Visits & medical services prices at Jefferson County Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $82.83 $236 0.4×
Application of heat wave therapy (97024) $95.55 $147 13.0×
Assessment of aphasia (96105) $210.60 $324 2.2×
Behavioral and qualitative analysis of voice and resonance (92524) $131.30 $202 1.2×
Bfb training 1st 15 min (90912) $51.35 $79 0.6×
Bfb training ea addl 15 min (90913) $21.45 $33 0.7×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $294 $514.66 0.8×
Canalith Repositioning (95992) $55.25 $85 1.4×
Cardiac Stress Tst,Tracing Only (93017) $239.38 $682 1.2×
Cardiopulmonary resuscitation (92950) $720.60 $2,053 3.5×
Cardioversion (92960) $541.94 $1,544 0.9×
Caregiver training 1st 30 min (97550) $56.88 $87.50 1.1×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $30.23 $46.50 1.2×
Cbt 1st hour (94644) $92.13 $262.50 0.7×
Chemo IV push addl drug (96411) $77.92 $222 1.1×
Chemo Iv Push Sngl Drug (96409) $120.39 $343 0.4×
Chemother, IV infusion, 1 hr (96413) $121.96 $347.50 0.4×
Chemother, IV infusion, ea add hr (96415) $38.61 $110 0.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $50.54 $144 0.7×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $38.61 $110 0.6×
Color/duplex Doppler, limited (93976) $171.28 $488 1.7×
Cpap initiation and management (94660) $235.88 $672.04 1.1×
Cpt initial (94667) $110.21 $314 0.9×
Critical care (99291) $429.80 $1,224.50 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $164.12 $314.37 0.9×
Developmental tst admin phys/qhp 1st hour (96112) $84.24 $240 0.7×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $348.54 $993 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $326.78 $931 1.4×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $154.79 $441 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $325.37 $927 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $316.25 $901 3.1×
Duplex hemodialysis access (93990) $170.58 $486 1.7×
Duplex scan extracranial art compl bi study (93880) $508.95 $1,450 2.2×
Echo Heart Xthoracic,Limited (93308) $461.91 $1,316 2.0×
Echo transesophageal (93312) $1,063.53 $3,030 2.0×
EEG awake asleep (95819) $399.43 $1,137.99 1.9×
EEG awake drowsy (95816) $399.43 $1,137.99 1.9×
EEG coma or sleep only (95822) $399.43 $1,137.99 1.9×
EKG (93005) $141.80 $404 2.5×
EKG rhythm strip (93041) $44.57 $127 0.8×
Er level 1 (99281) $81.78 $233 1.0×
Er level ii (99282) $160.05 $456 1.1×
Er level iii (99283) $296.94 $846 1.1×
Er level IV (99284) $411.37 $1,172 1.0×
Er level v (99285) $295.16 $817.50 0.5×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $136.50 $210 1.9×
Evaluation of speech fluency (92521) $154.05 $237 1.2×
Evaluation of speech sound production (92522) $126.10 $194 1.1×
Evaluation of swallowing function (92610) $122.85 $189 1.4×
Evaluation with prescription of speech-generating alternative (92607) $157.95 $243 1.3×
External Ecg Scanning Analysis Report (93226) $306.07 $872 5.4×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $282.75 $435 1.4×
Group Therapeutic Procedures (97150) $51.35 $79 2.8×
Holter Monitor Recording (93225) $178.65 $509 1.4×
Immunization Admin (90471) $20.36 $58 0.3×
Inhlj Brncl Challenge Tstg W/Histamine/Methachol (95070) $589.55 $907 1.6×
Injection intra arterial (96373) $76.16 $217 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $77.40 $220.50 1.4×
IV infusion hydration each additional hour (96361) $53.34 $152 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $111.96 $319 0.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $49.84 $142 0.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $137.42 $391.50 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $56.86 $162 1.3×
IV push initial (96374) $84.24 $240 0.4×
Manual therapy 15 min (97140) $126.75 $195 4.6×
Massage 15 min (97124) $95.55 $147 3.2×
Maximum voluntary ventilation (94200) $54.39 $154.98 1.0×
Mechanical chest wall oscillation (94669) $90.55 $258 0.4×
Mechanical traction (97012) $71.94 $110.67 5.0×
Methacholine challenge (94070) $307.45 $473 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $282.42 $434.49 3.1×
