Visits & medical services prices at Tennova Jefferson Memorial Hospital

Jefferson City, TN · every code in this section with a posted price and a Medicare benchmark.

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $8,658.80 $39,126.97 1.2×
Actigraphy testing recording analysis i&r (95803) $194.79 $880.19 3.6×
Airway inhalation treatment (94640) $237.63 $1,073.78 1.2×
Analyze Neurostim Complex (95972) $15,498.94 $70,035.86 179.7×
Arrhythmia induction (93618) $1,260.50 $5,695.88 1.1×
Assessment of aphasia (96105) $139.52 $630.45 1.4×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $39.53 $178.64 1.0×
Behavioral and qualitative analysis of voice and resonance (92524) $139.43 $630.03 1.3×
Bfb training 1st 15 min (90912) $83.51 $377.38 1.0×
Bfb training ea addl 15 min (90913) $20.88 $94.34 0.6×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $372.67 $1,684.02 1.1×
Bundle of his recording (93600) $6,690.54 $30,232.89 0.9×
Canalith Repositioning (95992) $45.76 $206.79 1.1×
Car seat/bed test 60 min (94780) $41.19 $186.13 1.2×
Cardiac Stress Tst,Tracing Only (93017) $626.06 $2,828.99 3.2×
Cardiopulmonary resuscitation (92950) $431.66 $1,950.56 2.2×
Cardioversion (92960) $849.90 $3,840.51 1.4×
Caregiver training 1st 30 min (97550) $42.96 $194.12 0.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $19.92 $90 0.8×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $5,491.02 $24,812.57 1.9×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $7,531.49 $34,032.95 2.6×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580) $22,129.95 $99,999.79 1.3×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $5,545.36 $25,058.09 1.9×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $6,108 $27,600.55 2.1×
Cbt 1st hour (94644) $176.07 $795.62 1.5×
Chemo Admin Peritoneal Cavity (96446) $250.25 $1,130.82 0.8×
Chemo Hormon Antineopl Sq/Im (96402) $115.64 $522.57 1.8×
Chemo IV push addl drug (96411) $161.91 $731.62 2.5×
Chemo Iv Push Sngl Drug (96409) $338.39 $1,529.09 1.1×
Chemo prolong 8+ hrs infuse w/pump (96416) $282.06 $1,274.57 0.9×
Chemother, IV infusion, 1 hr (96413) $551.63 $2,492.66 1.8×
Chemother, IV infusion, ea add hr (96415) $94.04 $424.94 1.4×
Chemother,Ia Push Technique (96420) $207.22 $936.37 0.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $208.13 $940.49 3.2×
Chemotx Admn Cns Req Spinal Puncture (96450) $586.10 $2,648.44 2.0×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $115.64 $522.57 1.8×
Chemotx Admn Pleural Cavity Req&W/Thoracnts (96440) $351.92 $1,590.26 1.2×
Circadian respiratry pattern rec 12-24 hr infant (94772) $470.98 $2,128.24 1.4×
Color/duplex Doppler, complete (93975) $359.94 $1,626.50 1.7×
Color/duplex Doppler, limited (93976) $275.58 $1,245.26 2.9×
Coronary artery angio s&i (93454) $5,036.74 $22,759.77 1.7×
Cpap initiation and management (94660) $384.35 $1,736.76 1.9×
Cpt initial (94667) $220.02 $994.22 1.8×
Critical care (99291) $1,302.53 $5,885.81 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $210.54 $951.39 1.2×
Demo &/or eval,pt use,aerosol device (94664) $220.02 $994.22 1.1×
Developmental tst admin phys/qhp 1st hour (96112) $92.09 $416.13 0.8×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $930.48 $4,204.60 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $114.07 $515.46 1.2×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $437.03 $1,974.83 2.0×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $296.88 $1,341.52 3.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $439.94 $1,987.98 2.0×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $359.48 $1,624.42 3.8×
Dup-scan xtr veins unilateral/limited study (93971) $356.03 $1,608.80 3.8×
Duplex hemodialysis access (93990) $227.04 $1,025.94 2.4×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $660.63 $2,985.22 3.1×
Duplex scan artl infl&ven o/f hemo compl uni std (93986) $440.17 $1,989.02 4.6×
Duplex scan extracranial art compl bi study (93880) $636.15 $2,874.61 2.9×
Echo Heart Xthoracic,Limited (93308) $482.62 $2,180.85 2.2×
Echo transesophageal (93312) $1,123.52 $5,076.91 2.3×
