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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $7,876.68 | $41,456.19 | 1.1× |
| Advncd Care Plan 30 Min (99497) | $13.30 | $70 | 0.1× |
| Airway Inhalation Treatment (94640) | $139.65 | $735 | 0.7× |
| Analyze neurostim complex (95972) | $19 | $100 | 0.2× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $2.85 | $15 | 0.2× |
| Application on-body injector (96377) | $27.55 | $145 | 0.7× |
| Bioimpedance Cv Analysis (93701) | $77.90 | $410 | 0.7× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 3 matching MRF lines |
$13.11–$187.72 | $69–$988 | varies |
| 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 proc (95992) | $42.37 | $223 | 1.0× |
| 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 elective internal (92961) | $394.25 | $2,075 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $4,386.70 | $23,087.88 | 1.5× |
| 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 Anti-Neopl Sq/Im (96401) | $71.44 | $376 | 1.1× |
| Chemo Hormon Antineopl Sq/Im (96402) | $68.97 | $363 | 1.1× |
| Chemo IV infusion addl hr (96415) | $187.15 | $985 | 2.9× |
| Chemo IV push addl drug (96411) | $45.22 | $238 | 0.7× |
| Chemother Prolong Infuse W/Pump (96416) | $209.95 | $1,105 | 0.7× |
| Chemotherapy Into Cns (96450) | $258.02 | $1,358 | 0.9× |
| Chemotherapy Unspecified (96549) | $28.50 | $150 | 0.7× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $43.70 | $230 | 0.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $217.36 | $1,144 | 0.7× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $141.55 | $745 | 0.5× |
| Chest Wall Manipulation (94668) | $53.39 | $281 | 0.4× |
| Color/duplex Doppler, limited (93976) range across 3 matching MRF lines |
$21.85–$148.77 | $115–$783 | varies |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $20.90 | $110 | 0.2× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $10.45 | $55 | 0.2× |
| Continuous Pulse Ox (94762) | $98.80 | $520 | 0.9× |
| Coronary Art/Grft Angio S&I (93455) | $7,997.47 | $42,091.94 | 2.8× |
| Coronary Artery Angio S&I (93454) | $6,648.34 | $34,991.24 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $159.03 | $837 | 0.8× |
| Cpt initial (94667) | $162.64 | $856 | 1.4× |
| Critical care first hour (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× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $41.80 | $220 | 0.2× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$21.85–$145.16 | $115–$764 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 3 matching MRF lines |
$43.70–$175.94 | $230–$926 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 3 matching MRF lines |
$21.85–$125.02 | $115–$658 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 3 matching MRF lines |
$43.70–$178.60 | $230–$940 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$21.85–$122.93 | $115–$647 | varies |
| 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 Hemodialysis Access (93990) | $21.85 | $115 | 0.2× |
| Duplex up extrem art bilat (93930) range across 3 matching MRF lines |
$41.80–$179.74 | $220–$946 | varies |
| Duplex up extrem art unilat/ltd (93931) range across 3 matching MRF lines |
$21.85–$136.42 | $115–$718 | varies |
| ECG/monitoring and analysis (93271) | $21.85 | $115 | 0.3× |
| Echo Congenital Complete (93303) | $440.23 | $2,317 | 0.9× |
| Echo Heart Xthoracic,Limited (93308) range across 3 matching MRF lines |
$25.65–$174.61 | $135–$919 | varies |
| Echo transesophageal (93312) range across 3 matching MRF lines |
$92.34–$368.03 | $486–$1,937 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) range across 3 matching MRF lines |
$85.50–$380 | $450–$2,000 | varies |
| Eeg 41-60 Minutes (95812) | $138.89 | $731 | 0.7× |
| EEG awake and 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× |
| 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× |
| Electrical Stimulation Ea 15 Min (97032) range across 3 matching MRF lines |
$34.58–$36.10 | $182–$190 | varies |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$46.55–$46.93 | $245–$247 | varies |
| Electrophysiology Evaluation (93642) | $561.26 | $2,954 | 0.5× |
| Emergency Dept Visit Level 2 (99282) | $96.33 | $507 | 0.7× |
| Emergency Dept Visit Level 3 (99283) | $168.15 | $885 | 0.7× |
| Emergency Dept Visit Level 4 (99284) | $271.32 | $1,428 | 0.7× |
