Visits & medical services prices at Jersey Community Hospital

Jerseyville, IL · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568)
range across 4 matching MRF lines
$43–$122 $43–$122 varies
Advncd Care Plan 30 Min (99497) $242 $242 2.2×
Airway Inhalation Treatment (94640)
range across 8 matching MRF lines
$47–$976 $47–$976 varies
Analyze neurostim no prog (95970) $365 $365 2.6×
Analyze Neurostim Simple (95971)
range across 5 matching MRF lines
$55–$365 $55–$365 varies
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035)
range across 4 matching MRF lines
$59–$102 $59–$102 varies
Application Modality 1/> Areas Infrared (97026) $74 $74 11.1×
Behavral qualit analys voice (92524) $347 $347 3.2×
Brief Emotional/Behav Assmt (96127) $15 $15 0.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060)
range across 4 matching MRF lines
$108–$731 $108–$731 varies
Canalith repositioning proc (95992) $188 $188 4.6×
Cardiac Stress Tst,Tracing Only (93017)
range across 5 matching MRF lines
$104–$1,737 $104–$1,737 varies
Cardiopulmonary resuscitation (92950)
range across 2 matching MRF lines
$1,184–$2,533 $1,184–$2,533 varies
Cardioversion (92960)
range across 4 matching MRF lines
$510–$4,581 $510–$4,581 varies
Cardioversion elective internal (92961)
range across 2 matching MRF lines
$1,082–$4,581 $1,082–$4,581 varies
Cbt 1st hour (94644)
range across 4 matching MRF lines
$156–$414 $156–$414 varies
Chest Wall Manipulation (94668) $200 $200 1.4×
Chron Care Mgmt Srvc 20 Min (99490)
range across 2 matching MRF lines
$134–$184 $134–$184 varies
Color Vision Xm Extended Anomaloscope/Equiv (92283)
range across 4 matching MRF lines
$119–$267 $119–$267 varies
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$1,112–$2,040 $1,112–$2,040 varies
Color/duplex Doppler, limited (93976)
range across 3 matching MRF lines
$114–$3,024 $114–$3,024 varies
Comprehensive Hearing Test (92557) $105 $105 0.8×
Cont Gluc Mntr Pt Prov Eqp (95249) $180 $180 2.8×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $976 $976 4.2×
Critical care first hour (99291) $1,990 $1,990 2.2×
Debridement Open Wound 20 Sq Cm< (97597)
range across 2 matching MRF lines
$104–$277 $104–$277 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588)
range across 3 matching MRF lines
$95–$718 $95–$718 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,235 $1,235 4.8×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $3,024 $3,024 27.0×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,235 $1,235 4.8×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $654 $654 5.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 3 matching MRF lines
$100–$1,235 $100–$1,235 varies
Dup-scan xtr veins unilateral/limited study (93971)
range across 5 matching MRF lines
$63–$675 $63–$675 varies
Duplex up extrem art bilat (93930) $1,235 $1,235 4.8×
Duplex up extrem art unilat/ltd (93931) $596 $596 5.3×
Ear and throat examination (92502) $278 $278 0.5×
Echo Heart Xthoracic,Limited (93308)
range across 6 matching MRF lines
$73–$2,738 $73–$2,738 varies
Echo transesophageal (93312) $3,024 $3,024 5.2×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $3,799 $3,799 6.5×
Electrical Stimulation Ea 15 Min (97032) $70 $70 4.8×
Electrocardiogram Tracing (93005)
range across 2 matching MRF lines
$133–$139 $133–$139 varies
Emergency Dept Visit Level 2 (99282) $440 $440 2.7×
Emergency Dept Visit Level 3 (99283) $767 $767 2.6×
Emergency Dept Visit Level 4 (99284) $1,097 $1,097 2.5×
Er level 1 (99281) $218 $218 2.4×
Er level v (99285) $1,574 $1,574 2.5×
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$50–$457 $50–$457 varies
