Hospital Charges

INPATIENT CHARGES
Item JDMC Charge Medicaid Rate
Room and Board $1,500.00 1065.67
Inpatient Room and board all incluscive to include all medical care, therapy, medication and supplies.
Self pay : Self pay rates negotiable based on JDMC policy number 6065.6 available after listed charges
     
OUTPATINET CHARGES
97163  $                150.00  $                        77.34
97164  $                150.00  $                        77.34
97165  $                150.00  $                        77.34
97167  $                150.00  $                        81.53
97168  $                150.00  $                        81.53
97169  $                150.00  $                        81.53
92523  $                200.00  $                      176.15
92610  $                150.00  $                        78.92
97110  $                  50.00  $                        27.77
97530  $                  50.00  $                        35.21
92526  $                  50.00  $                        79.38
92507  $                  84.00  $                        72.34
     
OUTPATINET NEURO CLINIC OFFICE VISITS
NEW PATIENT 30 MINUTES 99203  $                105.00  $                        96.11
NEW PATIENT 45 MINUTES  99204  $                150.00  $                      147.84
NEW PATEINT 60+ MINUTES 99205  $                225.00  $                      187.18
EST. PATIENT 15 MINUTES 99213  $                  75.00  $                        66.86
EST. PATIENT 25 MINUTES 99214  $                105.00  $                        97.32
EST. PATIENT 40+ MINUTES 99215  $                150.00  $                      131.08
     
Frequently used outpatient codes
PT EVALUATION  $                150.00  $                        77.34
OT EVALUATION  $                150.00  $                        81.53
SPEECH EVALUATION  $                200.00  $                      176.15
FEEDING EVALUALTION  $                150.00 78.92
PT THERAPY  $                  50.00 27.77
OT THERAPY  $                  50.00 35.21
SPEECH THERAPY  $                  84.00 72.34
FEEDING THERAPY  $                120.00 79.38
     
Inpatient Room and board all incluscive to include all medical care, therapy, medication and supplies.