| 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× |
| Er level 1 (99281) | $53.01 | $279 | 0.7× |
| Er level v (99285) | $396.34 | $2,086 | 0.7× |
| Evaluate pt use of inhaler (94664) | $152 | $800 | 0.8× |
| Evaluate Speech Production (92522) | $81.89 | $431 | 0.7× |
| Evaluate Swallowing Function (92610) | $65.17 | $343 | 0.8× |
| Evaluation of speech fluency (92521) | $99.56 | $524 | 0.7× |
| 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× |
| Extracranial Bilat Study (93880) range across 3 matching MRF lines |
$41.80–$178.60 | $220–$940 | varies |
| Extracranial Uni/Ltd Study (93882) | $21.85 | $115 | 0.2× |
| Gastroesophag reflx test w/telemtry ph eltrd (91035) | $1,878.19 | $9,885.19 | 2.4× |
| Gi tract capsule endoscopy (91110) | $2,532.51 | $13,329 | 3.1× |
| Group Therapeutic Procedures (97150) range across 3 matching MRF lines |
$30.78–$32.68 | $162–$172 | varies |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $3,793.40 | $19,965.28 | 1.3× |
| Holter monitor recording (93225) | $20.90 | $110 | 0.2× |
| Icd Device Interrogate (93289) | $7.60 | $40 | 0.2× |
| Icd device progr eval dual (93283) | $7.60 | $40 | 0.2× |
| Icd Device Progr Eval Mult (93284) | $7.60 | $40 | 0.2× |
| Icm Device Eval (93290) | $7.60 | $40 | 0.2× |
| Ilr Device Interrogate (93291) | $3.80 | $20 | 0.1× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $49.78 | $262 | 0.8× |
| Immunization administration (90471) | $45.03 | $237 | 0.7× |
| Insert/Place Heart Catheter (93503) | $873.43 | $4,597 | 0.6× |
| Interrogate Subq Defib (93261) | $6.65 | $35 | 0.2× |
| Interrogation eval in person wr defibrillator (93292) | $7.60 | $40 | 0.2× |
| Iontophoresis 15 min (97033) | $3.80 | $20 | 0.2× |
| Irrig Drug Delivery Device (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 ther proph addl sequential to 1 hr (96367) | $45.03 | $237 | 0.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $28.31 | $149 | 0.7× |
| IV push initial (96374) range across 3 matching MRF lines |
$139.84–$143.83 | $736–$757 | varies |
| L Hrt Art/Grft Angio (93459) | $8,976.34 | $47,243.88 | 3.1× |
| Liver Elastography W/O Imag W/I&R (91200) | $102.79 | $541.02 | 0.9× |
| Lung Function Test (Mbc/Mvv) (94200) range across 3 matching MRF lines |
$5.70–$38.95 | $30–$205 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $24.70 | $130 | 0.1× |
| Mechanical chest wall oscillation per session (94669) | $138.51 | $729 | 0.7× |
| 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× |
| Muscle Test 2 Limbs (95861) | $50.92 | $268 | 0.4× |
| Muscle Test Nonparaspinal (95870) | $50.92 | $268 | 0.4× |
| Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) | $39.14 | $206 | 0.2× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $115.90 | $610 | 0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq 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 Junct Tstg Ea Nrv Any 1 Meth (95937) | $48.26 | $254 | 0.4× |
| Neuromuscular Reeducation (97112) range across 4 matching MRF lines |
$6.65–$25.27 | $35–$133 | varies |
| Newborn resuscitation (99465) | $422.94 | $2,226 | 0.7× |
| Nitric oxide expired gas determination (95012) | $17.29 | $91 | 0.5× |
| Oph bmtry prtl coher intrfrmtry io lens pwr cal (92136) | $2,697.52 | $14,197.49 | 22.6× |
| Oral Function Therapy (92526) | $76.76 | $404 | 0.9× |
| Oral Speech Device Eval (92597) | $62.89 | $331 | 0.9× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $9.50 | $50 | 0.2× |
| Ot eval high complexity (97167) | $63.08 | $332 | 0.6× |
| Ot Eval Low Complex (97165) | $63.08 | $332 | 0.6× |
| Ot Eval Moderate Complexity (97166) | $63.08 | $332 | 0.6× |
| Ot manual therapy 15 min (97140) range across 4 matching MRF lines |
$5.70–$23.94 | $30–$126 | varies |
| Ot paraffin bath (97018) | $1.14 | $6 | 0.2× |
| Ot Re-Eval Est Plan Care (97168) | $41.61 | $219 | 0.6× |
| Ot rom hand (95852) | $3.80 | $20 | 0.2× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $135.47 | $713 | 0.7× |
| Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930) | $13,945.67 | $73,398.27 | 0.8× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,410.15 | $60,053.43 | 2.2× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $12,641.62 | $66,534.86 | 1.2× |
| Phlebotomy therapeutic (99195) | $77.90 | $410 | 0.7× |
| Physical Performance Test (97750) | $32.11 | $169 | 1.0× |
