Visits & medical services prices at Jackson Hospital

Montgomery, AL · every code in this section with a posted price and a Medicare benchmark.

211 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $7,876.68 $41,456.19 1.1×
Advance care planning first 30 mins (99497) $13.30 $70 0.1×
Airway inhalation treatment (94640) $139.65 $735 0.7×
Analyze Neurostim Complex (95972) $19 $100 0.2×
Appl on-body injector for timed subq injection (96377) $27.55 $145 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $187.72 $988 0.6×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,129.17 $5,943 0.2×
C motor evoked uppr limbs (95928) $177.27 $933 0.2×
C motor evoked upr&lwr limbs (95939) $684.95 $3,605 0.9×
Canalith Repositioning (95992) $42.37 $223 1.0×
Capsule endoscopy (91110) $2,532.51 $13,329 3.1×
Car seat/bed test 60 min (94780) $26.22 $138 0.8×
Cardiac Stress Tst,Tracing Only (93017) $222.30 $1,170 1.1×
Cardiopulmonary resuscitation (92950) $225.34 $1,186 1.2×
Cardioversion (92960) $1,749.24 $9,206.50 3.0×
Cardioversion internal (92961) $394.25 $2,075 0.7×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $7,997.47 $42,091.94 2.8×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,479.54 $18,313.37 1.2×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $8,976.34 $47,243.88 3.1×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,493.96 $34,178.74 2.2×
Cbt 1st hour (94644) $63.08 $332 0.5×
Chemo Hormon Antineopl Sq/Im (96402) $68.97 $363 1.1×
Chemo IV push addl drug (96411) $45.22 $238 0.7×
Chemo Iv Push Sngl Drug (96409) $141.55 $745 0.5×
Chemo prolong 8+ hrs infuse w/pump (96416) $209.95 $1,105 0.7×
Chemother, IV infusion, 1 hr (96413) $217.36 $1,144 0.7×
Chemother, IV infusion, ea add hr (96415) $187.15 $985 2.9×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $71.44 $376 1.1×
Chemotherapy, unspecified procedure (96549) $28.50 $150 0.7×
Chemotx Admn Cns Req Spinal Puncture (96450) $258.02 $1,358 0.9×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $43.70 $230 0.7×
Color/duplex Doppler, limited (93976) $148.77 $783 1.6×
Cont Gluc Monitoring Patient Provided Equipment (95249) $10.45 $55 0.2×
Continuous Glucose Monitoring (95250) $20.90 $110 0.2×
Coronary artery angio s&i (93454) $6,648.34 $34,991.24 2.3×
Cpap initiation and management (94660) $159.03 $837 0.8×
Cpt initial (94667) $162.64 $856 1.4×
Critical care (99291) $557.46 $2,934 0.8×
Ctr motor ep std transcrnl motor stimj lwr limbs (95929) $678.11 $3,569 2.0×
Debridement Open Wound 20 Sq Cm< (97597) $4,694.48 $24,707.80 26.1×
Demo &/or eval,pt use,aerosol device (94664) $152 $800 0.8×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $41.80 $220 0.2×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $145.16 $764 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $175.94 $926 0.8×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $125.02 $658 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $179.74 $946 0.8×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $136.42 $718 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $122.93 $647 1.3×
Duplex hemodialysis access (93990) $21.85 $115 0.2×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $148.77 $783 0.7×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $5,417.20 $28,511.58 57.8×
Duplex scan extracranial art compl bi study (93880) $178.60 $940 0.8×
Echo Heart Xthoracic,Limited (93308) $174.61 $919 0.8×
Echo transesophageal (93312) $368.03 $1,937 0.8×
Echo Transthoracic - Congenital Tte Complete (93303) $440.23 $2,317 0.9×
EEG awake asleep (95819) $44.65 $235 0.2×
EEG awake drowsy (95816) $45.60 $240 0.2×
Eeg Extended Monitoring 61-119 Minutes (95813) $171.57 $903 0.9×
EKG (93005) $46.93 $247 0.9×
EKG rhythm strip (93041) $46.36 $244 0.9×
Elec alys implt cplx cn npgt prgrmg (95977) $21.85 $115 0.3×
Elec Alys Implt Smpl Cn Npgt Prgrmg (95976) $6.65 $35 0.2×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $138.89 $731 0.7×
EMG thoracic paraspinal (95869) $39.14 $206 0.2×
EMG two extremities (95861) $50.92 $268 0.4×
Ep & ablate supravent arrhyt (93653) $18,853.62 $99,229.56 0.8×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $12,180.34 $64,107.06 1.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $10,052.39 $52,907.33 1.4×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $561.26 $2,954 0.5×
