Supplies, drugs & other prices at Jefferson County Health Center
Fairfield, IA · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $30 | $50 | 0.8× |
| Adm of soc dtr assess 5-15 m (G0136) | $13.80 | $23 | 0.4× |
| Admin hepatitis b vaccine (G0010) | $41.40 | $69 | 0.9× |
| Admin influenza virus vac (G0008) | $41.40 | $69 | 0.9× |
| Admin pneumococcal vaccine (G0009) | $41.40 | $69 | 0.9× |
| Annual alcohol screen 15 min (G0442) | $21 | $35 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $112.20 | $187 | 0.1× |
| Ca screen;pelvic/breast exam (G0101) range across 3 matching MRF lines |
$15–$42.60 | $25–$71 | varies |
| Catheterize for urine spec (P9612) | $5.40 | $9 | 0.6× |
| Colon ca scrn not hi rsk ind (G0121) | $603.60 | $1,006 | 0.7× |
| Colorectal scrn; hi risk ind (G0105) | $630.60 | $1,051 | 0.7× |
| Covid-19 lab test non-cdc (U0002) | $43.20 | $72 | 0.8× |
| Depression screen annual (G0444) | $23.40 | $39 | 0.6× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$61.20–$66 | $102–$110 | varies |
| Diab manage trn ind/group (G0109) | $39 | $65 | 2.4× |
| Drug test def 1-7 classes (G0480) range across 11 matching MRF lines |
$29.40–$98.40 | $49–$164 | varies |
| Elec stim other than wound (G0283) | $33.60 | $56 | 2.6× |
| Home sleep test/type 3 porta (G0399) | $374.40 | $624 | 1.8× |
| Home sleep test/type 4 porta (G0400) | $414 | $690 | 2.0× |
| Hospital outpt clinic visit (G0463) | $84 | $140 | 0.7× |
| Ig paraprotein qual imprcip&ms bld/ur w/isotype (0077U) | $226.80 | $378 | 5.2× |
| Initial foot exam pt lops (G0245) | $78.60 | $131 | 0.6× |
| Initial preventive exam (G0402) | $169.20 | $282 | 1.3× |
| Obtaining screen pap smear (Q0091) range across 3 matching MRF lines |
$20.40–$256.20 | $34–$427 | varies |
| Oth resp proc, group (G0239) | $112.20 | $187 | 3.1× |
| Oth resp proc, indiv (G0238) | $82.80 | $138 | 3.0× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$88.80–$194.40 | $148–$324 | varies |
| Ppps, subseq visit (G0439) range across 2 matching MRF lines |
$125.40–$132 | $209–$220 | varies |
| Prostate biopsy, any mthd (G0416) | $206.40 | $344 | 0.6× |
| Psa screening (G0103) range across 2 matching MRF lines |
$73.80–$94.80 | $123–$158 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $175.80 | $293 | 0.2× |
| Trauma respons w/hosp criti (G0390) | $1,080 | $1,800 | 0.8× |
| Trim nail(s) (G0127) range across 2 matching MRF lines |
$42–$70.80 | $70–$118 | varies |
| Visit to determ ldct elig (G0296) | $114.60 | $191 | 1.2× |
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.