| Plethysmography (94726) range across 3 matching MRF lines |
$12.35–$57 | $65–$300 | varies |
| Pm device eval in person (93288) range across 2 matching MRF lines |
$7.60–$26.79 | $40–$141 | varies |
| 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) range across 3 matching MRF lines |
$582.92–$971.28 | $3,068–$5,112 | varies |
| Positional nystagmus test (92542) | $23.37 | $123 | 0.2× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $7.60 | $40 | 0.2× |
| 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 trl rvs ch occ ant&rtrgr (92945) | $11,115.82 | $58,504.30 | 1.1× |
| Psychiatric diagnostic evaluation (90791) | $102.98 | $542 | 0.6× |
| Pt Eval High Complex (97163) range across 2 matching MRF lines |
$17.10–$67.64 | $90–$356 | varies |
| Pt eval low complex 20 min (97161) range across 2 matching MRF lines |
$17.10–$67.64 | $90–$356 | varies |
| Pt Eval Mod Complex (97162) range across 2 matching MRF lines |
$17.10–$67.64 | $90–$356 | varies |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$6.65–$19 | $35–$100 | varies |
| Pt mechanical traction (97012) | $3.80 | $20 | 0.3× |
| Pt Re-Eval Est Plan Care (97164) range across 2 matching MRF lines |
$11.40–$46.55 | $60–$245 | varies |
| Pulm function test by gas (94727) range across 3 matching MRF lines |
$12.54–$67.64 | $66–$356 | varies |
| Pulmonary service/procedure (94799) | $47.50 | $250 | 0.4× |
| Pulmonary Stress Testing (94618) | $19.95 | $105 | 0.2× |
| R Hrt Art/Grft Angio (93457) | $4,813.26 | $25,332.93 | 1.7× |
| R hrt coronary artery angio (93456) | $3,479.54 | $18,313.37 | 1.2× |
| R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) | $6,162.22 | $32,432.75 | 2.1× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $5,347.84 | $28,146.52 | 1.8× |
| Rectal sensation tone&compliance study (91124) | $43.32 | $228 | 0.2× |
| Refill/Maint Portable Pump (96521) | $135.85 | $715 | 0.7× |
| Refill/Maint Pump/Resvr Syst (96522) | $135.85 | $715 | 0.7× |
| Remote 30 Day Ecg Rev/Report (93270) | $7.60 | $40 | 0.2× |
| Remote 30 Day Ecg Tech Supp (93229) | $24.70 | $130 | 0.1× |
| Respiratory flow volume loop (94375) range across 3 matching MRF lines |
$15.01–$104.69 | $79–$551 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $46.36 | $244 | 0.9× |
| 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 Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $4.75 | $25 | 0.2× |
| Self Care Mngment Training (97535) range across 3 matching MRF lines |
$6.84–$35.34 | $36–$186 | varies |
| Sensory Integration Ea 15 Min (97533) range across 3 matching MRF lines |
$29.64–$30.02 | $156–$158 | varies |
| Short-latency somatosens ep std upr limbs (95925) | $182.59 | $961 | 0.9× |
| Sleep study unattended (95806) | $148.96 | $784 | 0.8× |
| Somatosensory Testing (95938) | $204.63 | $1,077 | 0.3× |
| Speech sound lang comprehen (92523) | $167.77 | $883 | 0.7× |
| Spirometry (94010) range across 3 matching MRF lines |
$24.70–$98.80 | $130–$520 | varies |
| Ssep lower limbs (95926) | $117.23 | $617 | 0.6× |
| 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 Px 1/> Areas Each 15 Minutes Massage (97124) | $24.70 | $130 | 0.8× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $45.03 | $237 | 0.7× |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$139.84–$140.98 | $736–$742 | varies |
| Therapeutic Activities (97530) range across 3 matching MRF lines |
$7.60–$27.55 | $40–$145 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,471.47 | $7,744.56 | 4.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $22.80 | $120 | 0.7× |
| 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 (93306) range across 5 matching MRF lines |
$56.05–$366.89 | $295–$1,931 | varies |
| 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/Pro/Dx Inj New Drug Addon (96375) | $28.31 | $149 | 0.7× |
| Unlisted cardiovascular service/procedure (93799) | $209.95 | $1,105 | 1.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 4 matching MRF lines |
$19–$94.81 | $100–$499 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) range across 4 matching MRF lines |
$24.70–$122.74 | $130–$646 | varies |
| Vasopneumatic device (97016) | $2.85 | $15 | 0.2× |
| Vent Mgmt Inpat Init 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× |
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.