Supplies, drugs & other prices at Jefferson Healthcare
Port Townsend, WA · every code in this section with a posted price and a Medicare benchmark.
44 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$57.60–$1,092 | $72–$1,365 | varies |
| Adm tocilizu covid-19 1st (M0249) | $1,120 | $1,400 | 2.3× |
| Adm tocilizu covid-19 2nd (M0250) | $1,120 | $1,400 | 2.3× |
| Admin hepatitis b vaccine (G0010) | $38.40 | $48 | 0.7× |
| Admin influenza virus vac (G0008) | $38.40 | $48 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $38.40 | $48 | 0.7× |
| Annual alcohol screen 15 min (G0442) | $48 | $60 | 1.1× |
| Behavior counsel obesity 15m (G0447) | $68.80 | $86 | 0.6× |
| Ca screen;flexi sigmoidscope (G0104) | $380 | $475 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) range across 2 matching MRF lines |
$113.60–$129.60 | $142–$162 | varies |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$20–$131.20 | $25–$164 | varies |
| Colon ca scrn not hi rsk ind (G0121) | $967.20 | $1,209 | 0.9× |
| Colorectal scrn; hi risk ind (G0105) | $1,004.80 | $1,256 | 1.0× |
| Cysto, litho, vacuum kidney (C9761) | $7,200 | $9,000 | 0.7× |
| Depression screen annual (G0444) | $48 | $60 | 1.1× |
| Diab manage trn per indiv (G0108) range across 2 matching MRF lines |
$142.40–$164 | $178–$205 | varies |
| Diab manage trn ind/group (G0109) | $76 | $95 | 4.7× |
| Ekg tracing for initial prev (G0404) | $180.80 | $226 | 5.6× |
| Group mnt 2 or more 30 mins (G0271) | $56.80 | $71 | 3.3× |
| Home sleep test/type 2 porta (G0398) | $611.20 | $764 | 2.5× |
| Home sleep test/type 3 porta (G0399) | $580 | $725 | 2.4× |
| Hospital outpt clinic visit (G0463) | $180 | $225 | 1.2× |
| Initial foot exam pt lops (G0245) | $144 | $180 | 1.0× |
| Initial preventive exam (G0402) range across 2 matching MRF lines |
$119.20–$393.60 | $149–$492 | varies |
| Intens cardiac rehab no exer (G0423) | $302.40 | $378 | 2.1× |
| Intens cardiac rehab w/exerc (G0422) | $302.40 | $378 | 2.1× |
| Mnt subs tx for change dx (G0270) | $72 | $90 | 2.3× |
| Njx platelet plasma (0232T) range across 2 matching MRF lines |
$587.20–$906.40 | $734–$1,133 | varies |
| Obtaining screen pap smear (Q0091) | $116.80 | $146 | 3.6× |
| Oth resp proc, group (G0239) | $130.40 | $163 | 3.1× |
| Oth resp proc, indiv (G0238) | $155.20 | $194 | 4.8× |
| Pin service 60m per month (G0023) | $192 | $240 | 1.7× |
| Place device/marker, non pro (C9728) | $2,613.60 | $3,267 | 1.7× |
| Ppps, initial visit (G0438) | $448 | $560 | 2.6× |
| Ppps, subseq visit (G0439) | $297.60 | $372 | 2.2× |
| Psa screening (G0103) | $80 | $100 | 4.1× |
| Remot img sub by pt, non e/m (G2250) | $25.60 | $32 | 2.0× |
| Routine footcare pt w lops (G0247) | $98.40 | $123 | 0.4× |
| Scr c/v cyto,thinlayer,rescr (G0145) range across 2 matching MRF lines |
$77.60–$87.20 | $97–$109 | varies |
| Therapeutic procd strg endur (G0237) | $108 | $135 | 3.4× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$59.20–$71.20 | $74–$89 | varies |
| Trim nail(s) (G0127) | $60 | $75 | 0.9× |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$142.40–$2,378.40 | $178–$2,973 | varies |
| Visit to determ ldct elig (G0296) | $155.20 | $194 | 1.4× |
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.