 3.6×
Speech sound lang comprehen (92523) $564.42 $564.42 2.5×
Spirometry (94010) $414.99 $414.99 2.0×
Standardized Cognitive Performance Testing (96125) $299.97 $299.97 2.9×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $131.32 $131.32 2.9×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $397.14 $397.14 1.9×
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 Cog Funcj Cntct Ea Addl 15 Minutes (97130) $68.25 $68.25 3.2×
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×
Therapeutic Activities (97530) $157 $157 4.5×
Therapeutic phlebotomy (99195) $234.15 $234.15 1.8×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,424.50 $1,424.50 2.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $247 $247 3.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $379 $379 4.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $134 $134 3.0×
Vasc Duplex Extrem Venous,Bilat (93970) $1,224.30 $1,224.30 5.3×
Vasopneumatic device (97016) $35.79 $35.79 3.0×
Ventilation assist & mgmt inpatient 1st 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×