Jackson HMA LLC
MS 39204, MS
Addresses
Filing revisions
1 known revision on file.
| Revision date | Payer-specific rates |
|---|---|
| Apr 1, 2026 | Yes |
Example procedure pricing
- MRI brain w/ contrast — CPT 70553$2.5k
- Screening mammogram — CPT 77067$257
- CT scan, abdomen and pelvis — CPT 74177$2.6k
- Coronary stent placement — CPT 92928$33.4k
- Cardiac catheterization — CPT 93458$5.7k
- MRI, knee — CPT 73721$1.1k
- MRI, lumbar spine — CPT 72148$1.8k
- Chest X-ray — CPT 71046$249
- Emergency dept visit, level 4 — CPT 99284$1.9k
- Pacemaker insertion — CPT 33208$33.1k
- Major joint replacement, inpatient stay — MS-DRG 470$19.4k
- Heart failure hospitalization — MS-DRG 291$13.1k
- Pneumonia hospitalization — MS-DRG 194$9.8k
- Digestive disorder hospitalization — MS-DRG 392$9.5k
- Kidney failure hospitalization — MS-DRG 683$10.3k
- Sepsis hospitalization — MS-DRG 871$17.4k
- Outpatient clinic visit, level 1 — HCPCS G0463$572
EIN: 640907122
Last updated: Apr 1, 2026
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Hospital ID: dc2e2d0fb8872be75f5a1e64255ddd6be1b35ba64f39afbec4ad1b80dd797363