Supplies, drugs & other prices at Jackson Memorial Hospital
Miami, FL · every code in this section with a posted price and a Medicare benchmark.
182 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $761 | $3,108 | 0.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $761 | $1,459 | 0.9× |
| 2d tte w or w/o fol w/con,fu (C8924) | $392 | $1,171 | 1.1× |
| Adm tocilizu covid-19 1st (M0249) | $469 | $691 | 1.0× |
| Adm tocilizu covid-19 2nd (M0250) | $469 | $691 | 1.0× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$43 | $85–$113 | 0.9× |
| Admin influenza virus vac (G0008) | $43 | $113 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $43 | $113 | 0.9× |
| Alveoloplasty not w/extracts (D7321) | — | $2,430 | — |
| Alveoloplasty w/extract 1-3 (D7311) | — | $2,430 | — |
| Alveoplasty w/ extraction (D7310) | — | $2,430 | — |
| Alveoplasty w/o extraction (D7320) | — | $2,430 | — |
| Amalgam one surface permanen (D2140) | — | $2,503 | — |
| Amalgam three surfaces perma (D2160) | — | $2,503 | — |
| Amalgam two surfaces permane (D2150) | — | $2,503 | — |
| Ant resin-based cmpst crown (D2390) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Antibody treponema pallidum total & rpr ia qual (0064U) | — | $77 | — |
| Apically positioned flap (D4245) range across 2 matching MRF lines |
— | $1,332–$2,230 | — |
| Apicoectomy - anterior (D3410) | — | $2,503 | — |
| Auto tissue graft 1st tooth (D4273) | $1,475 | $2,430 | 0.9× |
| Bitewings - three images (D0273) | — | $374 | — |
| Bitewings four images (D0274) | $1,475 | $2,019 | 5.9× |
| Catheterize for urine spec (P9612) | — | $14 | — |
| Closd rductn splint alveolus (D7670) | — | $5,193 | — |
| Comp periodontal evaluation (D0180) | — | $209 | — |
| Comprehensve oral evaluation (D0150) | $1,475 | $2,019 | 10.6× |
| Core build-up incl any pins (D2950) | — | $2,503 | — |
| Covid-19 lab test non-cdc (U0002) | — | $75 | — |
| Crown lengthen hard tissue (D4249) | — | $2,503 | — |
| Crown porcelain fused base m (D2751) | — | $2,503 | — |
| Crown porcelain/ceramic (D2740) | — | $2,503 | — |
| Dental bitewing single image (D0270) | $1,475 | $2,019 | 16.2× |
| Dental bitewings two images (D0272) | $1,475 | $2,019 | 16.2× |
| Dental prophylaxis adult (D1110) | — | $474 | — |
| Direct refer hospital observ (G0379) | $555 | $933 | 0.9× |
| Drug test def 1-7 classes (G0480) range across 3 matching MRF lines |
— | $114.43–$218 | — |
| Drug test def 22+ classes (G0483) | — | $246.92 | — |
| Elec stim other than wound (G0283) | — | $158 | — |
| End thxpy, anterior tooth (D3310) | — | $2,503 | — |
| End thxpy, molar tooth (D3330) | — | $2,503 | — |
| End thxpy, premolar tooth (D3320) | — | $2,503 | — |
| Excision benign lesion compl (D7412) | — | $4,338 | — |
| Excision benign lesion>1.25c (D7411) | — | $2,430 | — |
| Exposure of unerupted tooth (D7280) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Extensv oral eval prob focus (D0160) | — | $209 | — |
| Extra oral post radio image (D0705) | — | $136 | — |
| Extraction erupted tooth/exr (D7140) range across 3 matching MRF lines |
$1,475 | $1,332–$2,503 | 2.2× |
| Extraoral 2d project image (D0250) | $1,475 | $2,019 | 16.2× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) | $557 | $1,158 | 0.7× |
| Full mouth debridement (D4355) | $1,475 | $2,019 | 2.2× |
| Gingivectomy/plasty 1 to 3 (D4211) | — | $5,193 | — |
| Gingivectomy/plasty 4 or mor (D4210) | — | $5,193 | — |
| Gross pulpal debridement (D3221) | — | $2,503 | — |
| Hospital outpt clinic visit (G0463) range across 10 matching MRF lines |
$126 | $73–$452 | 0.9× |
| I&d absc intraoral soft tiss (D7510) | — | $1,109 | — |
| I&d abscess extraoral (D7520) | — | $2,431 | — |
| Impact tooth remov comp bony (D7240) range across 3 matching MRF lines |
$1,475 | $1,332–$2,503 | 2.2× |
| Impact tooth remov part bony (D7230) range across 3 matching MRF lines |
$1,475 | $1,332–$2,503 | 2.2× |
| Incision/drain abscess intra (D7511) | — | $1,109 | — |
| Incomplete endodontic tx (D3332) | — | $2,503 | — |