Er level 1 (99281) $53.01 $279 0.7×
Er level ii (99282) $96.33 $507 0.7×
Er level iii (99283) $168.15 $885 0.7×
Er level IV (99284) $271.32 $1,428 0.7×
Er level v (99285) $396.34 $2,086 0.7×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $62.89 $331 0.9×
Evaluation of speech fluency (92521) $99.56 $524 0.7×
Evaluation of speech sound production (92522) $81.89 $431 0.7×
Evaluation of swallowing function (92610) $65.17 $343 0.8×
External ECG rec>48hr<7d recording (93242) $25.08 $132 0.7×
External ECG rec>7d<15d recording (93246) $10.26 $54 0.3×
External Ecg Scanning Analysis Report (93226) $20.90 $110 0.4×
Flow volume loop (94375) $104.69 $551 0.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,878.19 $9,885.19 2.4×
Group Therapeutic Procedures (97150) $32.68 $172 1.8×
Holter Monitor Recording (93225) $20.90 $110 0.2×
Icd Device Interrogate (93289) $7.60 $40 0.2×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $49.78 $262 0.8×
Immunization Admin (90471) $45.03 $237 0.7×
Ins swan ganz bedside (93503) $873.43 $4,597 0.6×
Interrog dev eval icpms phys/qhp in person (93290) $7.60 $40 0.2×
Interrog dev eval scrms phys/qhp in person (93291) $3.80 $20 0.1×
Interrogate subq defib (93261) $6.65 $35 0.2×
Interrogation eval in person wr defibrillator (93292) $7.60 $40 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $73.91 $389 1.4×
IV infusion hydration each additional hour (96361) $28.50 $150 0.7×
IV infusion hydration initial 31 min-1 hour (96360) $140.98 $742 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $45.03 $237 0.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $140.98 $742 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $28.31 $149 0.7×
IV push initial (96374) $143.83 $757 0.8×
Liver elastography w/o imag w/i&r (91200) $102.79 $541.02 0.9×
Manual therapy 15 min (97140) $12.26 $64.50 0.4×
Massage 15 min (97124) $24.70 $130 0.8×
Maximum voluntary ventilation (94200) $38.95 $205 0.7×
Measurement of heart blood flow and respiration (93701) $77.90 $410 0.7×
Mechanical chest wall oscillation (94669) $138.51 $729 0.7×
Mechanical traction (97012) $3.80 $20 0.3×
Motility study esophagus (91010) $447.87 $2,357.23 1.3×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $39.14 $206 0.1×
Multiple sleep latency test (95805) $971.28 $5,112 1.3×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $50.92 $268 0.4×
Neg press wnd tx </=50 sq cm (97607) $115.90 $610 0.3×
Neg press wound tx >50 cm (97608) $115.90 $610 0.3×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $140.41 $739 0.8×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $208.43 $1,097 0.6×
Neuromuscular junction test (95937) $48.26 $254 0.4×
Newborn resuscitation (99465) $422.94 $2,226 0.7×
Nitric oxide expired gas determination (95012) $17.29 $91 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $71.63 $377 0.6×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $112.38 $591.50 0.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $98.80 $520 0.9×
Ophthalmic biometry (92136) $2,697.52 $14,197.49 22.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $9.50 $50 0.2×
Ot eval high complex 60 min (97167) $63.08 $332 0.6×
Ot eval low complex 30 min (97165) $63.08 $332 0.6×
Ot eval mod complex 45 min (97166) $63.08 $332 0.6×
Ot Range Motion Measure,Each Extrem (95851) $4.75 $25 0.2×
Ot re-eval est plan care (97168) $41.61 $219 0.6×
Paraffin bath (97018) $1.14 $6 0.2×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $135.47 $713 0.7×
Plethysmography (94726) $57 $300 0.2×
Pm device eval in person (93288) $17.20 $90.50 0.5×
Pm device progr eval dual (93280) $1,845.49 $9,713.08 55.1×
Pm device progr eval multi (93281) $7.60 $40 0.2×
Pm device progr eval sngl (93279) $7.60 $40 0.2×
Pm/Icd Remote Tech Serv (93296) $7.60 $40 0.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $971.28 $5,112 1.3×
Positional Nystagmus Test (92542) $23.37 $123 0.2×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $7.60 $40 0.2×
Programming of dual lead implantable defibrillator system (93283) $7.60 $40 0.2×
