Visits & medical services prices at Jefferson Regional

Pine Bluff, AR · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650)
likely a partial charge, not the full procedure		 $1,291 $1,291 0.2×
Advance care planning first 30 mins (99497) $164 $164 1.7×
Airway inhalation treatment (94640) $43 $43 0.2×
Analyze Neurostim Complex (95972) $175.50 $175.50 2.0×
Analyze neurostim no prog (95970) $144.50 $144.50 1.2×
Arrhythmia induction (93618) $513 $513 0.5×
Behav assmt w/score & docd/stand instrument (96127) $14 $14 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $142 $142 0.4×
Bundle of his recording (93600)
likely a partial charge, not the full procedure		 $256 $256 0.0×
Canalith Repositioning (95992) $105 $105 2.6×
Capsule endoscopy (91110) $410 $410 0.5×
Cardiac Stress Tst,Tracing Only (93017) $97 $97 0.5×
Cardiopulmonary exercise testing (94621) $369 $369 1.1×
Cardiopulmonary resuscitation (92950) $659.25 $659.25 3.3×
Cardioversion (92960) $453 $453 0.7×
Cardioversion internal (92961) $527 $527 0.9×
Caregiver hlth risk assmt score doc stnd instrm (96161) $8.25 $8.25 0.2×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $658 $658 0.2×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $730 $730 0.2×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
likely a partial charge, not the full procedure		 $2,168 $2,168 0.1×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $783 $783 0.3×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $696 $696 0.2×
Cbt 1st hour (94644) $104 $104 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $65.36 $65.36 1.0×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $165 $165 2.5×
Color/duplex Doppler, complete (93975) $821.25 $821.25 3.7×
Color/duplex Doppler, limited (93976) $470.25 $470.25 4.8×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $121 $121 0.7×
Cont Gluc Monitoring Patient Provided Equipment (95249) $151 $151 2.8×
Continuous Glucose Monitoring (95250) $367 $367 3.0×
Coronary artery angio s&i (93454) $570 $570 0.2×
Cpap initiation and management (94660) $141 $141 0.7×
Cpt initial (94667) $58 $58 0.5×
Critical care (99291) $422 $422 0.5×
Debridement Open Wound 20 Sq Cm< (97597) $262 $262 1.4×
Demo &/or eval,pt use,aerosol device (94664) $459.53 $459.53 2.3×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $204.48 $204.48 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $528 $528 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $47 $47 0.5×
Dup-scan artl infl&ven o/f pen vsl compl (93980) $370.50 $370.50 3.8×
Dup-scan artl infl&ven o/f pen vsl f-up/lmtd std (93981) $246 $246 2.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $684 $684 3.1×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $450 $450 4.6×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $550.50 $550.50 2.5×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $363.75 $363.75 3.7×
Dup-scan xtr veins unilateral/limited study (93971) $324 $324 3.3×
Duplex hemodialysis access (93990) $479.25 $479.25 4.9×
Duplex scan extracranial art compl bi study (93880) $543 $543 2.4×
Echo Heart Xthoracic,Limited (93308) $55 $55 0.2×
Echo transesophageal (93312) $225 $225 0.4×
Echo Transesophageal - Congenital Tee Complete (93315) $299 $299 0.6×
Echo Transthoracic - Congenital Tte Complete (93303) $137 $137 0.3×
Echo Transthoracic - Congenital Tte Limited (93304) $80 $80 0.2×
EEG awake asleep (95819) $153.63 $153.63 0.8×
EEG awake drowsy (95816) $154.08 $154.08 0.8×
EEG cerebral death evaluation (95824) $106.14 $106.14 0.3×
EEG coma or sleep only (95822) $153.63 $153.63 0.8×
Eeg Extended Monitoring 61-119 Minutes (95813) $245.22 $245.22 1.2×
EKG (93005) $23 $23 0.4×
EKG rhythm strip (93041) $14 $14 0.3×
Ekg Signal Averaging (93278) $27 $27 0.5×
Elec alys implt cplx cn npgt prgrmg (95977) $117 $117 1.3×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $167 $167 1.9×
Electrocardiogram (ECG) assessment of irregular heart beats (93025) $80 $80 0.7×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $153.63 $153.63 0.8×
EMG cranial nerve bilat (95868) $168.27 $168.27 0.8×
EMG cranial nerve unilat (95867) $112.95 $112.95 0.6×
EMG four extremities (95864) $286.80 $286.80 2.4×
EMG one extremity (95860) $140.04 $140.04 1.1×
EMG thoracic paraspinal (95869) $52.38 $52.38 0.3×
EMG three extremities (95863) $269.25 $269.25 2.2×
EMG two extremities (95861) $223.14 $223.14 1.8×
Endomyocardial biopsy (93505) $509 $509 0.2×
Ep & ablate supravent arrhyt (93653)
