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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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$3,189.81 $9,113.72 0.5×
Airway Inhalation Treatment (94640)
range across 7 matching MRF lines
$15.25–$122.40 $43.56–$349.69 varies
Airway resistance by oscillometry (94728) $88.52 $252.89 0.8×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$22.45–$34.31 $64.13–$98.01 varies
Application Modality 1/> Areas Diathermy (97024) $12.29 $35.09 1.7×
Application Modality 1/> Areas Infrared (97026) $11.44 $32.67 1.7×
Assessment of aphasia per hr (96105) $50.40 $143.99 0.5×
Behavral qualit analys voice (92524) $108 $308.55 1.0×
Blink reflex test (95933) $67.76 $193.60 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 2 matching MRF lines
$89.79–$551.40 $256.52–$1,575.42 varies
Canalith repositioning proc (95992)
range across 3 matching MRF lines
$46.17–$60.14 $131.89–$171.82 varies
Cardiac Stress Tst,Tracing Only (93017) $214.72 $613.47 1.2×
Cardiopulmonary exercise testing (94621)
range across 2 matching MRF lines
$165.59–$214.30 $473.11–$612.26 varies
Cardiopulmonary resuscitation (92950) $216.84 $619.52 1.2×
Cardioversion (92960) $315.94 $902.66 0.6×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $4,137.60 $11,821.70 1.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $4,032.57 $11,521.62 1.4×
Chemo Anti-Neopl Sq/Im (96401) $59.85 $171 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $59.85 $171 1.0×
Chemo IV infusion addl hr (96415) $36.75 $105 0.6×
Chemo IV push addl drug (96411) $100.45 $287 1.6×
Chemother Prolong Infuse W/Pump (96416) $191.10 $546 0.7×
Chemotherapy Into Cns (96450) $319.20 $912 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $71.75 $205 1.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $200.90 $574 0.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $104.30 $298 0.4×
Chest Wall Manipulation (94668) $70.73 $202.07 0.6×
Color/duplex Doppler, complete (93975) $486.18 $1,389.08 2.4×
Color/duplex Doppler, limited (93976) $325.25 $929.28 3.6×
Community/Work Reintegration Trainj Ea 15 Min (97537)
range across 3 matching MRF lines
$37.27–$41.93 $106.48–$119.79 varies
Continuous Pulse Ox (94762)
range across 2 matching MRF lines
$92.75–$207.52 $264.99–$592.90 varies
Coronary Art/Grft Angio S&I (93455) $3,393.51 $9,695.73 1.2×
Coronary Artery Angio S&I (93454) $2,989.49 $8,541.39 1.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$182.96–$444.68 $522.72–$1,270.50 varies
Cpt initial (94667) $70.73 $202.07 0.6×
Critical care first hour (99291)
range across 4 matching MRF lines
$394.71–$639.07 $1,127.72–$1,825.89 varies
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$34.31–$142.30 $98.01–$406.56 varies
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 Xtr Veins Complete Bilateral Study (93970) $487.88 $1,393.92 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $336.69 $961.95 3.7×
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 Hemodialysis Access (93990) $129.17 $369.05 1.4×
Duplex up extrem art bilat (93930) $425.20 $1,214.84 2.1×
Duplex up extrem art unilat/ltd (93931) $296.03 $845.79 3.3×
Echo Congenital Complete (93303) $787.71 $2,250.60 1.7×
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)
range across 3 matching MRF lines
$787.71–$891.90 $2,250.60–$2,548.26 varies
Eeg 41-60 Minutes (95812) $214.30 $612.26 1.2×
EEG awake and 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 extended monitoring 61-119 minutes (95813) $667.02 $1,905.75 3.6×
Eeg Sleep Only (95822) $205.83 $588.06 1.1×
Electrical Stimulation Ea 15 Min (97032)
range across 4 matching MRF lines
$22.45–$49.98 $64.13–$142.78 varies
Electrocardiogram Tracing (93005) $63.53 $181.50 1.2×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines
$74.12–$83.10 $211.75–$237.42 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines
$127.05–$136.04 $363–$388.67 varies
Emergency Dept Visit Level 4 (99284)
range across 3 matching MRF lines
$190.58–$199.56 $544.50–$570.17 varies
Emg 3 Extremities (95863) $216.41 $618.31 2.0×
Emg 4 Extremities (95864) $253.68 $724.79 2.3×
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)
range across 5 matching MRF lines
$51.25–$72.42 $146.41–$206.91 varies
Er level v (99285)
range across 3 matching MRF lines
$317.63–$326.61 $907.50–$933.17 varies
