Supplies, drugs & other prices at Jefferson Davis Community Hospital
Prentiss, MS · every code in this section with a posted price and a Medicare benchmark.
49 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $49.55 | $141.57 | 1.2× |
| Admin influenza virus vac (G0008) | $49.98 | $142.78 | 1.2× |
| Admin pneumococcal vaccine (G0009) | $49.98 | $142.78 | 1.2× |
| Autolog prp not diab ulcer (G0460) | $567.92 | $1,622.61 | 0.3× |
| Catheterize for urine spec (P9612) | $134.68 | $384.78 | 14.4× |
| Diab manage trn per indiv (G0108) | $39.39 | $112.53 | 0.7× |
| Diab manage trn ind/group (G0109) | $15.25 | $43.56 | 1.0× |
| Direct refer hospital observ (G0379) | $322.29 | $920.81 | 0.6× |
| Elec stim other than wound (G0283) | $41.08 | $117.37 | 3.2× |
| Fecal microbiota prep instil (G0455) | $144.42 | $412.61 | 0.2× |
| Hbot, full body chamber, 30m (G0277) | $241.40 | $689.70 | 2.0× |
| Hospital outpt clinic visit (G0463) | $126.21 | $360.58 | 1.1× |
| Inj for sacroiliac jt anesth (G0260) | $396.82 | $1,133.77 | 0.7× |
| Mra w/cont, abd (C8900) | $1,137.53 | $3,250.06 | 3.8× |
| Mra w/cont, lwr ext (C8912) | $1,217.57 | $3,478.75 | 4.0× |
| Mra w/cont, pelvis (C8918) | $1,035.89 | $2,959.66 | 3.4× |
| Mra w/o cont, abd (C8901) | $1,096.45 | $3,132.69 | 5.3× |
| Mra w/o cont, chest (C8910) | $575.96 | $1,645.60 | 2.8× |
| Mra w/o cont, lwr ext (C8913) | $1,156.58 | $3,304.51 | 5.6× |
| Mra w/o cont, pelvis (C8919) | $1,062.14 | $3,034.68 | 5.2× |
| Mra w/o fol w/cont, abd (C8902) | $1,259.49 | $3,598.54 | 4.2× |
| Mra w/o fol w/cont, chest (C8911) | $777.97 | $2,222.77 | 2.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,283.63 | $3,667.51 | 4.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $1,270.08 | $3,628.79 | 4.2× |
| Mra, w/dye, upper extremity (C8934) | $1,270.50 | $3,630 | 4.2× |
| Mra, w/o dye, upper extr (C8935) | $1,145.15 | $3,271.84 | 5.6× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,397.55 | $3,993 | 4.6× |
| Mri w/o fol w/cont, breast, (C8908) | $1,498.77 | $4,282.19 | 5.0× |
| Obtaining screen pap smear (Q0091) | $66.92 | $191.18 | 2.7× |
| Oth resp proc, group (G0239) | $46.59 | $133.10 | 1.4× |
| Oth resp proc, indiv (G0238) | $49.55 | $141.57 | 2.0× |
| Perq Sacral Augmt Bilat Inj (0201T) | $3,762.80 | $10,750.85 | 0.6× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$2,895.47 | $8,272.77 | 0.5× |
| Pinworm examinations (Q0113) | $16.10 | $45.98 | 3.8× |
| Place device/marker, non pro (C9728) | $1,389.94 | $3,971.22 | 1.2× |
| Potassium hydroxide preps (Q0112) | $19.49 | $55.66 | 3.3× |
| Prolonged iv inf, req pump (C8957) | $144.42 | $412.61 | 0.8× |
| Prostate biopsy, any mthd (G0416) | $877.28 | $2,506.52 | 2.8× |
| Psa screening (G0103) | $35.58 | $101.64 | 1.8× |
| Therapeutic procd strg endur (G0237) | $49.55 | $141.57 | 2.0× |
| Tomosynthesis, mammo (G0279) | $33.88 | $96.80 | 2.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) | $6,518.94 | $18,625.53 | 1.3× |
| Transcatheter renal sympath denervation unilat (0338T) | $4,402.29 | $12,577.95 | 0.9× |
| Transluminal peripheral atherectomy, open or percutaneous, including radiological supervision and interpretation;… (0236T) | $5,682.95 | $16,236.99 | 0.6× |
| Trauma respons w/hosp criti (G0390) | $2,765.24 | $7,900.70 | 2.4× |
| Trluml Perip Athrc Renal Art (0234T) | $5,682.95 | $16,236.99 | 0.6× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $5,682.95 | $16,236.99 | 0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$5,879.03 | $16,797.22 | 0.4× |
| Unsched dialysis esrd pt hos (G0257) | $500.16 | $1,429.01 | 0.8× |