EEG awake asleep (95819) $414.32 $1,872.21 2.1×
EEG awake drowsy (95816) $414.32 $1,872.21 2.1×
EEG cerebral death evaluation (95824) $329.48 $1,488.86 1.0×
EEG coma or sleep only (95822) $317.84 $1,436.22 1.6×
Eeg Extended Monitoring 61-119 Minutes (95813) $414.32 $1,872.21 2.1×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $414.32 $1,872.21 2.1×
EEG w/o vid by tech ea incr 12-26 hr intmt mntr (95709) $482.18 $2,178.85 1.4×
EEG w/o vid by tech ea incr 12-26hr unmonitored (95708) $482.18 $2,178.85 1.4×
EEG w/o vid tech ea incr 12-26 hr cont r-t mntr (95710) $482.18 $2,178.85 1.4×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $414.32 $1,872.21 2.1×
EEG w/o video by tech 2-12hr continuous r-t mntr (95707) $414.32 $1,872.21 2.1×
EKG (93005) $147.70 $667.41 2.8×
EKG rhythm strip (93041) $158.64 $716.86 3.0×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $222.99 $1,007.65 2.6×
Electroconvulsive Therapy (90870) $623.36 $2,816.78 0.8×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $414.32 $1,872.21 2.1×
EMG four extremities (95864) $229.29 $1,036.11 2.0×
EMG one extremity (95860) $137.08 $619.42 1.1×
EMG two extremities (95861) $437.13 $1,975.30 3.6×
Endomyocardial biopsy (93505) $3,117.86 $14,088.86 1.1×
Ep & ablate supravent arrhyt (93653) $22,129.92 $99,999.66 0.9×
Ep & ablate ventric tachy (93654) $22,129.92 $99,999.66 0.9×
Ep Analyze Pacer Sys (93724) $674.63 $3,048.50 2.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $6,690.54 $30,232.89 0.9×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $8,149.46 $36,825.41 1.2×
Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) $1,554.04 $7,022.34 1.4×
Ep Right Ventricular Recording (93603) $3,211.79 $14,513.27 2.9×
Er level 1 (99281) $143.85 $650.02 1.9×
Er level ii (99282) $194.28 $877.92 1.4×
Er level iii (99283) $372.86 $1,684.88 1.5×
Er level IV (99284) $565.50 $2,555.34 1.5×
Er level v (99285) $877.83 $3,966.68 1.6×
Ergonovine provocation test (93024) $352.64 $1,593.50 0.9×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $72.55 $327.85 0.6×
Eval&/Fitg Voice Prostc Dev Suplmnt Oral Speec (92597) $94.20 $425.68 1.3×
Evaluation of speech fluency (92521) $161.40 $729.31 1.2×
Evaluation of speech sound production (92522) $185.89 $840 1.7×
Evaluation of swallowing function (92610) $98.49 $445.07 1.2×
Evaluation with prescription of speech-generating alternative (92607) $135.43 $611.96 1.1×
External ECG rec>48hr<7d recording (93242) $532.07 $2,404.28 15.7×
External ECG rec>7d<15d recording (93246) $532.07 $2,404.28 15.7×
External Ecg Scanning Analysis Report (93226) $532.07 $2,404.28 9.9×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $153.44 $693.37 0.8×
Flow volume loop (94375) $232.80 $1,051.98 1.2×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $487.67 $2,203.65 1.4×
Group Therapeutic Procedures (97150) $38.73 $174.99 2.1×
Hemodialysis (90935) $918.59 $4,150.88 1.5×
Holter Monitor Recording (93225) $437.57 $1,977.26 3.6×
Icd Device Interrogate (93289) $345.77 $1,562.44 10.2×
Immunization Admin (90471) $79.68 $360.05 1.2×
Injection intra arterial (96373) $201.94 $912.50 1.0×
Ins swan ganz bedside (93503) $2,077.44 $9,387.40 1.5×
Intra Atrial Recording (93602) $6,690.54 $30,232.89 0.9×
Intra-atrial pacing (93610) $6,690.54 $30,232.89 0.9×
Intraventricular pacing (93612) $6,690.54 $30,232.89 0.9×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $159.15 $719.16 3.0×
IV infusion hydration each additional hour (96361) $52.52 $237.32 1.2×
IV infusion hydration initial 31 min-1 hour (96360) $264.17 $1,193.71 1.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $79.68 $360.05 1.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $313.37 $1,416.04 1.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $48.85 $220.75 1.1×
IV push initial (96374) $212.14 $958.62 1.1×
Maintenance of spinal canal or brain drug infusion pump (95990) $250.58 $1,132.29 0.8×
Manual therapy 15 min (97140) $42.81 $193.47 1.5×
Massage 15 min (97124) $43.71 $197.51 1.5×
Maximum voluntary ventilation (94200) $190.15 $859.25 3.6×