Multiple sleep latency test (95805) $1,450.80 $2,232 1.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $176.68 $353 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $313.41 $626.15 0.8×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $193.51 $297.70 1.5×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $260.65 $401 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $164.61 $469 1.3×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98972) $31.20 $48 0.9×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98970) $11.70 $18 0.9×
Nonphysician qualified health care professional online digital assessment and management, for an established patient,… (98971) $20.80 $32 0.9×
Nonphysician Telephone Assessment 11-20 Min (98967) $30.18 $86 1.2×
Nonphysician Telephone Assessment 21-30 Min (98968) $44.57 $127 1.3×
Nonphysician Telephone Assessment 5-10 Min (98966) $15.44 $44 1.1×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $136.50 $210 3.0×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $59.18 $91.04 1.8×
Ot Contrast Bath Ea 15 Min (97034) $74.10 $114 5.3×
Ot eval high complex 60 min (97167) $245.91 $378.32 2.4×
Ot eval low complex 30 min (97165) $178.75 $275 1.8×
Ot eval mod complex 45 min (97166) $212.67 $327.18 2.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $92.54 $142.36 1.8×
Ot Prosthetic Training, Each 15 Min (97761) $73.08 $112.43 1.8×
Ot re-eval est plan care (97168) $120.90 $186 1.8×
Paraffin bath (97018) $57.27 $88.10 9.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $109.16 $311 0.5×
Plethysmography (94726) $161.85 $249 0.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,741.05 $4,217 3.3×
Polysom <6 yrs 4/> paramtrs (95782) $1,402.94 $3,997 1.7×
Pt Aquatic Therapy/Exercises (97113) $100.13 $154.04 2.7×
Pt Electrical Stimulation (97032) $110.97 $170.73 7.5×
Pt eval high complex 45 min (97163) $212.55 $327 2.2×
Pt eval low complex 20 min (97161) $145.60 $224 1.5×
Pt Gait Training Therapy (97116) $78.48 $120.74 2.7×
Pt group caregiver training (97552) $13.33 $20.50 0.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $84.77 $130.41 2.6×
Pt Physical Performance Test (97750) $90.57 $139.34 2.7×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $178.75 $275 1.8×
Pt re-evaluation (97164) $86.45 $133 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $92.54 $142.36 2.9×
Pt Ultrasound Therapy (97035) $100.10 $154 7.0×
Pt Whirlpool Therapy (97022) $120.90 $186 7.7×
Pulm function test by gas (94727) $169.81 $261.24 0.8×
Pulmonary stress testing (94618) $111.80 $172 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $407.10 $626.30 2.1×
Rt Chest Wall Manipulation,Subsequent (94668) $54.39 $154.98 0.4×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $89.05 $137 1.9×
Sensory Integration Ea 15 Min (97533) $93.60 $144 1.5×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,544.40 $2,376 7.4×
Speech group therapy (92508) $45.12 $69.41 1.9×
Speech sound lang comprehen (92523) $260.65 $401 1.2×
Spirometry (94010) $240.52 $370.02 1.2×
Standardized Cognitive Performance Testing (96125) $136.50 $210 1.3×
Stress Tte Complete (93351) $959.63 $2,734 1.8×
Surfactant Admin Thru Tube (94610) $138.29 $394 0.7×
Temp transcutaneous pacing (92953) $541.94 $1,544 0.9×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $110.97 $170.73 5.0×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $110.97 $170.73 5.3×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $131.95 $203 1.3×
Ther/Proph/Diag Inj Sc/Im (96372) $38.60 $110 0.6×
Therapeutic Activities (97530) $74.10 $114 2.1×
Therapeutic phlebotomy (99195) $73.71 $210 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,160.05 $3,305 2.2×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $96.20 $148 1.3×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $93.60 $144 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $58.79 $167.50 1.3×
Vasc Duplex Extrem Venous,Bilat (93970) $413.82 $1,179 1.8×
Vasc Duplex Scan Extracranial,Limited (93882) $280.44 $799 2.8×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $177.01 $504.32 0.9×
Vasopneumatic device (97016) $63.70 $98 5.3×
Ventilation assist & mgmt inpatient 1st day (94002) $301.36 $858.59 0.5×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $675.67 $1,925 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $70.52 $108.50 2.3×