Programming of single lead implantable defibrillator system (93282) $7.60 $40 0.2×
Prq card revasc chronic 1vsl (92943) $12,641.62 $66,534.86 1.2×
Prq Card Stent W/Angio 1 Vsl (92928) $12,668.93 $66,678.60 1.2×
Prq revasc byp graft 1 vsl (92937) $12,516.83 $65,878.03 1.2×
Prq tcat plmt ntrac st 2+les (92930) $13,945.67 $73,398.27 0.8×
Prq trl rvs ch occ ant&rtrgr (92945) $11,115.82 $58,504.30 1.1×
Prq trluml coronary angioplasty one art/branch (92920) $11,410.15 $60,053.43 2.2×
Psychiatric diagnostic evaluation (90791) $102.98 $542 0.6×
Pt Electric Current Therapy (97033) $3.80 $20 0.2×
Pt Electrical Stimulation (97032) $36.10 $190 2.5×
Pt eval high complex 45 min (97163) $42.37 $223 0.4×
Pt eval low complex 20 min (97161) $42.37 $223 0.4×
Pt Gait Training Therapy (97116) $6.65 $35 0.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $15.96 $84 0.5×
Pt Physical Performance Test (97750) $32.11 $169 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $42.37 $223 0.4×
Pt re-evaluation (97164) $28.98 $152.50 0.4×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $35.34 $186 1.1×
Pt Ultrasound Therapy (97035) $2.85 $15 0.2×
Pulm function test by gas (94727) $67.64 $356 0.3×
Pulmonary stress testing (94618) $19.95 $105 0.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,347.84 $28,146.52 1.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $4,386.70 $23,087.88 1.5×
R hrt art/grft angio (93457) $4,813.26 $25,332.93 1.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $3,793.40 $19,965.28 1.3×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $6,162.22 $32,432.75 2.1×
Rectal sensation tone&compliance study (91124) $43.32 $228 0.2×
Refill/Maint Pump/Resvr Syst (96522) $135.85 $715 0.7×
Refill/maint, portable pump (96521) $135.85 $715 0.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $7.60 $40 0.2×
Right heart cath (93451) $3,091.25 $16,269.73 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $208.43 $1,097 1.2×
Rom meas&reprt hand w/wo comparison normal sid (95852) $3.80 $20 0.2×
Rt Chest Wall Manipulation,Subsequent (94668) $53.39 $281 0.4×
Sensory Integration Ea 15 Min (97533) $30.02 $158 0.5×
Short-latency somatosens ep std lwr limbs (95926) $117.23 $617 0.6×
Short-latency somatosens ep std upr limbs (95925) $182.59 $961 0.9×
Sleep study unattended (95806) $148.96 $784 0.8×
Smoking cessation > 10 min (99407) $22.80 $120 0.7×
Somatosensory testing (95938) $204.63 $1,077 0.3×
Speech sound lang comprehen (92523) $167.77 $883 0.7×
Spirometry (94010) $98.80 $520 0.5×
Stress Tte Complete (93351) $380 $2,000 0.8×
Surfactant Admin Thru Tube (94610) $153.90 $810 0.8×
Temp transcutaneous pacing (92953) $409.64 $2,156 0.7×
Tensilon test (95857) $121.41 $639 0.6×
Ther/Proph/Diag Inj Sc/Im (96372) $45.03 $237 0.7×
Therapeutic Activities (97530) $27.55 $145 0.8×
Therapeutic phlebotomy (99195) $77.90 $410 0.7×
Tilt Table Eval (93660) $1,471.47 $7,744.56 4.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.70 $130 0.7×
Trans Care Mgmt 14 Day Disch (99495) $22.80 $120 0.2×
Trans Care Mgmt 7 Day Disch (99496) $22.80 $120 0.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $7.60 $40 0.2×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $91.20 $480 0.2×
Tx atrial fib pulm vein isol (93656) $21,888.13 $115,200.69 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $70.30 $370 0.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $76.76 $404 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $28.31 $149 0.7×
Unlisted Cardiovascular Service/Procedure (93799) $209.95 $1,105 1.8×
Unlisted pulmonary service/procedure (94799) $47.50 $250 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $178.60 $940 0.8×
Vasc Duplex Scan Extracranial,Limited (93882) $21.85 $115 0.2×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $24.70 $130 0.1×
Vasopneumatic device (97016) $2.85 $15 0.2×
Ventilation assist & mgmt inpatient 1st day (94002) $201.40 $1,060 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $201.40 $1,060 0.4×
Vital capacity total (94150) $101.84 $536 0.9×
Wheelchair Mgmt Ea 15 Min (97542) $32.11 $169 1.0×
Xtrnl mobile cv telemetry w/technical support (93229) $24.70 $130 0.1×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $21.85 $115 0.3×