Mechanical chest wall oscillation (94669) $184.13 $832.04 0.9×
Mechanical traction (97012) $91.41 $413.04 6.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $38.46 $173.79 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $44.84 $202.61 1.2×
Methacholine challenge (94070) $468.86 $2,118.65 1.4×
Mnt Group Ea 30 Min (97804) $19.96 $90.21 1.2×
Motility study esophagus (91010) $474.51 $2,144.21 1.4×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $182.74 $825.74 2.0×
Multiple sleep latency test (95805) $2,027.53 $9,161.90 2.6×
Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) $48.51 $219.22 0.4×
Neg press wnd tx </=50 sq cm (97607) $396.82 $1,793.14 1.1×
Neg press wound tx >50 cm (97608) $396.82 $1,793.14 1.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $182.41 $824.25 1.0×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $157.32 $710.89 0.4×
Nerve conduction studies 13/> studies (95913) $443.48 $2,003.98 1.3×
Nerve Conduction Studies 3-4 Studies (95908) $417.39 $1,886.09 2.1×
Nerve Conduction Studies 9-10 Studies (95911) $417.39 $1,886.09 1.2×
Nerve conduction studies; 1-2 studies (95907) $229.29 $1,036.11 1.2×
Nerve conduction studies; 11-12 studies (95912) $417.39 $1,886.09 1.2×
Nerve conduction studies; 5-6 studies (95909) $417.39 $1,886.09 2.1×
Nerve conduction studies; 7-8 studies (95910) $626.09 $2,829.16 1.8×
Newborn resuscitation (99465) $679.15 $3,068.90 1.1×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $375.11 $1,695.01 3.1×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $465.46 $2,103.29 2.4×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $267.88 $1,210.48 2.3×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $351.92 $1,590.22 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $50.18 $226.75 1.1×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $32.83 $148.34 1.0×
Ot eval high complex 60 min (97167) $112.31 $507.50 1.1×
Ot eval low complex 30 min (97165) $112.31 $507.50 1.1×
Ot eval mod complex 45 min (97166) $112.31 $507.50 1.1×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $60.68 $274.22 1.2×
Ot Prosthetic Training, Each 15 Min (97761) $35.70 $161.34 0.9×
Ot re-eval est plan care (97168) $81.79 $369.58 1.2×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $100.95 $456.16 0.9×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $100.95 $456.16 0.9×
Paraffin bath (97018) $34.33 $155.14 5.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $244.69 $1,105.71 1.2×
Peripheral arterial disease rehab per session (93668) $66.01 $298.30 1.2×
Perq Transcath Cls Mitral (93590) $22,129.90 $99,999.54 1.3×
Perq transcath cls paravalvr leak 1 aortic valve (93591) $22,129.87 $99,999.43 1.3×
Phy/qhp op pulm rhb w/mntr (94626) $50.24 $227 0.9×
Phy/qhp op pulm rhb w/o mntr (94625) $50.24 $227 0.9×
Plethysmography (94726) $233.15 $1,053.53 0.7×
Pm device eval in person (93288) $256.54 $1,159.26 7.6×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,275.28 $14,800.20 4.2×
Polysom <6 yrs 4/> paramtrs (95782) $1,200.77 $5,425.98 1.5×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $1,200.77 $5,425.98 1.5×
Prq balloon valvuloplasty aortic valve (92986) $6,552.08 $29,607.24 1.3×
Prq Balloon Valvuloplasty Mitral Valve (92987)
unusually low: confirm this is the full procedure
$4,159.29 $18,794.79 0.4×
Prq card revasc chronic 1vsl (92943) $13,897.22 $62,798.09 1.3×
Prq Card Stent W/Angio 1 Vsl (92928) $13,897.22 $62,798.09 1.3×
Prq Card Stent/Ath/Angio (92933) $22,129.95 $99,999.77 1.3×
Prq revasc byp graft 1 vsl (92937) $13,897.22 $62,798.09 1.3×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) $22,129.90 $99,999.53 1.3×
Prq tcat plmt ntrac st 2+les (92930) $15,627.85 $70,618.41 0.9×
Prq trluml coronary angio/atherect one art/brnch (92924) $13,897.22 $62,798.09 1.3×
Prq trluml coronary angioplasty one art/branch (92920) $6,658.28 $30,087.12 1.3×
Pt Aquatic Therapy/Exercises (97113) $56.25 $254.16 1.5×
Pt Electric Current Therapy (97033) $69.03 $311.94 3.6×
Pt Electrical Stimulation (97032) $87.23 $394.18 5.9×
