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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $120 $150 1.2×
Airway inhalation treatment (94640) $53 $66 0.2×
Ambulatory Bp Recording (93786) $112 $140 0.8×
Assessment of aphasia (96105) $159 $199 1.6×
Behav assmt w/score & docd/stand instrument (96127) $36 $45 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $222 $278 2.0×
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×
Color/duplex Doppler, complete (93975) $498 $622 2.1×
Color/duplex Doppler, limited (93976) $370 $462 3.5×
Cpap initiation and management (94660) $228 $285 1.0×
Cpt initial (94667) $62.50 $78 0.5×
Critical care (99291) $912.50 $1,140.50 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $149.50 $187 0.7×
Demo &/or eval,pt use,aerosol device (94664) $28 $35 0.1×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $430 $537 1.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $230 $288 2.2×
Dup-scan xtr veins unilateral/limited study (93971) $305 $381 2.9×
Duplex scan extracranial art compl bi study (93880) $430 $537 1.8×
Echo Heart Xthoracic,Limited (93308) $252 $315 1.1×
EEG awake asleep (95819) $387 $484 1.8×
EKG (93005) $67 $83.50 1.1×
EKG rhythm strip (93041) $24 $30 0.4×
Er level 1 (99281) $239 $299 2.8×
Er level ii (99282) $239 $299 1.5×
Er level iii (99283) $419 $524 1.5×
Er level IV (99284) $725 $906 1.7×
Er level v (99285) $782 $978 1.3×
Evaluation of speech fluency (92521) $240 $300 1.8×
Evaluation of speech sound production (92522) $240 $300 2.1×
Evaluation of swallowing function (92610) $240 $300 2.8×
Evoked auditory test,limited (92587) $26 $32 0.1×
Flow volume loop (94375) $22 $28 0.1×
Group Therapeutic Procedures (97150) $40 $50 2.2×
Holter Monitor Recording (93225) $491 $614 3.7×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $87 $109 2.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $8 $10 0.1×
Immunization Admin (90471) $56 $70 0.8×
Immunotherapy, 2+ Injections (95117) $30 $37 0.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $54 $68 0.9×
IV infusion hydration each additional hour (96361) $60 $75 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $230 $288 1.1×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $67 $84 0.9×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $211 $263.50 1.0×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $42 $53 0.9×
IV push initial (96374) $132.50 $165.50 0.6×
Manual therapy 15 min (97140) $58 $72 2.1×
Mechanical traction (97012) $34 $42 2.4×
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 Fluor Eval Swlng Funcj C/V Rec (92611) $268 $335 2.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $125 $156 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $300 $375 2.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $154 $192 1.2×
Ophth medical xm&eval comprhnsv estab pt 1/> (92014) $92 $115 0.7×
Ophth medical xm&eval intermediate estab pt (92012) $123 $154 0.9×
Ot Contrast Bath Ea 15 Min (97034) $32 $40 2.3×
Ot eval high complex 60 min (97167) $166 $207 1.7×
Ot eval low complex 30 min (97165) $118 $147 1.2×
Ot eval mod complex 45 min (97166) $142 $177 1.4×
Ot re-eval est plan care (97168) $72 $90 1.1×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $400 $500 3.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $400 $500 3.1×
Paraffin bath (97018) $22 $28 3.7×
Phy/qhp op pulm rhb w/mntr (94626) $400 $500 6.7×
Phy/qhp op pulm rhb w/o mntr (94625) $408 $510 6.9×
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×
Psychiatric diagnostic evaluation (90791) $160 $200 0.9×
Pt Aquatic Therapy/Exercises (97113) $98 $123 2.6×
Pt Electric Current Therapy (97033) $46 $57 2.4×
Pt Electrical Stimulation (97032) $36 $45 2.4×
Pt eval high complex 45 min (97163) $168 $210 1.7×
Pt eval low complex 20 min (97161) $120 $150 1.2×
Pt Gait Training Therapy (97116) $55 $69 1.9×
Pt Infrared Therapy (97026) $16 $20 2.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $65 $81 2.0×
Pt Physical Performance Test (97750) $67 $84 2.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $144 $180 1.5×
Pt re-evaluation (97164) $72 $90 1.1×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $66 $82 2.0×
Pt Ultrasound Therapy (97035) $29 $36 2.0×
Pt Whirlpool Therapy (97022) $34 $42 2.2×
Pulm function test by gas (94727) $195 $244 0.9×
Pulmonary stress testing (94618) $194 $243 1.5×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $196 $245 5.2×
Rt Chest Wall Manipulation,Subsequent (94668) $58.50 $73 0.4×
Smoking cessation > 10 min (99407) $42 $52 1.1×
Speech group therapy (92508) $34 $42 1.4×
Spirometry (94010) $284 $355 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $63 $78.50 0.9×
Therapeutic Activities (97530) $65 $81 1.9×
Therapeutic phlebotomy (99195) $222 $278 1.7×
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 - Tte Complete W/ Contrast (93306) $565 $706 1.0×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $65 $81 0.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $126 $158 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $50 $62 1.1×
Unlisted pulmonary service/procedure (94799) $59 $74 0.5×
Vasc Duplex Extrem Venous,Bilat (93970) $430 $537 1.8×
Vasopneumatic device (97016) $32 $40 2.7×
Ventilation assist & mgmt inpatient 1st day (94002) $386 $483 0.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $386 $483 0.6×