Evaluate Speech Production (92522)
range across 2 matching MRF lines
$354–$734 $354–$734 varies
Evaluate Swallowing Function (92610) $332 $332 3.9×
Evaluation of speech fluency (92521)
range across 3 matching MRF lines
$383–$637 $383–$637 varies
External ECG rec>48hr<7d recording (93242)
range across 10 matching MRF lines
$32–$196 $32–$196 varies
External ECG rec>7d<15d recording (93246)
range across 12 matching MRF lines
$32–$261 $32–$261 varies
Extracranial Bilat Study (93880) $1,235 $1,235 4.8×
Extracranial Uni/Ltd Study (93882) $635 $635 5.7×
Holter monitor recording (93225) $273 $273 1.9×
Icd Device Progr Eval Mult (93284) $432 $432 10.8×
Im Adm Intransl/Oral 1 Vaccine (90473)
range across 2 matching MRF lines
$47–$142 $47–$142 varies
Immunization administration (90471)
range across 20 matching MRF lines
$35–$167 $35–$167 varies
Iontophoresis 15 min (97033)
range across 4 matching MRF lines
$96–$145 $96–$145 varies
Irrig Drug Delivery Device (96523)
range across 8 matching MRF lines
$65–$184 $65–$184 varies
IV infusion hydration each additional hour (96361)
range across 3 matching MRF lines
$132–$323 $132–$323 varies
IV infusion hydration initial 31 min-1 hour (96360)
range across 9 matching MRF lines
$85–$1,475 $85–$1,475 varies
IV infusion ther proph addl sequential to 1 hr (96367) $291 $291 3.8×
IV infusion therapy prophylaxis/dx ea hour (96366)
range across 4 matching MRF lines
$207–$315 $207–$315 varies
IV push initial (96374) $630 $630 2.8×
Lung Function Test (Mbc/Mvv) (94200) $198 $198 3.1×
Mechanical chest wall oscillation per session (94669) $200 $200 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 5 matching MRF lines
$4–$68 $4–$68 varies
Motor &/sens nrv cndj preconf eltrd array limb (95905)
range across 4 matching MRF lines
$89–$887 $89–$887 varies
Needle Electromyography Cranial Nrv Muscle Uni (95867)
range across 4 matching MRF lines
$288–$911 $288–$911 varies
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $186 $186 0.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $980 $980 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 4 matching MRF lines
$141–$994 $141–$994 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 3 matching MRF lines
$141–$1,998 $141–$1,998 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 4 matching MRF lines
$248–$561 $248–$561 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 4 matching MRF lines
$308–$931 $308–$931 varies
Nerve conduction studies 5-6 studies (95909)
range across 4 matching MRF lines
$371–$994 $371–$994 varies
Neuromuscular Reeducation (97112)
range across 4 matching MRF lines
$123–$246 $123–$246 varies
Optokinetic Nystagmus Test (92544) $52 $52 0.4×
Oral Function Therapy (92526) $332 $332 3.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $170 $170 3.7×
Oscillating Tracking Test (92545) $49 $49 0.2×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $92 $92 4.0×
Osteopathic manipulative tx 3-4 body regions (98926) $122 $122 5.3×
Osteopathic manipulative tx 5-6 body regions (98927) $159 $159 6.9×
Osteopathic manipulative tx 7-8 body regions (98928) $186 $186 8.0×
Osteopathic manipulative tx 9-10 body regions (98929) $216 $216 9.3×
Ot eval high complexity (97167) $626 $626 6.2×
Ot Eval Low Complex (97165) $628 $628 6.2×
Ot Eval Moderate Complexity (97166) $626 $626 6.2×
Ot manual therapy 15 min (97140)
range across 4 matching MRF lines
$110–$198 $110–$198 varies
Ot paraffin bath (97018) $69 $69 11.5×
Ot Re-Eval Est Plan Care (97168) $434 $434 6.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $364 $364 2.6×
