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.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $95.75 $191.50 0.5×
Assessment of aphasia (96105) $91.50 $183 0.9×
Behavioral and qualitative analysis of voice and resonance (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 1st 30 min (97550) $65.08 $130.17 1.2×
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 push addl drug (96411) $41.75 $83.50 0.7×
Chemo Iv Push Sngl Drug (96409) $68.75 $137.50 0.2×
Chemother, IV infusion, 1 hr (96413) $117.50 $235 0.4×
Chemother, IV infusion, ea add hr (96415) $117.50 $235 1.9×
Color/duplex Doppler, complete (93975) $236.75 $473.50 1.1×
Cpap initiation and management (94660) $164.50 $329 0.9×
Cpt initial (94667) $56 $112 0.5×
Critical care (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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $241.75 $483.50 1.2×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $155.25 $310.50 1.7×
Dup-scan xtr veins unilateral/limited study (93971) $236 $472 2.6×
Duplex scan extracranial art compl bi study (93880) $110.40 $220.80 0.5×
Echo Heart Xthoracic,Limited (93308) $319 $638 1.5×
EKG (93005) $70.06 $140.12 1.4×
EKG rhythm strip (93041) $32.75 $65.50 0.6×
Er level 1 (99281) $61 $122 0.8×
Er level ii (99282) $65.75 $131.50 0.5×
Er level iii (99283) $115.75 $231.50 0.5×
Er level IV (99284) $523.50 $1,047 1.4×
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×
Evaluation of speech fluency (92521) $102.30 $204.60 0.8×
Evaluation of speech sound production (92522) $83.50 $167 0.7×
Evaluation of swallowing function (92610) $49.50 $99 0.6×
Evaluation with prescription of speech-generating alternative (92607) $116 $232 0.9×
Group Therapeutic Procedures (97150) $17.25 $34.50 1.0×
Holter Monitor Recording (93225) $195 $390 1.7×
Immunization Admin (90471) $99.42 $198.83 1.6×
Irrigaj Implntd Venous Access Drug Delivery Syst (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) $185.71 $371.42 1.0×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $29.12 $58.24 0.5×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $275.52 $551.04 1.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $20 $40 0.5×
IV push initial (96374) $129.60 $259.20 0.7×
Manual therapy 15 min (97140) $157.32 $314.65 5.7×
Massage 15 min (97124) $37.75 $75.50 1.3×
Mechanical chest wall oscillation (94669) $275 $550 1.4×
Mechanical traction (97012) $44.75 $89.50 3.1×
Motion Fluor Eval Swlng Funcj C/V Rec (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×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $87.25 $174.50 0.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $102.75 $205.50 0.9×
Orthotics mgmt & traing 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 complex 60 min (97167) $55.25 $110.50 0.5×
Ot eval low complex 30 min (97165) $195.75 $391.50 1.9×
Ot eval mod complex 45 min (97166) $46.75 $93.50 0.5×
Ot Prosthetic Training, Each 15 Min (97761) $25.25 $50.50 0.6×
Ot Range Motion Measure,Each Extrem (95851) $5 $10 0.2×
Ot re-eval est plan care (97168) $128.25 $256.50 1.9×
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×
Paraffin bath (97018) $11.75 $23.50 2.0×
Peripheral arterial disease rehab per session (93668) $27 $54 0.5×
Phy/qhp op pulm rhb w/mntr (94626) $28 $56 0.5×
Phy/qhp op pulm rhb w/o mntr (94625) $28 $56 0.5×
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 Electric Current Therapy (97033) $75 $150 3.9×
Pt Electrical Stimulation (97032) $30.25 $60.50 2.1×
Pt eval high complex 45 min (97163) $73.50 $147 0.8×
Pt eval low complex 20 min (97161) $287.83 $575.66 2.9×
Pt Gait Training Therapy (97116) $70.98 $141.95 2.4×
Pt group caregiver training (97552) $15.32 $30.63 0.7×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $138.55 $277.10 4.2×
Pt Physical Performance Test (97750) $50.50 $101 1.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $119.52 $239.04 1.2×
Pt re-evaluation (97164) $85 $170 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $24.25 $48.50 0.7×
Pt Ultrasound Therapy (97035) $52.75 $105.50 3.7×
Pt Whirlpool Therapy (97022) $84.25 $168.50 5.4×
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 - Cardiac Event Monitor (93270) $70 $140 2.1×
Rom meas&reprt hand w/wo comparison normal sid (95852) $9.25 $18.50 0.4×
Rt Chest Wall Manipulation,Subsequent (94668) $58.06 $116.11 0.5×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $48.25 $96.50 1.0×
Sensory Integration Ea 15 Min (97533) $51 $102 0.8×
Speech sound lang comprehen (92523) $418.33 $836.66 1.8×
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) $77.38 $154.75 3.5×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $100.25 $200.50 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $135.77 $271.54 2.2×
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 - Tte Complete W/ Contrast (93306) $231.84 $463.68 0.5×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $270.10 $540.21 3.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $143.25 $286.50 1.7×
Tx/Pro/Dx Inj New Drug Addon (96375) $94.80 $189.60 2.3×
Vasc Duplex Extrem Venous,Bilat (93970) $115 $230 0.6×
Vasopneumatic device (97016) $27.25 $54.50 2.3×
Ventilation assist & mgmt inpatient 1st day (94002) $407.52 $815.04 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $242.75 $485.50 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $44 $88 1.4×