Iu Health Jay
Portland, IN · Critical Access Hospital
Posts prices for 49 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $2,836.96 | $6,341 | 0.7× |
| Upper GI endoscopy (EGD), diagnostic (43235) range across 3 matching MRF lines |
$706–$3,307.63 | $1,578–$7,393 | varies |
| Upper GI endoscopy (EGD) with biopsy (43239) | $2,647.71 | $5,918 | 2.8× |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$575.36–$3,307.63 | $1,286–$7,393 | varies |
| Colonoscopy with lesion removal (45385) range across 2 matching MRF lines |
$828.14–$955.20 | $1,851–$2,135 | varies |
| Epidural injection, lumbar/sacral (with imaging) (62322) | $1,029.47 | $2,301 | 1.1× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,337.28 | $2,989 | 1.4× |
| CT head/brain without contrast (70450) | $397.74 | $889 | 3.6× |
| MRI brain without contrast (70551) | $579.83 | $1,296 | 2.3× |
| MRI brain with contrast (70552) | $969.96 | $2,168 | 2.6× |
| MRI brain without and with contrast (70553) | $969.96 | $2,168 | 2.6× |
| X-ray lower spine, 4+ views (72110) | $333.31 | $745 | 3.0× |
| MRI lumbar spine without contrast (72148) | $579.83 | $1,296 | 2.3× |
| CT pelvis with contrast (72193) | $507.80 | $1,135 | 2.7× |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$579.83–$869.30 | $1,296–$1,943 | varies |
| CT abdomen and pelvis with contrast (74177) | $969.96 | $2,168 | 2.6× |
| Ultrasound, abdomen complete (76700) | $191.93 | $429 | 1.7× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $191.93 | $429 | 1.7× |
| Ultrasound, transvaginal (76830) | $191.93 | $429 | 1.7× |
| Mammography, one breast (diagnostic) (77065) | $257.70 | $576 | 3.0× |
| Mammography, both breasts (diagnostic) (77066) | $325.71 | $728 | 2.9× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$261.73–$392.82 | $585–$878 | varies |
| Basic metabolic panel (80048) | $22.37 | $50 | 2.6× |
| Comprehensive metabolic panel (80053) | $26.84 | $60 | 2.5× |
| Obstetric panel (80055) | $121.69 | $272 | 2.5× |
| Lipid panel (80061) | $34.45 | $77 | 2.6× |
| Renal function panel (80069) | $22.82 | $51 | 2.6× |
| Hepatic function panel (80076) | $21.92 | $49 | 2.7× |
| Urinalysis, non-automated, without microscopy (81002) | $8.50 | $19 | 2.4× |
| PSA, total (84153) range across 4 matching MRF lines |
$11.19–$47.42 | $25–$106 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$11.19–$42.95 | $25–$96 | varies |
| CBC with automated differential (85025) | $21.03 | $47 | 2.7× |
| CBC, automated (85027) | $17.45 | $39 | 2.7× |
| Prothrombin time (PT) (85610) | $11.19 | $25 | 2.6× |
| Partial thromboplastin time (PTT) (85730) | $16.11 | $36 | 2.7× |
| Psychotherapy, 30 minutes (90832) | $83.66 | $187 | 0.4× |
| Psychotherapy, 45 minutes (90834) | $153.01 | $342 | 0.8× |
| Psychotherapy, 60 minutes (90837) | $325.26 | $727 | 1.7× |
| Family psychotherapy, without patient (50 min) (90846) | $199.09 | $445 | 1.1× |
| Family psychotherapy, with patient (50 min) (90847) | $201.78 | $451 | 1.1× |
| Group psychotherapy (90853) | $116.32 | $260 | 1.1× |
| Left heart catheterization (93452) range across 2 matching MRF lines |
$12,458.75–$21,911.42 | $27,847–$48,975 | varies |
| Sleep study (attended polysomnography) (95810) range across 3 matching MRF lines |
$2,254.45–$3,210.99 | $5,039–$7,177 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $58.61 | $131 | 2.0× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$77.40–$89.48 | $173–$200 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 3 matching MRF lines |
$106.03–$122.59 | $237–$274 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 3 matching MRF lines |
$143.62–$165.99 | $321–$371 | varies |
| Preventive visit, new patient (age 18–39) (99385) range across 4 matching MRF lines |
$66.22–$139.59 | $148–$312 | varies |
| Preventive visit, new patient (age 40–64) (99386) range across 3 matching MRF lines |
$66.22–$139.59 | $148–$312 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 479 codes with posted prices and Medicare benchmarks
- Lab & pathology: 1136 codes with posted prices and Medicare benchmarks
- Visits & medical services: 505 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 1222 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 245 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (ZIP, 61.2 MB) ↓ — captured 2026-10-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.