Visits & medical services prices at West Tennessee Healthcare Jackson-Madison County General Hospital

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

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

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ProcedureCash priceGross charge× Medicare
Ablation av node (93650) $4,237.50 $14,125 0.6×
Actigraphy testing recording analysis i&r (95803) $114.90 $383 2.1×
Advance care planning first 30 mins (99497) $45.90 $153 0.5×
Airway inhalation treatment (94640) $85.50 $285 0.4×
Appl on-body injector for timed subq injection (96377) $42.30 $141 1.0×
Asstv Technol Assmt Dir Cntct W/Reprt Ea 15 Min (97755) $28.20 $94 0.7×
Behavioral and qualitative analysis of voice and resonance (92524) $90.60 $302 0.8×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $134.10 $447 0.4×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$1,134.90 $3,783 0.2×
Canalith Repositioning (95992) $62.40 $208 1.5×
Capsule endoscopy (91110) $1,255.50 $4,185 1.5×
Car seat/bed test 60 min (94780) $40.20 $134 1.2×
Cardiac Stress Tst,Tracing Only (93017) $271.20 $904 1.4×
Cardiopulmonary resuscitation (92950) $339 $1,130 1.7×
Cardioversion (92960) $447 $1,490 0.7×
Cath Cath Place/Coronary Angio, Img Super/Interp, Bypass Angio (93455) $4,069.80 $13,566 1.4×
Cath Cath Place/Coronary Angio, Img Super/Interp,W Right Heart Cath (93456) $5,179.50 $17,265 1.8×
Cath Perc Clos,Cong Interatrial Commun W/Impl (93580)
unusually low: confirm this is the full procedure
$7,568.70 $25,229 0.5×
Cath Place/Coron Angio, Img Super/Interp, Bypass Angio,W L Hrt Ventric (93459) $7,420.80 $24,736 2.5×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,091.70 $23,639 2.4×
Cbt 1st hour (94644) $120.90 $403 1.0×
Chemo Hormon Antineopl Sq/Im (96402) $74.40 $248 1.1×
Chemo IV push addl drug (96411) $79.50 $265 1.2×
Chemo Iv Push Sngl Drug (96409) $110.10 $367 0.4×
Chemo prolong 8+ hrs infuse w/pump (96416) $179.70 $599 0.6×
Chemother, IV infusion, 1 hr (96413) $175.50 $585 0.6×
Chemother, IV infusion, ea add hr (96415) $61.20 $204 0.9×
Chemother,Ia Push Technique (96420) $145.20 $484 0.5×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $78 $260 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $81.30 $271 1.2×
Color/duplex Doppler, complete (93975) $397.80 $1,326 1.8×
Color/duplex Doppler, limited (93976) $258.60 $862 2.7×
Coronary artery angio s&i (93454) $4,664.40 $15,548 1.6×
Cpap initiation and management (94660) $143.10 $477 0.7×
Cpt initial (94667) $64.80 $216 0.5×
Critical care (99291) $1,707.60 $5,692 2.3×
Debridement Open Wound 20 Sq Cm< (97597) $99 $330 0.5×
Demo &/or eval,pt use,aerosol device (94664) $41.70 $139 0.2×
Developmental tst admin phys/qhp 1st hour (96112) $95.40 $318 0.8×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $226.80 $756 0.6×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $223.80 $746 1.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $216.90 $723 2.3×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $251.70 $839 1.2×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $144.30 $481 1.5×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $235.50 $785 1.1×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $144.30 $481 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $373.80 $1,246 3.9×
Duplex hemodialysis access (93990) $147.30 $491 1.6×
Duplex scan artl infl&ven o/f hemo compl bi std (93985) $245.40 $818 1.1×
Duplex scan extracranial art compl bi study (93880) $511.80 $1,706 2.4×
Echo Heart Xthoracic,Limited (93308) $331.50 $1,105 1.5×
Echo transesophageal (93312) $962.10 $3,207 1.9×
Echo Transthoracic - Congenital Tte Complete (93303) $805.20 $2,684 1.6×
Echo Transthoracic - Congenital Tte Limited (93304) $466.80 $1,556 0.9×
EEG awake asleep (95819) $459 $1,530 2.3×
EEG awake drowsy (95816) $204.90 $683 1.0×
EEG cerebral death evaluation (95824) $227.40 $758 0.7×
EEG coma or sleep only (95822) $245.70 $819 1.3×
Eeg Extended Monitoring 61-119 Minutes (95813) $307.50 $1,025 1.6×
EKG (93005) $141.60 $472 2.6×
