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.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Airway Inhalation Treatment (94640) range across 7 matching MRF lines |
$66.95–$82.83 | $103–$236 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $100.10 | $154 | 7.0× |
| Application Modality 1/> Areas Diathermy (97024) range across 3 matching MRF lines |
$78.97–$95.55 | $121.49–$147 | varies |
| Assessment of aphasia per hr (96105) | $210.60 | $324 | 2.2× |
| Behavral qualit analys voice (92524) | $131.30 | $202 | 1.2× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (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) range across 2 matching MRF lines |
$95.15–$492.84 | $271.11–$758.21 | varies |
| Canalith repositioning proc (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 Strategies&Tq Ea Addl 15 Min (97551) | $30.23 | $46.50 | 1.2× |
| Cbt 1st hour (94644) range across 2 matching MRF lines |
$90.55–$93.71 | $258–$267 | varies |
| Chemo Anti-Neopl Sq/Im (96401) | $50.54 | $144 | 0.7× |
| Chemo IV infusion addl hr (96415) | $38.61 | $110 | 0.6× |
| Chemo IV push addl drug (96411) | $77.92 | $222 | 1.1× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) | $38.61 | $110 | 0.6× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$121.79–$122.14 | $347–$348 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $120.39 | $343 | 0.4× |
| Chest Wall Manipulation (94668) | $54.39 | $154.98 | 0.4× |
| Color/duplex Doppler, limited (93976) | $171.28 | $488 | 1.7× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) range across 3 matching MRF lines |
$57.27–$59.18 | $88.10–$91.04 | varies |
| Continuous Pulse Ox (94762) | $164.61 | $469 | 1.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 4 matching MRF lines |
$195.66–$266.13 | $557.45–$758.21 | varies |
| Cpt initial (94667) | $110.21 | $314 | 0.9× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$132.67–$726.92 | $378–$2,071 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 4 matching MRF lines |
$88.45–$204.34 | $252–$353 | varies |
| Developmental tst admin phys/qhp 1st hour (96112) range across 3 matching MRF lines |
$84.24–$156 | $240 | varies |
| 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 Xtr Veins Complete Bilateral Study (93970) | $413.82 | $1,179 | 1.8× |
| Dup-scan xtr veins unilateral/limited study (93971) | $316.25 | $901 | 3.1× |
| Duplex Scan Hemodialysis Access (93990) | $170.58 | $486 | 1.7× |
| Duplex up extrem art bilat (93930) | $325.37 | $927 | 1.4× |
| Echo Heart Xthoracic,Limited (93308) | $461.91 | $1,316 | 2.0× |
| Echo transesophageal (93312) | $1,063.53 | $3,030 | 2.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $959.63 | $2,734 | 1.8× |
| EEG awake and asleep (95819) | $399.43 | $1,137.99 | 1.9× |
| EEG awake drowsy (95816) | $399.43 | $1,137.99 | 1.9× |
| Eeg Sleep Only (95822) | $399.43 | $1,137.99 | 1.9× |
| Electrical Stimulation Ea 15 Min (97032) range across 4 matching MRF lines |
$110.97–$117.65 | $170.73–$181 | varies |
| Electrocardiogram Tracing (93005) range across 2 matching MRF lines |
$108.10–$175.50 | $308–$500 | varies |
| Emergency Dept Visit Level 2 (99282) | $160.05 | $456 | 1.1× |
| Emergency Dept Visit Level 3 (99283) | $296.94 | $846 | 1.1× |
| Emergency Dept Visit Level 4 (99284) | $411.37 | $1,172 | 1.0× |
| Er level 1 (99281) | $81.78 | $233 | 1.0× |
| Er level v (99285) range across 2 matching MRF lines |
$35.75–$554.58 | $55–$1,580 | varies |
| Evaluate Speech Production (92522) | $126.10 | $194 | 1.1× |
| Evaluate Swallowing Function (92610) | $122.85 | $189 | 1.4× |
| Evaluation of speech fluency (92521) | $154.05 | $237 | 1.2× |
| External Ecg Scanning Analysis Report (93226) | $306.07 | $872 | 5.4× |
| Extracranial Bilat Study (93880) | $508.95 | $1,450 | 2.2× |
| Extracranial Uni/Ltd Study (93882) | $280.44 | $799 | 2.8× |
| Flexible endoscopic eval swallow c/v rec (92612) | $282.75 | $435 | 1.4× |
| Group Therapeutic Procedures (97150) range across 4 matching MRF lines |
$51.35–$53.30 | $79–$82 | varies |
| Holter monitor recording (93225) | $178.65 | $509 | 1.4× |
| Immunization administration (90471) range across 2 matching MRF lines |
$19.65–$21.06 | $56–$60 | varies |
| Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) | $589.55 | $907 | 1.6× |
| Irrig Drug Delivery Device (96523) range across 2 matching MRF lines |
$73.71–$81.08 | $210–$231 | varies |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$50.89–$55.80 | $145–$159 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) | $111.96 | $319 | 0.5× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $49.84 | $142 | 0.7× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $56.86 | $162 | 1.3× |
| IV push initial (96374) range across 2 matching MRF lines |
$80.37–$88.10 | $229–$251 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $54.39 | $154.98 | 1.0× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $177.01 | $504.32 | 0.9× |
| Mechanical chest wall oscillation per session (94669) | $90.55 | $258 | 0.4× |
| Methacholine challenge (94070) | $307.45 | $473 | 0.9× |