Evaluate pt use of inhaler (94664) $60.14 $171.82 0.3×
Evaluate Speech Production (92522) $110.11 $314.60 1.0×
Evaluate Swallowing Function (92610) $128.75 $367.84 1.5×
Evaluation of speech fluency (92521) $129.17 $369.05 1.0×
External Ecg Scanning Analysis Report (93226) $229.97 $657.03 4.5×
Extracranial Bilat Study (93880) $458.23 $1,309.22 2.2×
Extracranial Uni/Ltd Study (93882) $296.03 $845.79 3.3×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $158.82 $453.75 0.9×
Group Therapeutic Procedures (97150)
range across 4 matching MRF lines
$24.57–$26.26 $70.18–$75.02 varies
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $4,541.20 $12,974.83 1.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935)
range across 2 matching MRF lines
$559.87–$705.56 $1,599.62–$2,015.86 varies
Holter monitor recording (93225) $141.45 $404.14 1.2×
Hubbard tank 15 min (97036) $37.27 $106.48 1.1×
Im Adm Intransl/Oral 1 Vaccine (90473) $16.94 $48.40 0.3×
Immunization administration (90471) $29.65 $84.70 0.5×
Intracranial Complete Study (93886) $308.74 $882.09 1.5×
Iontophoresis 15 min (97033)
range across 3 matching MRF lines
$38.97–$70.31 $111.32–$200.86 varies
Irrig Drug Delivery Device (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)
range across 2 matching MRF lines
$99.10–$149.50 $283.14–$427.13 varies
IV infusion ther proph addl sequential to 1 hr (96367) $37.27 $106.48 0.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $105.88 $302.50 2.6×
IV push initial (96374)
range across 2 matching MRF lines
$66.07–$138.07 $188.76–$394.46 varies
L Hrt Art/Grft Angio (93459) $4,436.59 $12,675.96 1.6×
Lwr Xtr Vasc Stdy Bilat (93924) $237.59 $678.81 1.3×
Mechanical chest wall oscillation per session (94669) $70.73 $202.07 0.4×
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)
range across 2 matching MRF lines
$278.67–$417.15 $796.18–$1,191.85 varies
Motion Fluoroscopy/Swallow (92611) $100.80 $287.98 1.1×
Multiple Family Group Psychotherapy (90849) $85.55 $244.42 0.6×
Muscle Test 2 Limbs (95861) $174.06 $497.31 1.5×
Muscle Test Nonparaspinal (95870) $85.13 $243.21 0.7×
Muscle Test One Limb (95860) $155.01 $442.86 1.4×
Needle Electromyography Cranial Nrv Muscle Bi (95868) $165.59 $473.11 0.9×
Needle Electromyography Cranial Nrv Muscle Uni (95867) $147.38 $421.08 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 3 matching MRF lines
$47.44–$72 $135.52–$205.70 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$88.94–$126.21 $254.10–$360.58 varies
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 13 or more 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 5-6 studies (95909) $329.06 $940.17 1.8×
Nerve conduction studies 7-8 studies (95910) $355.74 $1,016.40 1.1×
Nerve Conduction Studies 9-10 Studies (95911) $382.43 $1,092.63 1.2×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $104.19 $297.66 0.9×
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$22.45–$59.29 $64.13–$169.40 varies
Nrpsyc tst eval phys/qhp 1st (96132) $711.48 $2,032.80 2.2×
Oral Function Therapy (92526) $33.46 $95.59 0.4×
Orthc/Prostc Mgmt Sbsq Enc (97763)
range across 3 matching MRF lines
$23.30–$36 $66.55–$102.85 varies
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 4 matching MRF lines
$37.27–$38.12 $106.48–$108.90 varies
Ot Contrast Bath Ea 15 Min (97034)
range across 4 matching MRF lines
$22.45–$50.82 $64.13–$145.20 varies
Ot eval high complexity (97167) $122.82 $350.90 1.2×
Ot Eval Low Complex (97165) $86.82 $248.05 0.9×
Ot Eval Moderate Complexity (97166) $105.88 $302.50 1.1×
Ot manual therapy 15 min (97140)
range across 3 matching MRF lines
$28.80–$49.13 $82.28–$140.36 varies
Ot paraffin bath (97018)
range across 3 matching MRF lines
$15.67–$21.18 $44.77–$60.50 varies
Ot Prosthetic Training, Each 15 Min (97761)
range across 4 matching MRF lines
$35.16–$37.27 $100.43–$106.48 varies
Ot Re-Eval Est Plan Care (97168) $57.18 $163.35 0.8×
Ot rom hand (95852) $10.17 $29.04 0.5×
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×
Oxygen Uptake Rest Indirect (94690)
range across 2 matching MRF lines
$22.87–$150.77 $65.34–$430.76 varies
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $275.70 $787.71 1.5×
Phlebotomy therapeutic (99195) $36 $102.85 0.3×
Physical Performance Test (97750)
range across 3 matching MRF lines
$23.30–$48.71 $66.55–$139.15 varies