Penile Vascular Study,Ltd or F/U (93981) $1,070 $1,070 9.6×
Phlebotomy therapeutic (99195) $413 $413 2.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $190 $190 3.0×
Plethysmography (94726) $631 $631 1.6×
Pm device progr eval dual (93280) $107 $107 2.7×
Pm/Icd Remote Tech Serv (93296) $219 $219 5.5×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $4,814 $4,814 5.2×
Positional nystagmus test (92542) $83 $83 0.6×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282)
range across 2 matching MRF lines
$219–$301 $219–$301 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $58 $58 1.2×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $73 $73 1.5×
Pt Eval High Complex (97163) $298 $298 3.0×
Pt eval low complex 20 min (97161) $298 $298 3.0×
Pt Eval Mod Complex (97162) $298 $298 3.0×
Pt gait training 15 min (97116) $106 $106 3.6×
Pt mechanical traction (97012) $62 $62 4.3×
Pt Re-Eval Est Plan Care (97164) $204 $204 3.0×
Pt-focused hlth risk assmt score doc stnd instrm (96160) $13 $13 0.3×
Pulmonary Stress Testing (94618)
range across 3 matching MRF lines
$228–$238 $228–$238 varies
Remote 30 Day Ecg Rev/Report (93270)
range across 13 matching MRF lines
$22–$120 $22–$120 varies
Respiratory flow volume loop (94375) $631 $631 2.7×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 3 matching MRF lines
$74–$601 $74–$601 varies
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$126–$237 $126–$237 varies
Sensory Integration Ea 15 Min (97533) $294 $294 4.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $1,208 $1,208 5.2×
Speech sound lang comprehen (92523) $734 $734 3.2×
Spirometry (94010)
range across 7 matching MRF lines
$76–$491 $76–$491 varies
Spontaneous Nystagmus Test (92541)
range across 4 matching MRF lines
$72–$330 $72–$330 varies
Temp transcutaneous pacing (92953) $4,581 $4,581 6.5×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $156 $156 4.2×
Ther Px 1/> Areas Each 15 Minutes Massage (97124)
range across 4 matching MRF lines
$100–$201 $100–$201 varies
Ther/Proph/Diag Inj Sc/Im (96372)
range across 9 matching MRF lines
$41–$209 $41–$209 varies
Ther/Proph/Diag Iv Inf Init (96365)
range across 9 matching MRF lines
$164–$585 $164–$585 varies
Therapeutic Activities (97530)
range across 6 matching MRF lines
$138–$272 $138–$272 varies
Tobacco Use Cessation Intensive >10 Minutes (99407)
range across 3 matching MRF lines
$27–$81 $27–$81 varies
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 3 matching MRF lines
$43–$60 $43–$60 varies
Trans Care Mgmt 14 Day Disch (99495)
range across 2 matching MRF lines
$512–$598 $512–$598 varies
Trans Care Mgmt 7 Day Disch (99496)
range across 4 matching MRF lines
$258–$808 $258–$808 varies
Tte w/doppler, complete (93306)
range across 5 matching MRF lines
$201–$5,367 $201–$5,367 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $302 $302 4.0×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 7 matching MRF lines
$43–$154 $43–$154 varies
Tympanometry (92567)
range across 4 matching MRF lines
$31–$110 $31–$110 varies
Tympanometry and reflex threshold measurements (92550)
range across 3 matching MRF lines
$62–$375 $62–$375 varies
Upr/L Xtremity Art 2 Levels (93922)
range across 3 matching MRF lines
$68–$734 $68–$734 varies
Vasopneumatic device (97016) $72 $72 6.0×
Vent Mgmt Inpat Init Day (94002) $2,355 $2,355 3.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,756 $1,756 2.7×
Vital capacity, total (94150) $332 $332 2.4×
Whirlpool Therapy (97022)
range across 6 matching MRF lines
$102–$124 $102–$124 varies

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.