Supplies, drugs & other prices at Jefferson Regional
Pine Bluff, AR · every code in this section with a posted price and a Medicare benchmark.
30 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $54 | $54 | 1.2× |
| Admin influenza virus vac (G0008) | $35 | $35 | 0.8× |
| Admin pneumococcal vaccine (G0009) | $45 | $45 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $320 | $320 | 0.4× |
| Ca screen;pelvic/breast exam (G0101) | $217.75 | $217.75 | 2.3× |
| Colon ca scrn not hi rsk ind (G0121) | $884.25 | $884.25 | 1.0× |
| Colorectal scrn; hi risk ind (G0105) | $884.25 | $884.25 | 1.0× |
| Demonstrate use home inr mon (G0248) | $243.08 | $243.08 | 2.0× |
| Depression screen annual (G0444) | $39 | $39 | 1.1× |
| Ed svc ckd ind per session (G0420) | $290 | $290 | 2.6× |
| Ekg tracing for initial prev (G0404) | $23 | $23 | 0.9× |
| Fecal blood scrn immunoassay (G0328) | $41 | $41 | 2.3× |
| Hospital outpt clinic visit (G0463) | $120 | $120 | 1.0× |
| Initial preventive exam (G0402) | $361 | $361 | 2.9× |
| Obtaining screen pap smear (Q0091) | $46.68 | $46.68 | 1.7× |
| Pin service 60m per month (G0023) | $163.50 | $163.50 | 1.7× |
| Ppps, initial visit (G0438) | $382 | $382 | 2.2× |
| Ppps, subseq visit (G0439) | $332.38 | $332.38 | 2.4× |
| Provide inr test mater/equip (G0249) | $243.38 | $243.38 | 2.0× |
| Psa screening (G0103) | $75.69 | $75.69 | 3.9× |
| Revasc intra lithotrip-ather (C9766) | $30,202 | $30,202 | 1.8× |
| Revasc intra lithotrip-stent (C9765) | $30,202 | $30,202 | 1.8× |
| Revasc intravasc lithotripsy (C9764) | $18,664 | $18,664 | 1.7× |
| Revasc lith-sten-ath tib/per (C9775) | $30,202 | $30,202 | 1.8× |
| Revasc lithotr-ather tib/per (C9774) | $30,202 | $30,202 | 1.8× |
| Revasc lithotr-stent tib/per (C9773) | $30,202 | $30,202 | 1.8× |
| Revasc lithotrip tibi/perone (C9772) | $18,664 | $18,664 | 1.7× |
| Revasc lithotrip-stent-ather (C9767) | $30,202 | $30,202 | 1.8× |
| Trim nail(s) (G0127) | $57 | $57 | 1.0× |
| Visit to determ ldct elig (G0296) | $70 | $70 | 0.7× |