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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ProcedurePosted cashPosted gross× Medicare
Airway Inhalation Treatment (94640)
range across 4 matching MRF lines
$99.40–$268.80 $284–$768 varies
Airway resistance by oscillometry (94728) $227.68 $650.50 2.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $25.20 $72 1.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 3 matching MRF lines
$337.84–$472.50 $965.25–$1,350 varies
Canalith repositioning proc (95992) $25.20 $72 0.6×
Cardiopulmonary resuscitation (92950) $58.10 $166 0.3×
Cardioversion (92960)
range across 3 matching MRF lines
$58.10–$127.40 $166–$364 varies
Cbt 1st hour (94644) $168 $480 1.4×
Chest Wall Manipulation (94668)
range across 2 matching MRF lines
$70–$152.60 $200–$436 varies
Color/duplex Doppler, limited (93976) $268.10 $766 2.9×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $90.30 $258 0.6×
Continuous Pulse Ox (94762) $23.10 $66 0.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$120.12–$175 $343.20–$500 varies
Cpt initial (94667)
range across 2 matching MRF lines
$87.50–$140 $250–$400 varies
Critical care first hour (99291) $944.30 $2,698 1.3×
Debridement Open Wound 20 Sq Cm< (97597)
range across 5 matching MRF lines
$58.10–$243.95 $166–$697 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925)
range across 2 matching MRF lines
$503.33–$571.55 $1,438.08–$1,633 varies
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $378 $1,080 4.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 4 matching MRF lines
$222.25–$355.25 $635–$1,015 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$222.25–$292.60 $635–$836 varies
Duplex up extrem art bilat (93930) $267.75 $765 1.3×
Duplex up extrem art unilat/ltd (93931) $209.30 $598 2.3×
Eeg 41-60 Minutes (95812) $284.20 $812 1.5×
EEG awake and 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×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$42–$74.02 $120–$211.50 varies
Emergency Dept Visit Level 2 (99282) $48.89 $139.69 0.4×
Emergency Dept Visit Level 3 (99283) $85.76 $245.03 0.4×
Emergency Dept Visit Level 4 (99284) $278.95 $797 0.8×
Er level 1 (99281) $26.28 $75.09 0.4×
Er level v (99285) $291.20 $832 0.6×
Evaluate pt use of inhaler (94664) $175 $500 0.9×
Evaluate Swallowing Function (92610) $63.35 $181 0.7×
Extracranial Bilat Study (93880) $445.72 $1,273.50 2.1×
Group Therapeutic Procedures (97150) $18.90 $54 1.0×
Immunization administration (90471) $25.20 $72 0.4×
Iontophoresis 15 min (97033) $38.15 $109 2.0×
Irrig Drug Delivery Device (96523)
range across 3 matching MRF lines
$49.18–$61.25 $140.50–$175 varies
IV infusion hydration each additional hour (96361)
range across 4 matching MRF lines
$24.78–$42 $70.79–$120 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 6 matching MRF lines
$72.30–$78.75 $206.57–$225 varies
IV infusion ther proph addl sequential to 1 hr (96367)
range across 4 matching MRF lines
$42–$57.75 $120–$165 varies
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$16.10–$109.55 $46–$313 varies
IV push initial (96374)
range across 5 matching MRF lines
$53.60–$278.95 $153.15–$797 varies
Lung Function Test (Mbc/Mvv) (94200) $95.38 $272.50 1.8×
Mechanical chest wall oscillation per session (94669) $175 $500 0.9×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $352.45 $1,007 1.0×
Neg Pressure Wound Therapy Non Dme >50 Sq 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 or more studies (95913) $280 $800 0.9×
Neuromuscular Reeducation (97112) $21.35 $61 0.7×
Oral Function Therapy (92526) $88.90 $254 1.1×
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 (97165) $70 $200 0.7×
Ot Eval Moderate Complexity (97166) $87.50 $250 0.9×
Ot manual therapy 15 min (97140) $25.20 $72 0.9×
Ot paraffin bath (97018) $18.90 $54 3.1×
Phlebotomy therapeutic (99195)
range across 2 matching MRF lines
$58.78–$58.80 $167.93–$168 varies
Phys/qhp svcs op pulm rehab wo cont oximtry 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 Eval High Complex (97163) $55.65 $159 0.6×
Pt eval low complex 20 min (97161) $55.65 $159 0.6×
Pt Eval Mod Complex (97162)
range across 2 matching MRF lines
$39.79–$55.65 $113.69–$159 varies
Pt gait training 15 min (97116)
range across 3 matching MRF lines
$13.51–$18.90 $38.61–$54 varies
Pt mechanical traction (97012) $25.20 $72 1.8×
Pt Re-Eval Est Plan Care (97164) $31.85 $91 0.5×
Pulm function test by gas (94727) $131.25 $375 0.7×
Pulmonary Stress Testing (94618)
range across 2 matching MRF lines
$54.60–$76.71 $156–$219.18 varies
Refill/Maint Portable Pump (96521) $71.75 $205 0.4×
Respiratory flow volume loop (94375) $236.25 $675 1.2×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $153.30 $438 0.9×
Self Care Mngment Training (97535) $26.25 $75 0.8×
Speech sound lang comprehen (92523) $126.70 $362 0.6×
Spirometry (94010)
range across 9 matching MRF lines
$86.35–$162.05 $246.72–$463 varies
Temp transcutaneous pacing (92953) $45.50 $130 0.1×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $25.20 $72 0.8×
Ther/Proph/Diag Inj Sc/Im (96372) $17.50 $50 0.3×
Ther/Proph/Diag Iv Inf Init (96365)
range across 6 matching MRF lines
$63.35–$255.85 $181–$731 varies
Therapeutic Activities (97530) $31.15 $89 0.9×
Tobacco Use Cessation Intensive >10 Minutes (99407) $43.75 $125 1.3×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 4 matching MRF lines
$21–$32.55 $60–$93 varies
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$982.45–$1,070.82 $2,807–$3,059.50 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $101.50 $290 1.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 4 matching MRF lines
$33.25–$64.40 $95–$184 varies
Upr/L Xtremity Art 2 Levels (93922) $177.80 $508 1.5×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $89.95 $257 0.5×
Vent Mgmt Inpat Init 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)
range across 3 matching MRF lines
$52.50–$126 $150–$360 varies

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.