Visits & medical services prices at UT Health East Texas Jacksonville Hospital
Jacksonville, TX · every code in this section with a posted price and a Medicare benchmark.
118 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Aep Hearing Status Deter Broadband Stimuli I&R (92651) | $48.40 | $484 | 0.2× |
| Airway Inhalation Treatment (94640) | $48.20 | $482 | 0.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $186.50 | $1,865 | 0.5× |
| Car seat/bed test 60 min (94780) | $12.80 | $128 | 0.3× |
| Cardiac Stress Tst,Tracing Only (93017) | $259 | $2,590 | 1.2× |
| Cardiopulmonary resuscitation (92950) | $160.80 | $1,608 | 0.7× |
| Cardioversion (92960) | $206.20 | $2,062 | 0.3× |
| Cbt 1st hour (94644) | $52.90 | $529 | 0.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $22.70 | $227 | 0.3× |
| Chemo IV infusion addl hr (96415) | $54.70 | $547 | 0.8× |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) | $146.90 | $1,469 | 0.4× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $109 | $1,090 | 0.3× |
| Chest Wall Manipulation (94668) | $40.10 | $401 | 0.3× |
| Color/duplex Doppler, complete (93975) | $316.70 | $3,167 | 1.3× |
| Color/duplex Doppler, limited (93976) | $217.10 | $2,171 | 2.1× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $10.40 | $104 | 0.3× |
| Continuous Pulse Ox (94762) | $74.60 | $746 | 0.6× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $176.30 | $1,763 | 0.8× |
| Cpt initial (94667) | $40.10 | $401 | 0.3× |
| Critical care first hour (99291) | $403 | $4,030 | 0.5× |
| Debridement Open Wound 20 Sq Cm< (97597) | $88.80 | $888 | 0.4× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $166.50 | $1,665 | 0.7× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $123.90 | $1,239 | 1.2× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $286.80 | $2,868 | 1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $181.90 | $1,819 | 1.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $287.30 | $2,873 | 1.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $190.20 | $1,902 | 1.8× |
| Duplex Scan Hemodialysis Access (93990) | $40.70 | $407 | 0.4× |
| Duplex up extrem art bilat (93930) | $286.80 | $2,868 | 1.2× |
| Duplex up extrem art unilat/ltd (93931) | $181.90 | $1,819 | 1.7× |
| Echo Congenital Complete (93303) | $209.60 | $2,096 | 0.4× |
| Echo Heart Xthoracic,Limited (93308) | $109.90 | $1,099 | 0.5× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $213.70 | $2,137 | 0.4× |
| Eeg 41-60 Minutes (95812) | $270.30 | $2,703 | 1.2× |
| EEG awake and asleep (95819) | $249.90 | $2,499 | 1.2× |
| EEG awake drowsy (95816) | $225.30 | $2,253 | 1.0× |
| EEG extended monitoring 61-119 minutes (95813) | $275.90 | $2,759 | 1.3× |
| Electrocardiogram Tracing (93005) | $85.50 | $855 | 1.4× |
| Emergency Dept Visit Level 2 (99282) | $50.60 | $506 | 0.3× |
| Emergency Dept Visit Level 3 (99283) | $147.10 | $1,471 | 0.5× |
| Emergency Dept Visit Level 4 (99284) | $243.40 | $2,434 | 0.6× |
| Er level 1 (99281) | $29.90 | $299 | 0.4× |
| Er level v (99285) | $366.30 | $3,663 | 0.6× |
| Evaluate pt use of inhaler (94664) | $79.40 | $794 | 0.4× |
| Evaluate Swallowing Function (92610) | $98.60 | $986 | 1.2× |
| Evaluation of speech fluency (92521) | $67.10 | $671 | 0.5× |
| Exhaled Air Analysis O2 (94680) | $48.10 | $481 | 0.4× |
| External ECG rec>48hr<7d recording (93242) | $19.40 | $194 | 0.5× |
| External ECG rec>7d<15d recording (93246) | $21 | $210 | 0.6× |
| Extracranial Bilat Study (93880) | $241.30 | $2,413 | 1.0× |
| Extracranial Uni/Ltd Study (93882) | $125 | $1,250 | 1.2× |
| Group Therapeutic Procedures (97150) range across 2 matching MRF lines |
$5.70–$6.90 | $57–$69 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $222.60 | $2,226 | 0.3× |
| Holter monitor recording (93225) | $48.80 | $488 | 0.4× |
| Immunization administration (90471) range across 2 matching MRF lines |
$52.40 | $21–$524 | 0.7× |
| Irrig Drug Delivery Device (96523) | $36.30 | $363 | 0.6× |
| IV infusion hydration each additional hour (96361) | $49.20 | $492 | 1.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $90.60 | $906 | 0.4× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $37 | $370 | 0.5× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $49.70 | $497 | 1.1× |