| Insertion of substernal implantable defibrillator electrode (0572T) | $8,676 | $12,963 | 1.0× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $24,521 | $33,559 | 0.7× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $8,676 | $11,873 | 1.0× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $8,676 | $11,873 | 1.0× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $24,521 | $33,559 | 1.1× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $34,929 | $49,168 | 1.1× |
| Interim crown (D2799) | — | $2,503 | — |
| Intraor comprehensive series (D0210) | — | $374 | — |
| Intraoral bite radio image (D0708) | — | $136 | — |
| Intraoral comp image capture (D0709) | — | $136 | — |
| Intraoral occlus radio image (D0706) | — | $136 | — |
| Intraoral occlusal film (D0240) | $1,475 | $2,019 | 16.2× |
| Intraoral periap radio image (D0707) | — | $136 | — |
| Intraoral periapical first (D0220) | — | $136 | — |
| Limit oral eval problm focus (D0140) | — | $209 | — |
| Limited occlusal adjustment (D9951) | $1,475 | $2,019 | 2.2× |
| Mra w/cont, lwr ext (C8912) | $392 | $2,344 | 1.1× |
| Mra w/o cont, abd (C8901) | $245 | $2,167 | 1.0× |
| Mra w/o cont, chest (C8910) | $245 | $1,772 | 1.0× |
| Mra w/o cont, pelvis (C8919) | $245 | $2,078 | 1.0× |
| Mra w/o fol w/cont, abd (C8902) | $392 | $2,280 | 1.1× |
| Mra w/o fol w/cont, chest (C8911) | $392 | $2,875 | 1.1× |
| Mra w/o fol w/cont, lwr ext (C8914) | $392 | $2,782 | 1.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $392 | $2,180 | 1.1× |
| Mra, w/o dye, spinal canal (C8932) | $245 | $2,370 | 1.0× |
| Mra, w/o&w/dye, spinal canal (C8933) | $392 | $2,370 | 1.1× |
| Mra, w/o&w/dye, upper extr (C8936) | $392 | $2,621 | 1.1× |
| Mri w/o fol w/cont, breast, (C8908) | $392 | $3,730 | 1.1× |
| Neuro csf prion prtn qual (0035U) | — | $540.99 | — |
| Njx platelet plasma (0232T) | $289 | $700 | 0.6× |
| Occ guard, hard, full arch (D9944) | $1,475 | $2,019 | 2.2× |
| Occ guard, hard, part arch (D9946) | $1,475 | $2,011 | 2.2× |
| Occ guard, soft, full arch (D9945) | $1,475 | $2,019 | 2.2× |
| Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) | — | $3,600 | — |
| Opps service,sched team conf (G0175) | $387 | $654 | 0.9× |
| Osseous surgery 4 or more (D4260) likely a partial charge, not the full procedure |
$1,475 | $9,273 | 0.2× |
| Oth resp proc, indiv (G0238) | $26 | $62 | 0.9× |
| Panoramic image (D0330) | — | $374 | — |
| Perc d-e cor revasc chro sin (C9607) | $17,078 | $28,715 | 0.9× |
| Perc d-e cor revasc t cabg s (C9604) | $10,681 | $19,878 | 0.9× |
| Perc d-e cor stent ather s (C9602) | $17,078 | $30,652 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $10,681 | $19,878 | 0.9× |
| Periodic oral evaluation (D0120) | — | $209 | — |
| Periodontal maint procedures (D4910) | — | $2,503 | — |
| Periodontal scaling & root (D4341) | — | $2,503 | — |
| Periodontal scaling 1-3teeth (D4342) | — | $2,503 | — |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,661 | $11,366 | 0.9× |
| Place direct restoration (D2940) | — | $2,503 | — |
| Post 1 srfc resinbased cmpst (D2391) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Post 2 srfc resinbased cmpst (D2392) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Post 3 srfc resinbased cmpst (D2393) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Post >=4srfc resinbase cmpst (D2394) | — | $2,503 | — |
| Post and core cast + crown (D2952) | — | $2,503 | — |
| Prefab post/core + crown (D2954) | — | $2,503 | — |
| Prefab stnlss steel crwn pri (D2930) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Prefabricated resin crown (D2932) | — | $2,503 | — |
| Psa screening (G0103) | — | $49 | — |
| Pulp cap direct (D3110) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Pulp cap indirect (D3120) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Rad exc lesion up to 1.25 cm (D7410) range across 2 matching MRF lines |
— | $2,430–$5,194 | — |
| Re-cement or re-bond crown (D2920) | — | $2,503 | — |
| Re-eval,est pt,problem focus (D0170) | — | $209 | — |
| Recement inlay onlay or part (D2910) | — | $2,503 | — |
| Recement space maint - max (D1551) range across 2 matching MRF lines |
$1,475 | $1,332–$2,503 | 2.2× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $1,821 | $2,493 | 0.8× |