Electroencephalogram Extend Monitoring 41-60 Min (95812) $254.10 $847 1.3×
Endomyocardial biopsy (93505) $2,350.50 $7,835 0.8×
Ep & ablate supravent arrhyt (93653) $14,144.10 $47,147 0.6×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$11,561.70 $38,539 0.5×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $4,931.40 $16,438 0.7×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619)
unusually low: confirm this is the full procedure
$2,684.40 $8,948 0.4×
Ep Right Ventricular Recording (93603) $1,490.40 $4,968 1.3×
Er level 1 (99281) $136.80 $456 1.8×
Er level ii (99282) $230.40 $768 1.7×
Er level iii (99283) $444 $1,480 1.8×
Er level IV (99284) $1,365.90 $4,553 3.6×
Er level v (99285) $1,536.60 $5,122 2.8×
Evaluation of speech fluency (92521) $90.60 $302 0.7×
Evaluation of speech sound production (92522) $90.60 $302 0.8×
Evaluation of swallowing function (92610) $83.40 $278 1.0×
Evaluation with prescription of speech-generating alternative (92607) $140.10 $467 1.1×
External ECG rec>48hr<7d recording (93242) $36 $120 1.1×
External ECG rec>7d<15d recording (93246) $58.50 $195 1.7×
External Ecg Scanning Analysis Report (93226) $150.90 $503 2.8×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $708.60 $2,362 0.9×
Group Therapeutic Procedures (97150) $22.80 $76 1.3×
Hemodialysis (90935) $379.20 $1,264 0.6×
Holter Monitor Recording (93225) $120 $400 1.0×
Icd Device Interrogate (93289) $93.90 $313 2.8×
Immunization Admin (90471) $21.60 $72 0.3×
Ins swan ganz bedside (93503) $712.50 $2,375 0.5×
Intra Atrial Recording (93602)
likely a partial charge, not the full procedure
$1,084.80 $3,616 0.2×
Intra-atrial pacing (93610)
likely a partial charge, not the full procedure
$1,197.60 $3,992 0.2×
Intraventricular pacing (93612)
likely a partial charge, not the full procedure
$1,410.60 $4,702 0.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $117.60 $392 2.2×
IV infusion hydration each additional hour (96361) $36.90 $123 0.9×
IV infusion hydration initial 31 min-1 hour (96360) $101.40 $338 0.5×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $49.50 $165 0.8×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $119.70 $399 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $40.20 $134 0.9×
IV push initial (96374) $111.90 $373 0.6×
Liver elastography w/o imag w/i&r (91200) $212.10 $707 1.8×
Manual therapy 15 min (97140) $38.70 $129 1.4×
Mechanical chest wall oscillation (94669) $113.10 $377 0.6×
Mechanical traction (97012) $24 $80 1.7×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $20.10 $67 0.5×
Methacholine challenge (94070) $200.70 $669 0.6×
Motility study esophagus (91010) $609.30 $2,031 1.8×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $115.80 $386 1.3×
Multiple sleep latency test (95805) $1,264.50 $4,215 1.6×
Nasopharyngoscopy (92511) $79.50 $265 0.4×
Neg press wnd tx </=50 sq cm (97607) $233.10 $777 0.6×
Neg press wound tx >50 cm (97608) $285 $950 0.8×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $105.60 $352 0.6×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $123.90 $413 0.3×
Nerve conduction studies 13/> studies (95913) $386.40 $1,288 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $140.40 $468 0.7×
Nerve Conduction Studies 9-10 Studies (95911) $293.40 $978 0.9×
Nerve conduction studies; 11-12 studies (95912) $384 $1,280 1.1×
Nerve conduction studies; 5-6 studies (95909) $169.20 $564 0.9×
Nerve conduction studies; 7-8 studies (95910) $216 $720 0.6×
Neuromuscular junction test (95937) $84.60 $282 0.7×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $108 $360 0.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $249.30 $831 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $77.40 $258 0.7×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $35.10 $117 0.8×
Ot eval high complex 60 min (97167) $95.40 $318 0.9×
Ot eval low complex 30 min (97165) $79.80 $266 0.8×
Ot eval mod complex 45 min (97166) $87.90 $293 0.9×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $31.50 $105 0.6×
Ot Prosthetic Training, Each 15 Min (97761) $40.20 $134 1.0×