Pt eval high complex 45 min (97163) $151.88 $686.32 1.6×
Pt eval low complex 20 min (97161) $151.88 $686.32 1.6×
Pt Gait Training Therapy (97116) $36.65 $165.60 1.3×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $44.39 $200.58 1.4×
Pt Physical Performance Test (97750) $19.92 $90.04 0.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $151.88 $686.32 1.6×
Pt re-evaluation (97164) $56.07 $253.38 0.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $46.32 $209.32 1.4×
Pt Ultrasound Therapy (97035) $54.60 $246.72 3.8×
Pt Whirlpool Therapy (97022) $3.55 $16.03 0.2×
Pulm function test by gas (94727) $232.80 $1,051.98 1.2×
R & l hrt cath w/njx l ventriculog img s&i (93453) $5,214.53 $23,563.16 1.8×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $5,655.86 $25,557.45 1.9×
R hrt art/grft angio (93457) $8,038.27 $36,322.95 2.7×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $6,879.44 $31,086.48 2.3×
Refill/maint, portable pump (96521) $319.95 $1,445.77 1.7×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $52.20 $235.90 1.5×
Rfl&Main Implt Pmp/Rsvr Dlvr Spi/Brn Phy/Qhp (95991) $378.19 $1,708.96 1.4×
Right heart cath (93451) $3,735.60 $16,880.24 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $155.92 $704.55 0.9×
Rt Chest Wall Manipulation,Subsequent (94668) $75.77 $342.39 0.6×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $67.71 $305.98 1.4×
Sc Ther Infusion Reset Pump (96371) $69.69 $314.90 1.1×
Sensory Integration Ea 15 Min (97533) $36.50 $164.92 0.6×
Sleep study unattended (95806) $349.64 $1,579.95 1.8×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $262.23 $1,184.93 1.3×
Smoking cessation > 10 min (99407) $56.36 $254.72 1.7×
Somatosensory testing (95938) $680.57 $3,075.31 0.9×
Speech group therapy (92508) $38.57 $174.30 1.6×
Speech sound lang comprehen (92523) $256.68 $1,159.87 1.1×
Spirometry (94010) $254.34 $1,149.31 1.3×
Standardized Cognitive Performance Testing (96125) $175.05 $791.02 1.7×
Stress echo (93350) $1,253.51 $5,664.29 2.5×
Stress Tte Complete (93351) $746.94 $3,375.24 1.5×
Temp transcutaneous pacing (92953) $679.15 $3,068.90 1.1×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $40.85 $184.61 1.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $8.59 $38.81 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $75.32 $340.36 1.2×
Therapeutic Activities (97530) $46.08 $208.24 1.3×
Therapeutic phlebotomy (99195) $156.50 $707.19 1.3×
Tilt Table Eval (93660) $957.16 $4,325.18 2.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $35.70 $161.29 1.1×
Transcran Doppler Intracran Art - Transcranial Doppler (93886) $480.62 $2,171.82 2.2×
Transcranial Doppler Limited (93888) $486.51 $2,198.40 5.1×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,230.63 $5,560.93 2.5×
Tte W/O Doppler Complete - Tte Complete No Doppler No Color (93307) $775.95 $3,506.30 3.6×
Tx atrial fib pulm vein isol (93656) $22,129.92 $99,999.66 0.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $129.39 $584.66 1.7×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $115.99 $524.12 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $187.36 $846.63 4.4×
Ultrasound of heart with probe in esophagus to assess heart pump function (93318) $520.07 $2,350.08 1.0×
Unlisted Cardiovascular Service/Procedure (93799) $623.72 $2,818.44 5.3×
Vasc Duplex Extrem Venous,Bilat (93970) $440.15 $1,988.92 2.0×
Vasc Duplex Scan Extracranial,Limited (93882) $344.80 $1,558.05 3.6×
Vasc Non-Invasive Lower Extrem Art Stress/Rest, Complete,Bilateral (93924) $548.20 $2,477.19 2.8×
Vasopneumatic device (97016) $44.66 $201.82 3.7×
Ventilation assist & mgmt inpatient 1st day (94002) $678.65 $3,066.65 1.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $689.07 $3,113.75 1.2×
Visual Evoked Potential Test (95930) $423.88 $1,915.39 2.2×
Vital capacity total (94150) $232.80 $1,051.98 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $41.01 $185.33 1.3×
Xtrnl mobile cv telemetry w/technical support (93229) $128.24 $579.48 0.4×
Xtrnl Pt Activated Ecg Rec Dwnld 30 Days (93271) $108.03 $488.17 1.3×