Plethysmography (94726) $88.52 $252.89 0.3×
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×
Psychological tst eval svc phys/qhp first hour (96130)
range across 2 matching MRF lines
$177.87–$266.81 $508.20–$762.30 varies
Pt Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $37.27 $106.48 1.0×
Pt Eval High Complex (97163) $112.23 $320.65 1.1×
Pt eval low complex 20 min (97161) $78.35 $223.85 0.8×
Pt Eval Mod Complex (97162) $95.29 $272.25 1.0×
Pt gait training 15 min (97116)
range across 4 matching MRF lines
$33.46–$72 $95.59–$205.70 varies
Pt mechanical traction (97012)
range across 4 matching MRF lines
$26.69–$40.66 $76.23–$116.16 varies
Pt Re-Eval Est Plan Care (97164) $52.94 $151.25 0.8×
Pt ultraviolet (97028) $11.44 $32.67 1.4×
Pulm function test by gas (94727) $103.34 $295.24 0.6×
Pulmonary Stress Testing (94618) $143.99 $411.40 1.3×
R Hrt Art/Grft Angio (93457) $3,263.07 $9,323.05 1.2×
R hrt coronary artery angio (93456) $3,675.14 $10,500.38 1.3×
R&L Hrt Cath W/Ventriclgrphy (93453) $3,545.97 $10,131.33 1.3×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041)
range across 2 matching MRF lines
$42.35–$59.72 $121–$170.61 varies
Right Heart Cath (93451) $2,870.91 $8,202.59 1.0×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 4 matching MRF lines
$52.10–$99.95 $148.83–$285.56 varies
Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) $23.72 $67.76 0.9×
Self Care Mngment Training (97535)
range across 5 matching MRF lines
$24.57–$49.13 $70.18–$140.36 varies
Sensory Integration Ea 15 Min (97533)
range across 4 matching MRF lines
$37.27–$49.98 $106.48–$142.78 varies
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 sound lang comprehen (92523) $224.46 $641.30 1.0×
Spirometry (94010)
range across 3 matching MRF lines
$147.81–$196.09 $422.29–$560.23 varies
Ssep lower limbs (95926) $250.29 $715.11 1.3×
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)
range across 3 matching MRF lines
$21.18–$37.27 $60.50–$106.48 varies
Ther Ivntj Ea Addl 15 Min (97130) $35.58 $101.64 1.7×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113)
range across 3 matching MRF lines
$55.91–$70.73 $159.72–$202.07 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 3 matching MRF lines
$26.69–$38.97 $76.23–$111.32 varies
Ther/Proph/Diag Inj Ia (96373) $49.55 $141.57 0.3×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 2 matching MRF lines
$29.65–$58.02 $84.70–$165.77 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 2 matching MRF lines
$107.15–$146.11 $306.13–$417.45 varies
Therapeutic Activities (97530)
range across 4 matching MRF lines
$33.46–$55.91 $95.59–$159.72 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660)
range across 2 matching MRF lines
$339.65–$679.72 $970.42–$1,942.05 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $17.37 $49.61 0.5×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$6,095.86 $17,416.74 0.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $206.25 $589.27 2.3×
Tte w/doppler, complete (93306) $787.71 $2,250.60 1.7×
Tte W/O Doppler Complete (93307) $346 $988.57 1.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 2 matching MRF lines
$30.92–$33.46 $88.33–$95.59 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $31.77 $90.75 1.3×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$37.70–$67.76 $107.69–$193.60 varies
Unlisted cardiovascular service/procedure (93799) $2,835.76 $8,102.16 25.6×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$126.63–$144.84 $361.79–$413.82 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923)
range across 3 matching MRF lines
$143.15–$199.05 $408.98–$568.70 varies
Valvuloplasty aortic valve (92986) $3,820.40 $10,915.41 0.8×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$3,839.46 $10,969.86 0.4×
Valvuloplasty pulmonary valve (92990)
unusually low: confirm this is the full procedure
$3,839.46 $10,969.86 0.4×
Vasopneumatic device (97016) $26.69 $76.23 2.2×
Veeg 2-12 hr unmonitored (95711) $728.42 $2,081.20 3.9×
Veeg Ea 12-26 Hr Unmntr (95714) $1,003.70 $2,867.70 3.1×
Vent Mgmt Inpat Init 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)
range across 4 matching MRF lines
$25.41–$58.45 $72.60–$166.98 varies
Whirlpool Therapy (97022)
range across 6 matching MRF lines
$38.97–$71.58 $111.32–$204.49 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.