Ot re-eval est plan care (97168) $41.40 $138 0.6×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $146.40 $488 1.3×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $91.50 $305 0.8×
Paraffin bath (97018) $18.90 $63 3.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $131.40 $438 0.7×
Phy/qhp op pulm rhb w/mntr (94626) $114.60 $382 2.1×
Phy/qhp op pulm rhb w/o mntr (94625) $55.50 $185 1.0×
Plethysmography (94726) $97.50 $325 0.3×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $2,074.80 $6,916 2.7×
Prq balloon valvuloplasty aortic valve (92986) $5,243.10 $17,477 1.0×
Prq card revasc chronic 1vsl (92943) $8,608.35 $28,694.50 0.8×
Prq Card Stent W/Angio 1 Vsl (92928) $8,203.35 $27,344.50 0.8×
Prq Card Stent/Ath/Angio (92933) $9,207.90 $30,693 0.6×
Prq revasc byp graft 1 vsl (92937) $8,533.20 $28,444 0.8×
Prq trluml coronary angio/atherect one art/brnch (92924) $9,039.90 $30,133 0.9×
Prq trluml coronary angioplasty one art/branch (92920) $5,608.20 $18,694 1.1×
Pt Aquatic Therapy/Exercises (97113) $48.30 $161 1.3×
Pt Electric Current Therapy (97033) $36.60 $122 1.9×
Pt Electrical Stimulation (97032) $31.50 $105 2.1×
Pt eval high complex 45 min (97163) $95.40 $318 1.0×
Pt eval low complex 20 min (97161) $79.80 $266 0.8×
Pt Gait Training Therapy (97116) $30.90 $103 1.1×
Pt Infrared Therapy (97026) $3.90 $13 0.6×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $29.70 $99 0.9×
Pt Physical Performance Test (97750) $34.20 $114 1.0×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $87.90 $293 0.9×
Pt re-evaluation (97164) $41.40 $138 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $26.70 $89 0.8×
Pt Ultrasound Therapy (97035) $39 $130 2.7×
Pt Whirlpool Therapy (97022) $36.60 $122 2.3×
Pulm function test by gas (94727) $77.40 $258 0.4×
R & l hrt cath w/njx l ventriculog img s&i (93453) $3,565.50 $11,885 1.2×
R & L Hrt Cath Winjx Hrt Art& L Ventr Img (93460) $7,741.20 $25,804 2.6×
R hrt art/grft angio (93457) $5,691.60 $18,972 1.9×
R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) $7,843.20 $26,144 2.7×
Refill/maint, portable pump (96521) $108 $360 0.6×
Rem mntr physiol param 1st dev supply ea 30 days (99454) $38.10 $127 1.1×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $121.50 $405 1.0×
Right heart cath (93451) $2,693.10 $8,977 0.9×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $105.60 $352 0.6×
Rt Chest Wall Manipulation,Subsequent (94668) $29.40 $98 0.2×
Sleep study attended (95807) $1,236.60 $4,122 3.7×
Speech sound lang comprehen (92523) $93.60 $312 0.4×
Spirometry (94010) $69.60 $232 0.4×
Standardized Cognitive Performance Testing (96125) $123.90 $413 1.2×
Stress echo (93350) $717.90 $2,393 1.4×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $51.30 $171 1.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $120.90 $403 0.6×
Surfactant Admin Thru Tube (94610) $60.30 $201 0.3×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $26.70 $89 1.2×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $25.80 $86 1.2×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $92.70 $309 0.9×
Ther/Proph/Diag Inj Sc/Im (96372) $102.30 $341 1.6×
Therapeutic Activities (97530) $45.60 $152 1.3×
Therapeutic phlebotomy (99195) $102.90 $343 0.9×
Tilt Table Eval (93660) $653.10 $2,177 1.9×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $1,205.70 $4,019 2.4×
Tx atrial fib pulm vein isol (93656) $17,066.10 $56,887 0.7×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $119.10 $397 1.6×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $120.60 $402 1.4×
Tx/Pro/Dx Inj New Drug Addon (96375) $96.60 $322 2.3×
Ultraviolet Light Therapy (96900) $55.20 $184 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $560.40 $1,868 2.6×
Vasopneumatic device (97016) $40.20 $134 3.3×
Veeg by tech 2-12 hours unmonitored (95711) $284.10 $947 1.5×
Veeg Ea 12-26 Hr Unmntr (95714) $595.50 $1,985 1.8×
Ventilation assist & mgmt inpatient 1st day (94002) $434.70 $1,449 0.8×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $370.80 $1,236 0.7×
Vital capacity total (94150) $124.80 $416 1.1×
Wheelchair Mgmt Ea 15 Min (97542) $23.70 $79 0.8×