Visits & medical services prices at Jeff Davis Hospital

Hazlehurst, GA · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $200.83 $573.81 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $337.84 $965.25 1.0×
Canalith Repositioning (95992) $25.20 $72 0.6×
Cardiopulmonary resuscitation (92950) $58.10 $166 0.3×
Cardioversion (92960) $58.10 $166 0.1×
Cbt 1st hour (94644) $168 $480 1.4×
Color/duplex Doppler, limited (93976) $268.10 $766 2.9×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $90.30 $258 0.6×
Cpap initiation and management (94660) $147.56 $421.60 0.8×
Cpt initial (94667) $113.75 $325 1.0×
Critical care (99291) $944.30 $2,698 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $167.12 $477.50 1.0×
Demo &/or eval,pt use,aerosol device (94664) $175 $500 0.9×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $537.44 $1,535.54 2.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $378 $1,080 4.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $267.75 $765 1.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $209.30 $598 2.3×
Dup-scan xtr veins unilateral/limited study (93971) $268.45 $767 2.9×
Duplex scan extracranial art compl bi study (93880) $445.72 $1,273.50 2.1×
EEG awake asleep (95819) $295.75 $845 1.6×
EEG awake drowsy (95816) $248.50 $710 1.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $266.35 $761 1.4×
EKG (93005) $58.01 $165.75 1.1×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $284.20 $812 1.5×
Er level 1 (99281) $26.28 $75.09 0.4×
Er level ii (99282) $48.89 $139.69 0.4×
Er level iii (99283) $85.76 $245.03 0.4×
Er level IV (99284) $278.95 $797 0.8×
Er level v (99285) $291.20 $832 0.6×
Evaluation of swallowing function (92610) $63.35 $181 0.7×
Flow volume loop (94375) $236.25 $675 1.2×
Group Therapeutic Procedures (97150) $18.90 $54 1.0×
Immunization Admin (90471) $25.20 $72 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $61.25 $175 1.2×
IV infusion hydration each additional hour (96361) $34.48 $98.50 0.8×
IV infusion hydration initial 31 min-1 hour (96360) $72.30 $206.57 0.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $47.53 $135.79 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $163.80 $468 0.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $42 $120 1.0×
IV push initial (96374) $71.22 $203.50 0.4×
Manual therapy 15 min (97140) $25.20 $72 0.9×
Massage 15 min (97124) $25.20 $72 0.8×
Maximum voluntary ventilation (94200) $95.38 $272.50 1.8×
Mechanical chest wall oscillation (94669) $175 $500 0.9×
Mechanical traction (97012) $25.20 $72 1.8×
Neg press wnd tx </=50 sq cm (97607) $352.45 $1,007 1.0×
Neg press wound tx >50 cm (97608) $352.45 $1,007 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $215.39 $615.39 1.2×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $380.97 $1,088.48 1.1×
Nerve conduction studies 13/> studies (95913) $280 $800 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $177.80 $508 1.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $89.95 $257 0.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $23.10 $66 0.2×
Osteopathic manipulative tx 3-4 body regions (98926) $41.30 $118 2.2×
Osteopathic manipulative tx 5-6 body regions (98927) $54.25 $155 2.9×
Osteopathic manipulative tx 9-10 body regions (98929) $82.95 $237 4.4×
Ot eval low complex 30 min (97165) $70 $200 0.7×
Ot eval mod complex 45 min (97166) $87.50 $250 0.9×
Paraffin bath (97018) $18.90 $54 3.1×
Phy/qhp op pulm rhb w/o mntr (94625) $42 $120 0.8×
Psychiatric diagnostic evaluation (90791) $133.35 $381 0.9×
Psytx crisis initial 60 min (90839) $114.10 $326 0.7×
Pt Electric Current Therapy (97033) $38.15 $109 2.0×
Pt eval high complex 45 min (97163) $55.65 $159 0.6×
Pt eval low complex 20 min (97161) $55.65 $159 0.6×
Pt Gait Training Therapy (97116) $13.51 $38.61 0.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $21.35 $61 0.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $47.72 $136.34 0.5×
Pt re-evaluation (97164) $31.85 $91 0.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $26.25 $75 0.8×
Pt Ultrasound Therapy (97035) $25.20 $72 1.8×
Pulm Funct Test Oscillometry (94728) $227.68 $650.50 2.0×
Pulm function test by gas (94727) $131.25 $375 0.7×
Pulmonary stress testing (94618) $65.66 $187.59 0.6×
Refill/maint, portable pump (96521) $71.75 $205 0.4×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $153.30 $438 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $111.30 $318 1.0×
Smoking cessation > 10 min (99407) $43.75 $125 1.3×
Speech sound lang comprehen (92523) $126.70 $362 0.6×
Spirometry (94010) $126.38 $361.09 0.7×
Temp transcutaneous pacing (92953) $45.50 $130 0.1×
Ther/Proph/Diag Inj Sc/Im (96372) $17.50 $50 0.3×
Therapeutic Activities (97530) $31.15 $89 0.9×
Therapeutic phlebotomy (99195) $58.79 $167.96 0.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $32.55 $93 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,026.64 $2,933.25 2.1×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $101.50 $290 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $88.90 $254 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $42 $120 1.0×
Vasc Duplex Extrem Venous,Bilat (93970) $242.36 $692.46 1.2×
Ventilation assist & mgmt inpatient 1st day (94002) $682.68 $1,950.50 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $268.13 $766.08 0.5×
Vital capacity total (94150) $87.50 $250 0.8×