Visits & medical services prices at Jefferson Davis Community Hospital

Prentiss, MS · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
unusually low: confirm this is the full procedure
$3,189.81 $9,113.72 0.5×
Airway inhalation treatment (94640) $60.14 $171.82 0.3×
Application of heat wave therapy (97024) $12.29 $35.09 1.7×
Assessment of aphasia (96105) $50.40 $143.99 0.5×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $37.27 $106.48 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $108 $308.55 1.0×
Blink reflex test (95933) $67.76 $193.60 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $320.60 $915.97 1.0×
Canalith Repositioning (95992) $46.17 $131.89 1.1×
Cardiac Stress Tst,Tracing Only (93017) $214.72 $613.47 1.2×
Cardiopulmonary exercise testing (94621) $189.94 $542.68 0.6×
Cardiopulmonary resuscitation (92950) $216.84 $619.52 1.2×
Cardioversion (92960) $315.94 $902.66 0.6×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $3,393.51 $9,695.73 1.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $3,675.14 $10,500.38 1.3×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$6,095.86 $17,416.74 0.4×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $4,436.59 $12,675.96 1.6×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,032.57 $11,521.62 1.4×
Chemo Hormon Antineopl Sq/Im (96402) $59.85 $171 1.0×
Chemo IV push addl drug (96411) $100.45 $287 1.6×
Chemo Iv Push Sngl Drug (96409) $104.30 $298 0.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $191.10 $546 0.7×
Chemother, IV infusion, 1 hr (96413) $200.90 $574 0.7×
Chemother, IV infusion, ea add hr (96415) $36.75 $105 0.6×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $59.85 $171 1.0×
Chemotx Admn Cns Req Spinal Puncture (96450) $319.20 $912 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $71.75 $205 1.2×
Color/duplex Doppler, complete (93975) $486.18 $1,389.08 2.4×
Color/duplex Doppler, limited (93976) $325.25 $929.28 3.6×
Coronary artery angio s&i (93454) $2,989.49 $8,541.39 1.1×
Cpap initiation and management (94660) $313.82 $896.61 1.7×
Cpt initial (94667) $70.73 $202.07 0.6×
Critical care (99291) $624.50 $1,784.28 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $90.63 $258.94 0.5×
Demo &/or eval,pt use,aerosol device (94664) $60.14 $171.82 0.3×
Developmental tst admin phys/qhp 1st hour (96112) $148.23 $423.50 1.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $396.82 $1,133.77 1.9×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $296.03 $845.79 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $457.38 $1,306.80 2.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $310.43 $886.93 3.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $425.20 $1,214.84 2.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $296.03 $845.79 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $336.69 $961.95 3.7×
Duplex hemodialysis access (93990) $129.17 $369.05 1.4×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $204.13 $583.22 1.0×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $94.87 $271.04 1.1×
Duplex scan extracranial art compl bi study (93880) $458.23 $1,309.22 2.2×
Echo Heart Xthoracic,Limited (93308) $303.65 $867.57 1.5×
Echo r-t 2d w/probe placement only (93313) $571.73 $1,633.50 1.2×
Echo transesophageal (93312) $874.53 $2,498.65 1.9×
Echo Transthoracic - Congenital Tte Complete (93303) $787.71 $2,250.60 1.7×
EEG awake asleep (95819) $205.83 $588.06 1.1×
EEG awake drowsy (95816) $219.38 $626.78 1.2×
EEG cerebral death evaluation (95824) $237.16 $677.60 0.7×
EEG coma or sleep only (95822) $205.83 $588.06 1.1×
Eeg Extended Monitoring 61-119 Minutes (95813) $667.02 $1,905.75 3.6×
EKG (93005) $63.53 $181.50 1.2×
EKG rhythm strip (93041) $51.04 $145.80 1.0×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $214.30 $612.26 1.2×
EMG cranial nerve bilat (95868) $165.59 $473.11 0.9×
EMG cranial nerve unilat (95867) $147.38 $421.08 0.8×
EMG four extremities (95864) $253.68 $724.79 2.3×
EMG one extremity (95860) $155.01 $442.86 1.4×
EMG three extremities (95863) $216.41 $618.31 2.0×
EMG two extremities (95861) $174.06 $497.31 1.5×
Endomyocardial biopsy (93505) $938.90 $2,682.57 0.3×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure
$6,261.03 $17,888.64 0.3×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure
$6,261.03 $17,888.64 0.3×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,361.63 $12,461.79 0.6×
Er level 1 (99281) $60.23 $172.08 0.8×
Er level ii (99282) $83.10 $237.42 0.6×
Er level iii (99283) $136.04 $388.67 0.6×
Er level IV (99284) $199.56 $570.17 0.6×
Er level v (99285) $326.61 $933.17 0.6×
Evaluation of speech fluency (92521) $129.17 $369.05 1.0×
Evaluation of speech sound production (92522) $110.11 $314.60 1.0×
Evaluation of swallowing function (92610) $128.75 $367.84 1.5×
Exhaled Air Analysis (94690) $86.82 $248.05 1.7×
External Ecg Scanning Analysis Report (93226) $229.97 $657.03 4.5×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $158.82 $453.75 0.9×
Group Therapeutic Procedures (97150) $25.42 $72.60 1.4×
Hemodialysis (90935) $632.72 $1,807.74 1.1×
Holter Monitor Recording (93225) $141.45 $404.14 1.2×
Hydrotherapy (97036) $37.27 $106.48 1.1×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $16.94 $48.40 0.3×
Immunization Admin (90471) $29.65 $84.70 0.5×
Injection intra arterial (96373) $49.55 $141.57 0.3×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $38.54 $110.11 0.8×
IV infusion hydration each additional hour (96361) $21.18 $60.50 0.5×
IV infusion hydration initial 31 min-1 hour (96360) $124.30 $355.14 0.7×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $37.27 $106.48 0.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $126.63 $361.79 0.7×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $105.88 $302.50 2.6×
IV push initial (96374) $102.07 $291.61 0.6×
Manual therapy 15 min (97140) $44.47 $127.05 1.6×
Massage 15 min (97124) $38.97 $111.32 1.3×
Mechanical chest wall oscillation (94669) $70.73 $202.07 0.4×
Mechanical traction (97012) $26.69 $76.23 1.9×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $16.94 $48.40 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $13.56 $38.72 0.4×
Motility study esophagus (91010) $347.91 $994.02 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $100.80 $287.98 1.1×
Multiple Family Group Psychotherapy (90849) $85.55 $244.42 0.6×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $85.13 $243.21 0.7×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $47.44 $135.52 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $88.94 $254.10 0.3×
Nerve conduction studies 13/> studies (95913) $435.79 $1,245.09 1.4×
Nerve Conduction Studies 3-4 Studies (95908) $302.38 $863.94 1.6×
Nerve Conduction Studies 9-10 Studies (95911) $382.43 $1,092.63 1.2×
Nerve conduction studies; 1-2 studies (95907) $275.70 $787.71 1.5×
Nerve conduction studies; 11-12 studies (95912) $409.11 $1,168.86 1.3×
Nerve conduction studies; 5-6 studies (95909) $329.06 $940.17 1.8×
Nerve conduction studies; 7-8 studies (95910) $355.74 $1,016.40 1.1×
Neuromuscular junction test (95937) $104.19 $297.66 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $135.74 $387.80 1.2×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $143.15 $408.98 0.8×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $150.14 $428.94 1.4×
Nrpsyc tst eval phys/qhp 1st (96132) $711.48 $2,032.80 2.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $37.70 $107.69 0.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $41.93 $119.79 1.3×
Ot Contrast Bath Ea 15 Min (97034) $22.45 $64.13 1.6×
Ot eval high complex 60 min (97167) $122.82 $350.90 1.2×
Ot eval low complex 30 min (97165) $86.82 $248.05 0.9×
Ot eval mod complex 45 min (97166) $105.88 $302.50 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $23.30 $66.55 0.5×
Ot Prosthetic Training, Each 15 Min (97761) $37.27 $106.48 0.9×
Ot Range Motion Measure,Each Extrem (95851) $23.72 $67.76 0.9×
Ot re-eval est plan care (97168) $57.18 $163.35 0.8×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $122.40 $349.69 1.1×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $111.39 $318.23 1.0×
Paraffin bath (97018) $21.18 $60.50 3.5×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $275.70 $787.71 1.5×
Plethysmography (94726) $88.52 $252.89 0.3×
Prq balloon valvuloplasty aortic valve (92986) $3,820.40 $10,915.41 0.8×