| Motion Fluoroscopy/Swallow (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) range across 2 matching MRF lines |
$123.90–$229.45 | $353 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$219.72–$407.10 | $626–$626.30 | varies |
| Neuromuscular Reeducation (97112) | $84.77 | $130.41 | 2.6× |
| 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× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$91.65–$95.55 | $141–$147 | varies |
| Oral Speech Device Eval (92597) | $136.50 | $210 | 1.9× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 2 matching MRF lines |
$74.10–$110.97 | $114–$170.73 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 5 matching MRF lines |
$136.50–$160.55 | $210–$247 | varies |
| Ot Contrast Bath Ea 15 Min (97034) | $74.10 | $114 | 5.3× |
| Ot eval high complexity (97167) | $245.91 | $378.32 | 2.4× |
| Ot Eval Low Complex (97165) | $178.75 | $275 | 1.8× |
| Ot Eval Moderate Complexity (97166) | $212.67 | $327.18 | 2.1× |
| Ot manual therapy 15 min (97140) | $126.75 | $195 | 4.6× |
| Ot paraffin bath (97018) range across 3 matching MRF lines |
$47.64–$63.70 | $73.29–$98 | varies |
| Ot Prosthetic Training, Each 15 Min (97761) range across 2 matching MRF lines |
$64.91–$81.25 | $99.86–$125 | varies |
| Ot Re-Eval Est Plan Care (97168) | $120.90 | $186 | 1.8× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $109.16 | $311 | 0.5× |
| Phlebotomy therapeutic (99195) | $73.71 | $210 | 0.6× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$48.32–$111.61 | $74.34–$171.70 | varies |
| 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 Eval High Complex (97163) | $212.55 | $327 | 2.2× |
| Pt eval low complex 20 min (97161) | $145.60 | $224 | 1.5× |
| Pt Eval Mod Complex (97162) | $178.75 | $275 | 1.8× |
| Pt gait training 15 min (97116) range across 2 matching MRF lines |
$74.10–$82.86 | $114–$127.47 | varies |
| Pt group caregiver training (97552) | $13.33 | $20.50 | 0.6× |
| Pt mechanical traction (97012) range across 3 matching MRF lines |
$36.40–$95.55 | $56–$147 | varies |
| Pt Re-Eval Est Plan Care (97164) | $86.45 | $133 | 1.3× |
| Pulm function test by gas (94727) | $169.81 | $261.24 | 0.8× |
| Pulmonary Stress Testing (94618) | $111.80 | $172 | 0.9× |
| Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) | $20.80 | $32 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) | $31.20 | $48 | 0.9× |
| Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) | $11.70 | $18 | 0.9× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $44.57 | $127 | 0.8× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$219.72–$407.10 | $626–$626.30 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $157.95 | $243 | 1.3× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $89.05 | $137 | 1.9× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$74.10–$110.97 | $114–$170.73 | varies |
| Sensory Integration Ea 15 Min (97533) | $93.60 | $144 | 1.5× |
| Slp caregiver training 1st 30 min (97550) | $56.88 | $87.50 | 1.1× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) | $1,544.40 | $2,376 | 7.4× |
| Speech sound lang comprehen (92523) | $260.65 | $401 | 1.2× |
| Spirometry (94010) range across 2 matching MRF lines |
$180.73–$300.30 | $278.04–$462 | varies |
| Standardized Cognitive Performance Testing (96125) | $136.50 | $210 | 1.3× |
| 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) range across 4 matching MRF lines |
$110.97–$122.20 | $170.73–$188 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 3 matching MRF lines |
$110.97–$122.20 | $170.73–$188 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $100.13 | $154.04 | 2.7× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 3 matching MRF lines |
$95.55–$110.36 | $147–$169.79 | varies |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $131.95 | $203 | 1.3× |
| Ther/Proph/Diag Inj Ia (96373) | $76.16 | $217 | 0.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$36.85–$40.36 | $105–$115 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 2 matching MRF lines |
$126.36–$148.47 | $360–$423 | varies |
| Therapeutic Activities (97530) | $74.10 | $114 | 2.1× |
| Tte w/doppler, complete (93306) | $1,160.05 | $3,305 | 2.2× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $96.20 | $148 | 1.3× |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $45.12 | $69.41 | 1.9× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$56.16–$61.42 | $160–$175 | varies |
| Upr/L Xtremity Art 2 Levels (93922) | $193.51 | $297.70 | 1.5× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $260.65 | $401 | 1.3× |
| Vasopneumatic device (97016) | $63.70 | $98 | 5.3× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$200.77–$780.97 | $572–$2,225 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $675.67 | $1,925 | 1.1× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 2 matching MRF lines |
$68.25–$72.80 | $105–$112 | varies |
| Whirlpool Therapy (97022) range across 7 matching MRF lines |
$78.97–$156 | $121.49–$240 | 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.