Supplies, drugs & other prices at Jefferson County Hospital

Waurika, OK · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
2d tee w or w/o fol w/con,in (C8925) $1,102.49 $3,141 1.5×
2d tte w or w/o fol w/con,fu (C8924) $509.96 $1,452.89 1.5×
Admin influenza virus vac (G0008) $18.42 $52.50 0.4×
Admin pneumococcal vaccine (G0009) $21.06 $60 0.5×
Catheterize for urine spec (P9612) $2.80 $8 0.3×
Covid-19 lab test non-cdc (U0002) $43.17 $123 0.8×
Direct refer hospital observ (G0379) $206.73 $589 0.4×
Drug test def 1-7 classes (G0480) $57.90 $164.96 0.5×
Elec stim other than wound (G0283) $64.35 $99 5.1×
Home sleep test/type 3 porta (G0399) $1,544.40 $2,376 7.4×
Home sleep test/type 4 porta (G0400) $1,544.40 $2,376 7.4×
Hospital outpt clinic visit (G0463) $67.39 $192 0.5×
No pt prsnt train initial 30 (G0541) $59.80 $92 2.1×
Pathogen test for platelets (P9100) $39.31 $112 0.7×
Prolonged iv inf, req pump (C8957) $121.79 $347 0.6×
Psa screening (G0103) $23.34 $66.50 1.2×
Tte w or w/o contr, cont ecg (C8930) $999.76 $2,848.34 1.3×
Tte w or wo fol wcon,doppler (C8929) $939.65 $2,677.08 1.2×