| Rem exostosis any site (D7471) | — | $5,193 | — |
| Rem imp tooth w mucoper flp (D7210) range across 3 matching MRF lines |
$1,475 | $1,332–$2,430 | 0.9× |
| Rem nonodonto cyst to 1.25cm (D7460) | — | $2,503 | — |
| Rem odontogen cyst > 1.25 cm (D7451) | — | $5,193 | — |
| Rem odontogen cyst to 1.25cm (D7450) | — | $5,193 | — |
| Removal fb skin/areolar tiss (D7530) | — | $2,503 | — |
| Remove torus mandibularis (D7473) | — | $5,193 | — |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $575 | $787 | 0.9× |
| Resin 4/> surf or w incis an (D2335) | — | $2,503 | — |
| Resin one surface-anterior (D2330) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Resin three surfaces-anterio (D2332) | — | $2,503 | — |
| Resin two surfaces-anterior (D2331) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Retreat root canal premolar (D3347) | — | $2,503 | — |
| Revasc intra lithotrip-ather (C9766) | $17,078 | $28,715 | 0.9× |
| Revasc intra lithotrip-stent (C9765) | $17,078 | $28,715 | 0.9× |
| Revasc intravasc lithotripsy (C9764) | $10,681 | $18,083 | 0.9× |
| Revasc lith-sten-ath tib/per (C9775) | $17,078 | $28,715 | 0.9× |
| Revasc lithotr-ather tib/per (C9774) range across 2 matching MRF lines |
$17,078 | $23,372–$28,715 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) range across 2 matching MRF lines |
$17,078 | $23,372–$28,715 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $10,681 | $23,372 | 0.9× |
| Revasc lithotrip-stent-ather (C9767) | $17,078 | $28,715 | 0.9× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $24,521 | $33,559 | 1.1× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $3,662 | $5,011 | 0.9× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $3,662 | $5,011 | 0.9× |
| Root surgery premolar (D3421) | — | $2,503 | — |
| Scaling gingiv inflammation (D4346) | — | $2,503 | — |
| Space maintainer fxd unilat (D1510) range across 2 matching MRF lines |
$1,475 | $1,332–$2,503 | 2.2× |
| Splint extra-coronal (D4323) | — | $2,503 | — |
| Splint intra-coronal (D4322) | — | $2,503 | — |
| Targeted genomic sequence analysis panel, non-small cell lung neoplasia, DNA and RNA analysis, 23 genes, interrogation… (0022U) | — | $2,200 | — |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | — | $26,905.65 | — |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | — | $26,905.65 | — |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | — | $26,905.65 | — |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | — | $26,905.65 | — |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | — | $4,401.36 | — |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | — | $4,401.36 | — |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | — | $4,401.36 | — |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | — | $4,401.36 | — |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | — | $26,905.65 | — |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | — | $26,905.65 | — |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | — | $26,905.65 | — |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | — | $26,905.65 | — |
| Tee w or w/o fol w/cont,cong (C8926) | $761 | $1,228 | 0.9× |
| Therapeutic procd strg endur (G0237) | $26 | $251 | 0.9× |
| Therapeutic pulpotomy (D3220) range across 2 matching MRF lines |
— | $1,332–$2,503 | — |
| Therapeutic ultrafiltration (0692T) | — | $2,468 | — |
| Tomosynthesis, mammo (G0279) | — | $128 | — |
| Tooth reimplantation (D7270) | — | $2,503 | — |
| Tooth root removal (D7250) | $1,475 | $2,019 | 2.2× |
| Trauma respons w/hosp criti (G0390) | $1,013 | $2,221 | 0.7× |
| Trim nail(s) (G0127) | $59 | $92 | 1.0× |
| Trluml Perip Athrc Iliac Art (0238T) | $17,078 | $27,034 | 0.9× |
| Tte w or w/o fol w/con,stres (C8928) | $761 | $2,583 | 0.9× |
| Tte w or w/o fol w/cont, com (C8921) | $761 | $1,307 | 0.9× |
| Tte w or w/o fol w/cont, f/u (C8922) | $761 | $1,228 | 0.9× |
| Tte w or wo fol wcon,doppler (C8929) | $761 | $2,573 | 0.9× |
| Unsched dialysis esrd pt hos (G0257) | $696 | $1,075 | 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.