Prq Balloon Valvuloplasty Mitral Valve (92987)
unusually low: confirm this is the full procedure
$3,839.46 $10,969.86 0.4×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$6,779.39 $19,369.68 0.4×
Psychiatric diagnostic evaluation (90791) $96.99 $277.09 0.6×
Psycl tst eval phys/qhp 1st (96130) $222.34 $635.25 1.2×
Pt Aquatic Therapy/Exercises (97113) $56.75 $162.14 1.5×
Pt Electric Current Therapy (97033) $70.31 $200.86 3.7×
Pt Electrical Stimulation (97032) $49.98 $142.78 3.4×
Pt eval high complex 45 min (97163) $112.23 $320.65 1.1×
Pt eval low complex 20 min (97161) $78.35 $223.85 0.8×
Pt Gait Training Therapy (97116) $63.32 $180.90 2.2×
Pt Infrared Therapy (97026) $11.44 $32.67 1.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $49.13 $140.36 1.5×
Pt Physical Performance Test (97750) $48.71 $139.15 1.4×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $95.29 $272.25 1.0×
Pt re-evaluation (97164) $52.94 $151.25 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $24.57 $70.18 0.8×
Pt Ultrasound Therapy (97035) $30.50 $87.12 2.1×
Pt Whirlpool Therapy (97022) $71.58 $204.49 4.6×
Pulm Funct Test Oscillometry (94728) $88.52 $252.89 0.8×
Pulm function test by gas (94727) $103.34 $295.24 0.6×
Pulmonary stress testing (94618) $143.99 $411.40 1.3×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,545.97 $10,131.33 1.3×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $4,137.60 $11,821.70 1.5×
R hrt art/grft angio (93457) $3,263.07 $9,323.05 1.2×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $4,541.20 $12,974.83 1.6×
Right heart cath (93451) $2,870.91 $8,202.59 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $70.94 $202.68 0.4×
Rom meas&reprt hand w/wo comparison normal sid (95852) $10.17 $29.04 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $70.73 $202.07 0.6×
Sensory Integration Ea 15 Min (97533) $43.62 $124.63 0.7×
Short-latency somatosens ep std lwr limbs (95926) $250.29 $715.11 1.3×
Short-latency somatosens ep std upr limbs (95925) $252.83 $722.37 1.4×
Somatosensory testing (95938) $402.75 $1,150.71 0.5×
Speech group therapy (92508) $31.77 $90.75 1.3×
Speech sound lang comprehen (92523) $224.46 $641.30 1.0×
Spirometry (94010) $147.81 $422.29 0.8×
Standardized Cognitive Performance Testing (96125) $64.38 $183.92 0.6×
Temp transcutaneous pacing (92953) $400.21 $1,143.45 0.7×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $35.58 $101.64 1.6×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $35.58 $101.64 1.7×
Ther/Proph/Diag Inj Sc/Im (96372) $43.84 $125.24 0.7×
Therapeutic Activities (97530) $44.68 $127.66 1.3×
Therapeutic phlebotomy (99195) $36 $102.85 0.3×
Tilt Table Eval (93660) $509.68 $1,456.24 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $17.37 $49.61 0.5×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $308.74 $882.09 1.5×
Transcranial Doppler Limited (93888) $206.25 $589.27 2.3×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $787.71 $2,250.60 1.7×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $346 $988.57 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $32.19 $91.96 0.4×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $33.46 $95.59 0.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $52.73 $150.64 1.3×
Ultraviolet Therapy (97028) $11.44 $32.67 1.4×
Unlisted Cardiovascular Service/Procedure (93799) $2,835.76 $8,102.16 25.6×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$3,839.46 $10,969.86 0.4×
Vasc Duplex Extrem Venous,Bilat (93970) $487.88 $1,393.92 2.4×
Vasc Duplex Scan Extracranial,Limited (93882) $296.03 $845.79 3.3×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $237.59 $678.81 1.3×
Vasopneumatic device (97016) $26.69 $76.23 2.2×
Veeg by tech 2-12 hours unmonitored (95711) $728.42 $2,081.20 3.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,003.70 $2,867.70 3.1×
Ventilation assist & mgmt inpatient 1st day (94002) $689.89 $1,971.09 1.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $689.89 $1,971.09 1.3×
Visual Evoked Potential Test (95930) $216.41 $618.31 1.2×
Vital capacity total (94150) $52.10 $148.83 0.5×
Wheelchair Mgmt Ea 15 Min (97542) $37.27 $106.48 1.2×