Visits & medical services prices at Jefferson Hospital
Louisville, GA · every code in this section with a posted price and a Medicare benchmark.
112 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 |
$25–$95.75 | $50–$191.50 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $52.75 | $105.50 | 3.7× |
| Assessment of aphasia per hr (96105) | $91.50 | $183 | 0.9× |
| Behavral qualit analys voice (92524) | $86.75 | $173.50 | 0.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $419.25 | $838.50 | 1.3× |
| Cardiopulmonary resuscitation (92950) | $251 | $502 | 1.3× |
| Cardioversion (92960) | $623.75 | $1,247.50 | 1.1× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $34.89 | $69.78 | 1.3× |
| Cbt 1st hour (94644) | $195.25 | $390.50 | 1.7× |
| Chemo IV infusion addl hr (96415) | $117.50 | $235 | 1.9× |
| Chemo IV push addl drug (96411) | $41.75 | $83.50 | 0.7× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $117.50 | $235 | 0.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $68.75 | $137.50 | 0.2× |
| Chest Wall Manipulation (94668) | $58.06 | $116.11 | 0.5× |
| Color/duplex Doppler, complete (93975) | $236.75 | $473.50 | 1.1× |
| Continuous Pulse Ox (94762) | $102.75 | $205.50 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $164.50 | $329 | 0.9× |
| Cpt initial (94667) | $56 | $112 | 0.5× |
| Critical care first hour (99291) | $1,076.75 | $2,153.50 | 1.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $65 | $130 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $139.20 | $278.40 | 0.7× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $241.75 | $483.50 | 1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $147.50 | $295 | 1.6× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 4 matching MRF lines |
$48.52–$195.50 | $97.05–$391 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 3 matching MRF lines |
$31.22–$401.20 | $62.43–$802.40 | varies |
| Duplex up extrem art bilat (93930) | $241.75 | $483.50 | 1.2× |
| Duplex up extrem art unilat/ltd (93931) | $155.25 | $310.50 | 1.7× |
| Echo Heart Xthoracic,Limited (93308) | $319 | $638 | 1.5× |
| Electrical Stimulation Ea 15 Min (97032) | $30.25 | $60.50 | 2.1× |
| Electrocardiogram Tracing (93005) | $70.06 | $140.12 | 1.4× |
| Emergency Dept Visit Level 2 (99282) | $65.75 | $131.50 | 0.5× |
| Emergency Dept Visit Level 3 (99283) | $115.75 | $231.50 | 0.5× |
| Emergency Dept Visit Level 4 (99284) | $523.50 | $1,047 | 1.4× |
| Er level 1 (99281) | $61 | $122 | 0.8× |
| Er level v (99285) | $376.25 | $752.50 | 0.7× |
| Eval aud funcj cand/po surg implt dev 1st hr (92626) | $70.50 | $141 | 0.6× |
| Evaluate Speech Production (92522) | $83.50 | $167 | 0.7× |
| Evaluate Swallowing Function (92610) | $49.50 | $99 | 0.6× |
| Evaluation of speech fluency (92521) | $102.30 | $204.60 | 0.8× |
| Extracranial Bilat Study (93880) | $110.40 | $220.80 | 0.5× |
| Group Therapeutic Procedures (97150) | $17.25 | $34.50 | 1.0× |
| Holter monitor recording (93225) | $195 | $390 | 1.7× |
| Immunization administration (90471) | $99.42 | $198.83 | 1.6× |
| Iontophoresis 15 min (97033) | $75 | $150 | 3.9× |
| Irrig Drug Delivery Device (96523) | $41.75 | $83.50 | 0.8× |
| IV infusion hydration each additional hour (96361) | $90.96 | $181.92 | 2.2× |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$181.92–$189.50 | $363.84–$379 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 2 matching MRF lines |
$24.50–$33.74 | $49–$67.47 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $20 | $40 | 0.5× |
| IV push initial (96374) range across 3 matching MRF lines |
$129.60–$135 | $259.20–$270 | varies |
| Mechanical chest wall oscillation per session (94669) | $275 | $550 | 1.4× |
| Motion Fluoroscopy/Swallow (92611) | $82.25 | $164.50 | 0.9× |
| Multiple Sleep Latency Test (95805) | $745 | $1,490 | 1.0× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $65 | $130 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $115.50 | $231 | 0.3× |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$81.50–$138.55 | $163–$277.10 | varies |
