Jacksonville, TX
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Feb 12, 2026 | Aug 2, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Jacksonville Hospital, LLC’s price for it.
The codes Jacksonville Hospital, LLC has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Potassium chloride injection, 2 mEq per mLHCPCS J3480 | $26 | $44 | $59 | 136% | 9,000 | $1 | $339 |
| Lactated Ringer's solution infusionHCPCS J7120 | $17 | $25 | $11 | 42% | 8,000 | $3 | $42 |
| Iron sucrose injection, 20 mg per mLHCPCS J1756 | $431 | $493 | $272 | 55% | 280 | $29 | $1.1k |
| Propofol intravenous emulsionHCPCS J2704 | $40 | $66 | $62 | 94% | 275 | $2 | $255 |
| Observation care, per hourHCPCS G0378 | $51 | $57 | $14 | 25% | 128 | $36 | $2.8k |
| Unscheduled hospital outpatient clinic visitHCPCS G0463 | $219 | $241 | $110 | 46% | 10–100 | $53 | $567 |
| Acetaminophen 1000 mg injectionHCPCS J0131 | $37 | $55 | $23 | 42% | 54 | $6 | $93 |
| Initial intravenous infusion for therapy or diagnosisCPT 96365 | $258 | $351 | $154 | 44% | 25–34 | $122 | $637 |
| Intravenous infusion, therapy or diagnostic add-onCPT 96366 | $129 | $175 | $77 | 44% | 24–33 | $37 | $620 |
| Gadopiclenol contrast injection, per milliliterHCPCS A9573 | $474 | $565 | $221 | 39% | 18 | $207 | $947 |
EIN: 82-4037220
Last updated: Feb 12, 2026
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Hospital ID: cff4d51eeca410c563eb7cd513b54d051afac89d0c5952d29ae61d7c01f9c419