Visits & medical services prices at Jefferson Medical Center

Ranson, WV · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Aep hearing status deter broadband stimuli i&r (92651) $168 $336 0.8×
Airway inhalation treatment (94640) $127 $254 0.6×
Analyze neurostim complex (95972) $91.50 $183 0.9×
Analyze neurostim no prog (95970) $127.50 $255 0.9×
Bedside Swallowing Eval (92610) $319 $638 3.8×
Behavioral and qualitative analysis of voice and resonance (92524) $377 $754 3.4×
Brief Emotional/Behavioral Assessment (96127) $36 $72 0.9×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $329.50 $659 0.9×
Canalith Repositioning Procedure (95992) $92 $184 2.3×
Cardiac Stress Tst,Tracing Only (93017) $496.50 $993 2.2×
Cardiopulmonary resuscitation (92950) $713 $1,426 3.2×
Cardioversion (92960) $1,052 $2,104 1.5×
Caregiver hlth risk assmt score doc stnd instrm (96161) $36 $72 0.9×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $20.50 $41 0.8×
Cbt 1st hour (94644) $282 $564 2.0×
Chemother, IV infusion, 1 hr (96413) $471 $942 1.4×
Chemother, IV infusion, ea add hr (96415) $148.50 $297 2.0×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $169 $338 0.5×
Chronic care management services 1st 20 min (99490) $97.50 $195 0.9×
Color/duplex Doppler, complete (93975) $666.50 $1,333 2.7×
Color/duplex Doppler, limited (93976) $666.50 $1,333 6.2×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $170.50 $341 0.9×
Cpap/bipap (94660) $344.50 $689 1.5×
Cpt initial (94667) $110 $220 0.8×
Critical care (99291) $949 $1,898 1.1×
Debridement Open Wound 20 Sq Cm< (97597) $286 $572 1.4×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $191 $382 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $660 $1,320 2.7×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $628.50 $1,257 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $666.50 $1,333 2.7×
Dup-scan xtr veins unilateral/limited study (93971) $666.50 $1,333 6.2×
Duplex scan extracranial art compl bi study (93880) $655.50 $1,311 2.7×
Echo Heart Xthoracic,Limited (93308) $339.50 $679 1.4×
EKG rhythm strip (93041) $58.50 $117 1.0×
Electrocardiogram Tracing (93005) $117 $234 1.9×
Er level 1 (99281) $139 $278 1.6×
Er level ii (99282) $199.50 $399 1.3×
Er level iii (99283) $269.50 $539 1.0×
Er level IV (99284) $446 $892 1.0×
Er level v (99285) $679 $1,358 1.1×
Eval speech sound production (92522) $299.50 $599 2.7×
Evaluate Pt Use Of Inhaler (94664) $112.50 $225 0.5×
External ECG rec>48hr<7d recording (93242) $48.50 $97 1.3×
External ECG rec>7d<15d recording (93246) $79 $158 2.0×
Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report, unilateral or… (92229) $57 $114 0.9×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $29.50 $59 0.5×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $19.50 $39 0.5×
Imm admn sarscov2 vaccine single dose (90480) $50 $100 1.2×
Immune Admin Oral/Nasal (90473) $37.50 $75 0.5×
Immunization Admin (90471) $40 $80 0.5×
Interrog device eval heart (93289) $111.50 $223 2.9×
Interrogate subq defib (93261) $35 $70 0.9×
Irrig drug delivery device (96523) $112 $224 1.8×
IV infusion hydration each additional hour (96361) $162.50 $325 3.4×
IV infusion hydration initial 31 min-1 hour (96360) $261.50 $523 1.2×
IV infusion ther proph addl sequential to 1 hr (96367) $123.50 $247 1.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $394 $788 1.8×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $175 $350 3.6×
IV push ea addl new drug (96375) $84.50 $169 1.7×
IV push initial (96374) $261 $522 1.2×
Mchnl sclp cool cap sply head meas fitg&educaj (97007) $1,360 $2,720 0.9×
Mechanical chest wall oscillation (94669) $200.50 $401 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $319 $638 3.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $192.50 $385 0.9×
Newborn resuscitation (99465) $808 $1,616 1.2×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $265.50 $531 2.0×
Osteopathic manipulative tx 3-4 body regions (98926) $28.50 $57 1.3×
Ot eval high complex 60 min (97167) $175 $350 1.7×
Ot eval low complex 30 min (97165) $175 $350 1.7×
Ot eval mod complex 45 min (97166) $175 $350 1.7×
Ot re-evaluation (97168) $89.50 $179 1.3×
Ot therapeutic activity 15 min (97530) $61 $122 1.7×
Plethysmography (94726) $303 $606 0.8×
Pm device eval in person (93288) $36 $72 0.9×
Psych diag eval w/med srvcs (90792) $170.50 $341 0.9×
Pt eval high complex 45 min (97163) $174 $348 1.8×
Pt eval low complex 20 min (97161) $174 $348 1.8×
Pt eval mod complex 30 min (97162) $174 $348 1.8×
Pt gait training 15 min (97116) $64 $128 2.2×
Pt group caregiver training (97552) $20.50 $41 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $69 $138 2.1×
Pt re-evaluation (97164) $86.50 $173 1.3×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $70 $140 2.2×
Pulmonary Service/Procedure (94799) $155.50 $311 1.2×
Pulmonary stress test simple (94618) $303 $606 2.2×
Pure Tone Audiometry Air Only (92552) $121 $242 0.9×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $127.50 $255 0.9×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $35.50 $71 0.9×
Remote Monitoring Of Physiologic Parameter(s) (Eg, Weight, Blood Pressure, Pulse Oximetry, Respiratory Flow Rate);… (99445) $35.50 $71 0.9×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $294 $588 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $192.50 $385 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $104.50 $209 0.8×
Sleep study unattended (95806) $403 $806 1.8×
Slp caregiver training 1st 30 min (97550) $41.50 $83 0.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $207 $414 0.9×
Smoking cessation > 10 min (99407) $28 $56 0.7×
Speech sound lang comprehen (92523) $299.50 $599 1.3×
Spirometry (94010) $191 $382 0.9×
Therapeutic prophylactic/dx injection subq/im (96372) $67 $134 0.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $38 $76 1.0×
Trans Care Mgmt 14 Day Disch (99495) $128 $256 0.9×
Trans Care Mgmt 7 Day Disch (99496) $128 $256 0.9×
Tte w/doppler, complete (93306) $1,622 $3,244 2.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $143 $286 1.9×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $168.50 $337 2.0×
Vent mgmt inpat init day (94002) $874.50 $1,749 1.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $866.50 $1,733 1.4×