Visits & medical services prices at Jefferson Community Health & Life

Fairbury, NE · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Acupuncture 1/> ndles w/o elec stimj init 15 min (97810) $63.75 $85 2.1×
Admn Sarscov2 Vacc 1 Dose (90480) $37.50 $50 0.9×
Advncd Care Plan 30 Min (99497) $135.75 $181 1.3×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$23.25–$126 $31–$168 varies
Application Modality 1/> Areas Infrared (97026) $18.75 $25 2.8×
Behavral qualit analys voice (92524) $252 $336 2.3×
Canalith repositioning proc (95992) $99 $132 2.4×
Chron Care Mgmt Srvc 20 Min (99490) $67.50 $90 0.6×
Cont gluc mntr physician/qhp provided equiptment (95250) $297.75 $397 2.2×
Cont Gluc Mntr Pt Prov Eqp (95249) $124.50 $166 2.0×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$195.75–$216.75 $261–$289 varies
ECG/monitoring and analysis (93271) $644.25 $859 6.5×
Electrical Stimulation Ea 15 Min (97032) $65.25 $87 4.4×
Electrocardiogram Tracing (93005) $256.50 $342 4.2×
Evoked Auditory Test,Limited (92587) $145.50 $194 0.6×
External Ecg Scanning Analysis Report (93226) $612 $816 10.0×
Immunization administration (90471) $23.25 $31 0.3×
Inital newborn e/m (99460) $152.25 $203 1.1×
Iontophoresis 15 min (97033) $99.75 $133 5.2×
IV infusion hydration each additional hour (96361) $132.75 $177 2.7×
IV infusion therapy prophylaxis/dx ea hour (96366) $257.25 $343 5.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $59.25 $79 1.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $53.25 $71 1.4×
Multiple Family Group Psychotherapy (90849) $58.50 $78 0.3×
Newborn resuscitation (99465) $233.25 $311 0.3×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $87 $116 1.9×
Osteopathic manipulative tx 3-4 body regions (98926) $75 $100 3.3×
Osteopathic manipulative tx 7-8 body regions (98928) $119.25 $159 5.3×
Ot eval high complexity (97167) $201 $268 2.0×
Ot Eval Low Complex (97165) $167.25 $223 1.7×
Ot manual therapy 15 min (97140) $91.50 $122 3.3×
Ot paraffin bath (97018) $62.25 $83 10.4×
Ot Prosthetic Training, Each 15 Min (97761) $91.50 $122 2.3×
Phlebotomy therapeutic (99195) $135 $180 1.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $16.50 $22 0.3×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $34.50 $46 0.7×
Pt Eval Mod Complex (97162) $162.75 $217 1.7×
Pt gait training 15 min (97116) $81.75 $109 2.8×
Pt mechanical traction (97012) $68.25 $91 4.8×
Pt Re-Eval Est Plan Care (97164) $86.25 $115 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $150 $200 0.7×
Self-meas bp pt educaj/traing & dev calibration (99473) $23.25 $31 0.8×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 2 matching MRF lines
$66–$97.50 $88–$130 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $62.25 $83 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $25.50 $34 0.3×
Ther/Proph/Diag Iv Inf Init (96365) $306.75 $409 1.4×
Therapeutic Activities (97530) $87 $116 2.5×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $24.75 $33 0.6×
Trans Care Mgmt 14 Day Disch (99495) $340.50 $454 2.5×
Trans Care Mgmt 7 Day Disch (99496) $460.50 $614 3.3×
Vasopneumatic device (97016) $69.75 $93 5.8×
Whirlpool Therapy (97022) $81.75 $109 5.2×

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.