| Oral Function Therapy (92526) | $143.25 | $286.50 | 1.7× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $32.75 | $65.50 | 0.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $25 | $50 | 1.8× |
| Ot eval high complexity (97167) | $55.25 | $110.50 | 0.5× |
| Ot Eval Low Complex (97165) range across 3 matching MRF lines |
$187.92–$195.75 | $375.84–$391.50 | varies |
| Ot Eval Moderate Complexity (97166) | $46.75 | $93.50 | 0.5× |
| Ot manual therapy 15 min (97140) | $157.32 | $314.65 | 5.7× |
| Ot paraffin bath (97018) | $11.75 | $23.50 | 2.0× |
| Ot Prosthetic Training, Each 15 Min (97761) | $25.25 | $50.50 | 0.6× |
| Ot Re-Eval Est Plan Care (97168) | $128.25 | $256.50 | 1.9× |
| Ot rom hand (95852) | $9.25 | $18.50 | 0.4× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $98.60 | $197.20 | 0.9× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $69.50 | $139 | 0.6× |
| Peripheral arterial disease rehab per session (93668) | $27 | $54 | 0.5× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $28 | $56 | 0.5× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $28 | $56 | 0.5× |
| Physical Performance Test (97750) | $50.50 | $101 | 1.5× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,247 | $2,494 | 1.7× |
| Polysom <6 yrs 4/> paramtrs (95782) | $1,247 | $2,494 | 1.7× |
| Pt Eval High Complex (97163) | $73.50 | $147 | 0.8× |
| Pt eval low complex 20 min (97161) | $287.83 | $575.66 | 2.9× |
| Pt Eval Mod Complex (97162) | $119.52 | $239.04 | 1.2× |
| Pt gait training 15 min (97116) | $70.98 | $141.95 | 2.4× |
| Pt group caregiver training (97552) | $15.32 | $30.63 | 0.7× |
| Pt mechanical traction (97012) | $44.75 | $89.50 | 3.1× |
| Pt Re-Eval Est Plan Care (97164) | $85 | $170 | 1.3× |
| Pulmonary Stress Testing (94618) | $56 | $112 | 0.5× |
| Refill/Maint Pump/Resvr Syst (96522) | $68.75 | $137.50 | 0.4× |
| Remote 30 Day Ecg Rev/Report (93270) | $70 | $140 | 2.1× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $32.75 | $65.50 | 0.6× |
| Rom Meas&Reprt Ea Xtr Ex Hand/Ea Trnk Sctj Spi (95851) | $5 | $10 | 0.2× |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $116 | $232 | 0.9× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $48.25 | $96.50 | 1.0× |
| Self Care Mngment Training (97535) | $24.25 | $48.50 | 0.7× |
| Sensory Integration Ea 15 Min (97533) | $51 | $102 | 0.8× |
| Slp caregiver training 1st 30 min (97550) | $65.08 | $130.17 | 1.2× |
| Speech sound lang comprehen (92523) range across 3 matching MRF lines |
$276.24–$418.33 | $552.48–$836.66 | varies |
| Spirometry (94010) | $125 | $250 | 0.7× |
| Standardized Cognitive Performance Testing (96125) | $102.50 | $205 | 1.0× |
| Temp transcutaneous pacing (92953) | $251 | $502 | 0.4× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$44.25–$110.50 | $88.50–$221 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $37.75 | $75.50 | 1.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $100.25 | $200.50 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$106.08–$165.46 | $212.16–$330.92 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $275.52 | $551.04 | 1.5× |
| Therapeutic Activities (97530) | $135.15 | $270.30 | 3.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $16.50 | $33 | 0.5× |
| Tte w/doppler, complete (93306) | $231.84 | $463.68 | 0.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $270.10 | $540.21 | 3.5× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $94.80 | $189.60 | 2.3× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $87.25 | $174.50 | 0.5× |
| Vasopneumatic device (97016) | $27.25 | $54.50 | 2.3× |
| Vent Mgmt Inpat Init Day (94002) range across 3 matching MRF lines |
$242.75–$407.52 | $485.50–$815.04 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $242.75 | $485.50 | 0.4× |
| Wheelchair Mgmt Ea 15 Min (97542) | $44 | $88 | 1.4× |
| Whirlpool Therapy (97022) | $84.25 | $168.50 | 5.4× |
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.