JEFFERSON COUNTY HEALTH CENTER
Hospital
Procedure Prices at JEFFERSON COUNTY HEALTH CENTER
HB Cbc With Automated Differential
CPT 85025
$7.77
HB Jchc Phlebotomy
CPT 36415
$7.84
HB Jchc HRA Chemistry Panel
CPT 80053
$10.56
EKG
CPT 93000
$13.46
Mechanical Traction
CPT 97012
$18.06
Therapeutic Exercises
CPT 97110
$28.14
Therapeutic Activities
CPT 97530
$28.98
Chest X-Ray (2 views)
CPT 71046
$45.92
EKG Tracing
CPT 93005
$46.2
Chest X-Ray (1 view)
CPT 71045
$56.28
HB Jchc Office Outpatient Visit 15 Minutes
CPT 99213
$57.96
Thoracic Spine X-Ray
CPT 72072
$59.45
Diagnostic Mammogram (unilateral)
CPT 77065
$75
ER Visit — Low-Moderate Complexity
CPT 99283
$119.28
Screening Mammogram (bilateral)
CPT 77067
$122.64
Diagnostic Mammogram (bilateral)
CPT 77066
$144.9
OB Ultrasound
CPT 76805
$169.67
ER Visit — Moderate Complexity
CPT 99284
$186.48
Abdominal Ultrasound — Limited
CPT 76705
$191.72
ER Visit — High Complexity
CPT 99285
$261.66
Echocardiogram
CPT 93307
$302.4
Abdominal Ultrasound
CPT 76700
$303.27
Retroperitoneal Ultrasound
CPT 76770
$311.22
CT Chest
CPT 71250
$415.5
Echocardiogram w/ Doppler
CPT 93306
$416.16
HB Inj Transforamen Epidural Lumb/Sacr Incl Imaging, Single Lvl
CPT 64483
$419.16
MRI Joint of Lower Extremity
CPT 73721
$746.76
MRI Brain w/o Contrast
CPT 70551
$795.9
CT Abdomen & Pelvis
CPT 74177
$992.99
MRI Brain w/ Contrast
CPT 70553
$1,113.56
Hip Replacement
CPT 27130
$1,575.42
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,696.72
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,452.89
Cataract Surgery — Complex
CPT 66982
$4,064.78
Cataract Surgery
CPT 66984
$4,064.78
Colonoscopy
CPT 45378
$4,385.42
Knee Arthroscopy
CPT 29881
$4,749.48
Colonoscopy w/ Biopsy
CPT 45380
$4,959.9
Inguinal Hernia Repair
CPT 49505
$6,253.82
Laparoscopic Cholecystectomy
CPT 47562
$8,802.9
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.