Visits & medical services prices at Jackson Healthcare Center
Edna, TX · every code in this section with a posted price and a Medicare benchmark.
108 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $87 | $109 | 2.1× |
| Advncd Care Plan 30 Min (99497) | $120 | $150 | 1.2× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$40–$53 | $50–$66 | varies |
| Ambulatory bp mntr w/sw 24 hr+ recording only (93786) | $112 | $140 | 0.8× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $29 | $36 | 2.0× |
| Application Modality 1/> Areas Infrared (97026) | $16 | $20 | 2.4× |
| Assessment of aphasia per hr (96105) | $159 | $199 | 1.6× |
| Behavral qualit analys voice (92524) | $222 | $278 | 2.0× |
| Brief Emotional/Behav Assmt (96127) | $36 | $45 | 1.0× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $186 | $233 | 0.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $410 | $512 | 1.9× |
| Cardiopulmonary resuscitation (92950) | $446 | $558 | 2.1× |
| Chest Wall Manipulation (94668) range across 2 matching MRF lines |
$53–$64 | $66–$80 | varies |
| Color/duplex Doppler, complete (93975) | $498 | $622 | 2.1× |
| Color/duplex Doppler, limited (93976) | $370 | $462 | 3.5× |
| Continuous Pulse Ox (94762) | $154 | $192 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $228 | $285 | 1.0× |
| Cpt initial (94667) range across 2 matching MRF lines |
$53–$72 | $66–$90 | varies |
| Critical care first hour (99291) range across 2 matching MRF lines |
$253–$1,572 | $316–$1,965 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$125–$174 | $156–$218 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $430 | $537 | 1.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $430 | $537 | 4.1× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $430 | $537 | 1.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $305 | $381 | 2.9× |
| Duplex up extrem art bilat (93930) | $430 | $537 | 1.8× |
| Duplex up extrem art unilat/ltd (93931) | $230 | $288 | 2.2× |
| Echo Heart Xthoracic,Limited (93308) | $252 | $315 | 1.1× |
| EEG awake and asleep (95819) | $387 | $484 | 1.8× |
| Electrical Stimulation Ea 15 Min (97032) | $36 | $45 | 2.4× |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$34–$100 | $42–$125 | varies |
| Emergency Dept Visit Level 2 (99282) | $239 | $299 | 1.5× |
| Emergency Dept Visit Level 3 (99283) | $419 | $524 | 1.5× |
| Emergency Dept Visit Level 4 (99284) | $725 | $906 | 1.7× |
| Er level 1 (99281) | $239 | $299 | 2.8× |
| Er level v (99285) | $782 | $978 | 1.3× |
| Evaluate pt use of inhaler (94664) | $28 | $35 | 0.1× |
| Evaluate Speech Production (92522) | $240 | $300 | 2.1× |
| Evaluate Swallowing Function (92610) | $240 | $300 | 2.8× |
| Evaluation of speech fluency (92521) | $240 | $300 | 1.8× |
| Evoked Auditory Test,Limited (92587) | $26 | $32 | 0.1× |
| Extracranial Bilat Study (93880) | $430 | $537 | 1.8× |
| Group Therapeutic Procedures (97150) | $40 | $50 | 2.2× |
| Holter monitor recording (93225) | $491 | $614 | 3.7× |
| Im Adm Intransl/Oral 1 Vaccine (90473) range across 4 matching MRF lines |
$2–$24 | $3–$30 | varies |
| Immunization administration (90471) range across 3 matching MRF lines |
$28–$56 | $35–$70 | varies |
| Iontophoresis 15 min (97033) | $46 | $57 | 2.4× |
| Irrig Drug Delivery Device (96523) | $54 | $68 | 0.9× |
| IV infusion hydration each additional hour (96361) range across 3 matching MRF lines |
$34–$90 | $42–$112 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$126–$334 | $158–$418 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) | $67 | $84 | 0.9× |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 3 matching MRF lines |
$42–$64 | $53–$80 | varies |
| IV push initial (96374) range across 2 matching MRF lines |
$125–$140 | $156–$175 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $22 | $28 | 0.7× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $22 | $28 | 0.6× |
| Motion Fluoroscopy/Swallow (92611) | $268 | $335 | 2.9× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $125 | $156 | 0.6× |
| Neuromuscular Reeducation (97112) | $65 | $81 | 2.0× |
| Ophth medical xm&eval comprhnsv estab pt 1/> (92014) range across 3 matching MRF lines |
$48–$179 | $60–$224 | varies |
| Ophth medical xm&eval intermediate estab pt (92012) | $123 | $154 | 0.9× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$50–$202 | $63–$253 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $32 | $40 | 2.3× |
| Ot eval high complexity (97167) | $166 | $207 | 1.7× |
| Ot Eval Low Complex (97165) | $118 | $147 | 1.2× |
| Ot Eval Moderate Complexity (97166) | $142 | $177 | 1.4× |
| Ot manual therapy 15 min (97140) | $58 | $72 | 2.1× |
| Ot paraffin bath (97018) | $22 | $28 | 3.7× |
| Ot Re-Eval Est Plan Care (97168) | $72 | $90 | 1.1× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) range across 3 matching MRF lines |
$86–$400 | $108–$500 | varies |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $400 | $500 | 3.1× |
| Phlebotomy therapeutic (99195) | $222 | $278 | 1.7× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $400 | $500 | 6.7× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $408 | $510 | 6.9× |
| Physical Performance Test (97750) | $67 | $84 | 2.0× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,957 | $2,446 | 2.3× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $24 | $30 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $30 | $37 | 0.6× |
| Psychiatric diagnostic evaluation (90791) | $160 | $200 | 0.9× |
| Pt Eval High Complex (97163) | $168 | $210 | 1.7× |
| Pt eval low complex 20 min (97161) | $120 | $150 | 1.2× |
| Pt Eval Mod Complex (97162) | $144 | $180 | 1.5× |
| Pt gait training 15 min (97116) | $55 | $69 | 1.9× |
| Pt mechanical traction (97012) | $34 | $42 | 2.4× |
| Pt Re-Eval Est Plan Care (97164) | $72 | $90 | 1.1× |
| Pulm function test by gas (94727) | $195 | $244 | 0.9× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$22–$96 | $28–$120 | varies |
| Pulmonary Stress Testing (94618) range across 2 matching MRF lines |
$102–$286 | $128–$358 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $196 | $245 | 5.2× |
| Respiratory flow volume loop (94375) | $22 | $28 | 0.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) range across 2 matching MRF lines |
$16–$32 | $20–$40 | varies |
| Self Care Mngment Training (97535) | $66 | $82 | 2.0× |
| Spirometry (94010) | $284 | $355 | 1.3× |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $98 | $123 | 2.6× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$36–$70 | $45–$87 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$153–$269 | $191–$336 | varies |
| Therapeutic Activities (97530) | $65 | $81 | 1.9× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $42 | $52 | 1.1× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $40 | $50 | 1.1× |
| Trans Care Mgmt 14 Day Disch (99495) | $224 | $280 | 1.7× |
| Trans Care Mgmt 7 Day Disch (99496) | $334 | $417 | 2.5× |
| Tte w/doppler, complete (93306) | $565 | $706 | 1.0× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$46–$186 | $58–$232 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $34 | $42 | 1.4× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $50 | $62 | 1.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $300 | $375 | 2.2× |
| Vasopneumatic device (97016) | $32 | $40 | 2.7× |
| Vent Mgmt Inpat Init Day (94002) | $386 | $483 | 0.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $386 | $483 | 0.6× |
| Whirlpool Therapy (97022) | $34 | $42 | 2.2× |
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.