| IV push initial (96374) | $79.10 | $791 | 0.4× |
| Lwr Xtr Vasc Stdy Bilat (93924) | $135.90 | $1,359 | 0.6× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $6 | $60 | 0.2× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $9.90 | $99 | 0.3× |
| Motion Fluoroscopy/Swallow (92611) | $112.70 | $1,127 | 1.2× |
| Multiple Sleep Latency Test (95805) | $456.80 | $4,568 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $120.80 | $1,208 | 0.3× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $141 | $1,410 | 0.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $73 | $730 | 0.4× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $120.80 | $1,208 | 0.3× |
| Neuromuscular Reeducation (97112) range across 2 matching MRF lines |
$11.10–$13.50 | $111–$135 | varies |
| Oral Function Therapy (92526) | $47.70 | $477 | 0.6× |
| Ot eval high complexity (97167) | $45.10 | $451 | 0.4× |
| Ot Eval Low Complex (97165) | $34.50 | $345 | 0.3× |
| Ot Eval Moderate Complexity (97166) range across 2 matching MRF lines |
$39.80–$52.80 | $398–$528 | varies |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$8.30–$28.60 | $83–$286 | varies |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $70.10 | $701 | 0.3× |
| Phlebotomy therapeutic (99195) | $160.90 | $1,609 | 1.2× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $669.60 | $6,696 | 0.8× |
| Polysom <6 yrs 4/> paramtrs (95782) | $709.40 | $7,094 | 0.8× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $730.30 | $7,303 | 0.8× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $25.20 | $252 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $25.20 | $252 | 0.5× |
| Pt Eval High Complex (97163) | $117.70 | $1,177 | 1.2× |
| Pt eval low complex 20 min (97161) | $42.90 | $429 | 0.4× |
| Pt Eval Mod Complex (97162) | $82.20 | $822 | 0.8× |
| Pt gait training 15 min (97116) | $40.30 | $403 | 1.4× |
| Pt Re-Eval Est Plan Care (97164) | $40.80 | $408 | 0.6× |
| Pulmonary service/procedure (94799) | $73.60 | $736 | 0.6× |
| Pulmonary Stress Testing (94618) | $74 | $740 | 0.6× |
| Remote 30 Day Ecg Rev/Report (93270) | $14 | $140 | 0.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $75.20 | $752 | 0.4× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$10.40–$40.80 | $104–$408 | varies |
| Sensory Integration Ea 15 Min (97533) | $19.60 | $196 | 0.3× |
| Sleep study unattended (95806) | $52 | $520 | 0.2× |
| Slp caregiver training 1st 30 min (97550) | $17.60 | $176 | 0.3× |
| Slp Stdy Unatnd W/Anal (95801) | $41.80 | $418 | 0.7× |
| Spirometry (94010) | $48.20 | $482 | 0.2× |
| Standardized Cognitive Performance Testing (96125) | $70.90 | $709 | 0.7× |
| Stress Tte Only (93350) | $180 | $1,800 | 0.3× |
| Subcutaneous Infusion Each Additional Hour (96370) | $14.70 | $147 | 0.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $67.10 | $671 | 0.3× |
| Subq Infusion Additional Pump Infusion Site (96371) | $22.70 | $227 | 0.3× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$7–$24.30 | $70–$243 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$6.70–$24.30 | $67–$243 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) range across 2 matching MRF lines |
$9.80–$10 | $98–$100 | varies |
| Ther/Proph/Diag Inj Ia (96373) | $67.10 | $671 | 0.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $52.70 | $527 | 0.7× |
| Ther/Proph/Diag Iv Inf Init (96365) | $99.60 | $996 | 0.5× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$14.60–$29.80 | $146–$298 | varies |
| Tte w/doppler, complete (93306) | $650.10 | $6,501 | 1.2× |
| Tte W/O Doppler Complete (93307) | $190.40 | $1,904 | 0.8× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $84.60 | $846 | 1.1× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $48.50 | $485 | 1.0× |
| Upr/L Xtremity Art 2 Levels (93922) | $79.80 | $798 | 0.6× |
| Vent Mgmt Inpat Init Day (94002) | $316 | $3,160 | 0.5× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $316 | $3,160 | 0.5× |
| Vital capacity, total (94150) | $21.50 | $215 | 0.2× |
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.