likely a partial charge, not the full procedure		 $1,814 $1,814 0.1×
Ep & ablate ventric tachy (93654)
likely a partial charge, not the full procedure		 $2,420 $2,420 0.1×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
likely a partial charge, not the full procedure		 $1,397 $1,397 0.2×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
likely a partial charge, not the full procedure		 $881 $881 0.1×
Ep Electrophysiologic F/U Study (93624)
likely a partial charge, not the full procedure		 $575 $575 0.1×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $523 $523 0.5×
Ep Esophageal Recording Atria+Pacing (93616) $142 $142 0.1×
Ep Right Ventricular Recording (93603) $254 $254 0.2×
Er level 1 (99281) $42 $42 0.5×
Er level ii (99282) $64 $64 0.4×
Er level iii (99283) $95 $95 0.4×
Er level IV (99284) $182 $182 0.5×
Er level v (99285) $267 $267 0.5×
Ergonovine provocation test (93024) $123 $123 0.3×
Esophageal recording (93615) $105 $105 0.1×
Exam of visual field with limited testing (92081) $77 $77 1.4×
Exhaled Air Analysis (94690) $114 $114 2.1×
Exhaled air analysis o2 (94680) $135 $135 1.1×
External ECG rec>48hr<7d recording (93242) $28 $28 0.8×
External ECG rec>48hr<7d scanning alys w/report (93243) $623 $623 5.0×
External ECG rec>7d<15d recording (93246) $28 $28 0.8×
External ECG rec>7d<15d scanning alys w/report (93247) $623 $623 5.0×
External Ecg Scanning Analysis Report (93226) $88 $88 1.6×
Flow volume loop (94375) $89 $89 0.4×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $185 $185 0.2×
Hast w/report (94452) $136 $136 1.1×
Hemodialysis (90935) $165 $165 0.3×
High altitude simulation test (94453) $191 $191 1.5×
Holter Monitor Recording (93225) $62 $62 0.5×
Hypoxia Response Curve (94450) $155 $155 1.3×
Icd Device Interrogate (93289) $98 $98 2.8×
Ilr Device Eval Progr (93285) $55 $55 1.6×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $90 $90 2.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $45 $45 0.7×
Immunization Admin (90471) $57 $57 0.9×
Inital newborn e/m (99460) $191 $191 1.5×
Initial normal newborn care, same day discharge (99463) $215 $215 1.7×
Ins swan ganz bedside (93503) $292 $292 0.2×
Interrog dev eval icpms phys/qhp in person (93290) $68 $68 2.0×
Interrog dev eval scrms phys/qhp in person (93291) $66 $66 2.5×
Interrogate subq defib (93261) $70.32 $70.32 2.0×
Interrogation eval in person wr defibrillator (93292) $45 $45 1.3×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure		 $255 $255 0.0×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure		 $362 $362 0.0×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure		 $360 $360 0.0×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $43.54 $43.54 0.8×
Ischemic limb exercise test (95875) $157.02 $157.02 1.3×
IV infusion hydration initial 31 min-1 hour (96360) $80 $80 0.4×
Maximum voluntary ventilation (94200) $58 $58 1.1×
Meas Spiro Frcd Exp Flo Pre&Post Bronch Inf/2yrs (94012) $344 $344 1.7×
Meas Spiromtrc Forcd Expiratory Flo Infant&/2 Y (94011) $218 $218 1.8×
Measurement Lung Volumes Infant/Child/2 Yrs (94013) $77 $77 0.2×
Methacholine challenge (94070) $135 $135 0.4×
Motor &/sens nrv cndj preconf eltrd array limb (95905) $7.32 $7.32 0.0×
Multiple sleep latency test (95805) $947 $947 1.2×
Needle electromyography hemidiaphragm (95866) $179.40 $179.40 1.5×
Needle electromyography larynx (95865) $228.39 $228.39 1.8×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $53.25 $53.25 0.4×
Neg press wnd tx </=50 sq cm (97607) $94 $94 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $91.50 $91.50 0.5×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $98.25 $98.25 0.3×
Nerve conduction studies 13/> studies (95913) $407 $407 1.2×
Nerve Conduction Studies 3-4 Studies (95908) $143 $143 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $286 $286 0.8×
Nerve conduction studies; 1-2 studies (95907) $114 $114 0.6×
Nerve conduction studies; 11-12 studies (95912) $343 $343 1.0×
Nerve conduction studies; 5-6 studies (95909) $171 $171 0.9×
Nerve conduction studies; 7-8 studies (95910) $229 $229 0.7×
Neurobehavioral Status Exam (96116) $215 $215 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $209.25 $209.25 1.7×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $324.75 $324.75 1.6×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $56 $56 0.5×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $122 $122 0.4×
Patient-initiated spirometric phys/qhp r&i only (94016) $53 $53 2.1×
