Jackson South Medical Center — price list

← Hospital overviewVerified from Jackson South Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

117 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Administration of additional new drug or substance into vein, 1 hour or less Outpatient	0080020 CDM	$121	$66.00	$42.35 – $3,900	$109
Administration of chemotherapy into vein, 1 hour or less Outpatient	0080017 CDM	$434	$339	$152 – $3,900	$391
Administration of chemotherapy into vein, each additional hour Outpatient	0080018 CDM	$181	$66.00	$60.15 – $3,900	$163
Administration of nasal or oral vaccine, 1 vaccine Outpatient	0080092 CDM	$85.00	$66.00	$22.87 – $147	$56.95
Administration of nasal or oral vaccine, each additional vaccine Outpatient	0080093 CDM	$32.00	—	$8.61 – $52.80	$21.44
Administration of vaccine Outpatient	0080001 CDM	$85.00	$66.00	$22.87 – $147	$56.95
Administration of vaccine Outpatient	0080032 CDM	$107	$66.00	$27.12 – $177	$71.69
Administration of vaccine Outpatient	0080033 CDM	$85.00	$66.00	$22.87 – $147	$56.95
Administration of vaccine Outpatient	0080034 CDM	$85.00	$66.00	$22.87 – $147	$56.95
Administration of vaccine, each additional vaccine Outpatient	0080002 CDM	$46.00	—	$12.37 – $75.90	$30.82
Critical care, each additional 30 minutes Inpatient & outpatient	0014433 CDM	$1,447	—	$90.13 – $2,388	$873
Critical care, first 30-74 minutes Inpatient & outpatient	0010095 CDM	$4,083	$792	$546 – $6,737	$1,092
DIRECT ADMISSION OF PATIENT FOR HOSPITAL OBSERVATION CARE Outpatient	0080047 CDM	$759	$555	$266 – $4,170	$458
Emergency department visit for problem that may not require health care professional Inpatient & outpatient	0010090 CDM	$597	$77.00	$70.45 – $1,387	$498
Emergency department visit with high level of medical decision making Inpatient & outpatient	0010094 CDM	$2,982	$555	$498 – $4,682	$1,052
Emergency department visit with low level of medical decision making Inpatient & outpatient	0010092 CDM	$1,320	$246	$228 – $2,072	$555
Emergency department visit with moderate level of medical decision making Inpatient & outpatient	0010093 CDM	$2,317	$387	$349 – $3,638	$840
Emergency department visit with straightforward medical decision making Inpatient & outpatient	0010091 CDM	$978	$140	$128 – $1,670	$840
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more Outpatient	0010010 CDM	$409	$140	$75.00 – $675	$274
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more Outpatient	0010415 CDM	$409	$140	$75.00 – $675	$110
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more Outpatient	0050010 CDM	$409	$140	$75.00 – $675	$110
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more Outpatient	0050020 CDM	$409	$140	$75.00 – $675	$274
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more Outpatient	0090010 CDM	$409	$140	$75.00 – $675	$274
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more Outpatient	0090020 CDM	$409	$140	$75.00 – $675	$110
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more Outpatient	0100009 CDM	$409	$140	$75.00 – $675	$274
Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more Outpatient	0010008 CDM	$372	$65.00	$50.00 – $614	$249
Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more Outpatient	0010417 CDM	$372	$65.00	$50.00 – $614	$108
Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more Outpatient	0050008 CDM	$372	$65.00	$50.00 – $614	$108
Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more Outpatient	0050018 CDM	$372	$65.00	$50.00 – $614	$249
Established patient office or other outpatient visit with low level of decision making, if using time, 20 minutes or more Outpatient	0090008 CDM	$372	$65.00	$50.00 – $614	$268