Patient-initiated spirometric recording (94015) $56 $56 0.3×
Patient-initiated spirometric recording per 30-day period of time; includes reinforced education, transmission of… (94014) $110 $110 0.3×
Peripheral arterial disease rehab per session (93668) $44 $44 0.8×
Plethysmography (94726) $134 $134 0.4×
Pm device eval in person (93288) $73.50 $73.50 2.1×
Pm device progr eval dual (93280) $82 $82 2.4×
Pm device progr eval multi (93281) $95 $95 2.7×
Pm device progr eval sngl (93279) $70 $70 2.0×
Pm/Icd Remote Tech Serv (93296) $58 $58 1.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,493 $1,493 1.9×
Polysom Any Age Sleep Stage 1-3 Addl Param Attnd (95808) $1,443 $1,443 1.8×
Prgrmg Eval Implantable Dfb - Cardiac Device Clinic Icd Biv Chamber (93284) $174 $174 5.0×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $18.74 $18.74 0.4×
Programming of dual lead implantable defibrillator system (93283) $154 $154 4.4×
Programming of single lead implantable defibrillator system (93282) $91 $91 2.6×
Prq balloon valvuloplasty aortic valve (92986) $2,950 $2,950 0.6×
Prq Balloon Valvuloplasty Mitral Valve (92987)
likely a partial charge, not the full procedure		 $3,053 $3,053 0.3×
Prq card revasc chronic 1vsl (92943) $23,379.33 $23,379.33 2.2×
Prq Card Stent W/Angio 1 Vsl (92928) $23,379.33 $23,379.33 2.2×
Prq Card Stent/Ath/Angio (92933) $37,321.35 $37,321.35 2.2×
Prq revasc byp graft 1 vsl (92937) $23,379.33 $23,379.33 2.2×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure		 $2,924 $2,924 0.2×
Prq trluml coronary angio/atherect one art/brnch (92924) $12,991.13 $12,991.13 1.2×
Prq trluml coronary angioplasty one art/branch (92920)
likely a partial charge, not the full procedure		 $1,199 $1,199 0.2×
Prq trluml pulmonary art balloon angiop 1 vsl (92997)
likely a partial charge, not the full procedure		 $1,436 $1,436 0.1×
Pt Physical Performance Test (97750) $77 $77 2.3×
Pt-focused hlth risk assmt (96160) $7 $7 0.2×
Pulm Funct Test Oscillometry (94728) $101 $101 0.8×
Pulm function test by gas (94727) $105 $105 0.5×
Pulmonary stress testing (94618) $70 $70 0.6×
Pure Tone Audiometry Air & Bone (92553) $86 $86 0.7×
Pure Tone Audiometry, Air (92552) $52 $52 0.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $743 $743 0.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $872 $872 0.3×
R hrt art/grft angio (93457) $818 $818 0.3×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $963 $963 0.3×
Rem interrog icpms <30 d phys/qhp (93297) $56 $56 1.6×
Rem Interrog Scrms <30 D Phys/Qhp (93298) $56 $56 1.6×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $15.50 $15.50 0.4×
Right heart cath (93451) $323 $323 0.1×
Rt Chest Wall Manipulation,Subsequent (94668) $60 $60 0.5×
Sleep study attended (95807) $1,102 $1,102 3.2×
Sleep study unattended (95806) $404 $404 2.0×
Smoking cessation > 10 min (99407) $81 $81 2.3×
Spirometry (94010) $83 $83 0.4×
Stress echo (93350) $154 $154 0.3×
Stress Tte Complete (93351) $184 $184 0.4×
Surfactant Admin Thru Tube (94610) $132 $132 0.6×
Temp transcutaneous pacing (92953) $23 $23 0.0×
Ther/Proph/Diag Inj Sc/Im (96372) $44.96 $44.96 0.7×
Tilt Table Eval (93660) $202 $202 0.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $40.25 $40.25 1.2×
Trans Care Mgmt 14 Day Disch (99495) $456.93 $456.93 3.7×
Trans Care Mgmt 7 Day Disch (99496) $646.98 $646.98 5.2×
Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only Age Under 21 (93316) $92 $92 0.2×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $33 $33 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $272.50 $272.50 0.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $98 $98 0.4×
Tx atrial fib pulm vein isol (93656)
likely a partial charge, not the full procedure		 $2,421 $2,421 0.1×
Tympanometry (92567) $37 $37 1.1×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $242 $242 0.5×
Valvuloplasty pulmonary valve (92990)
likely a partial charge, not the full procedure		 $2,394 $2,394 0.2×
Vasc Duplex Extrem Venous,Bilat (93970) $566.25 $566.25 2.6×
Vasc Duplex Scan Extracranial,Limited (93882) $393.75 $393.75 4.0×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $412.50 $412.50 2.1×
Ventilation assist & mgmt inpatient 1st day (94002) $202 $202 0.4×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $146 $146 0.3×
Vital capacity total (94150) $58 $58 0.5×
Xtrnl mobile cv telemetry w/technical support (93229) $1,622 $1,622 4.7×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $413 $413 4.7×