Jackson County Memorial Hospital Authority
Altus, OK
Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,516.50 | $1,516.50 | 1.8× |
| CT head/brain without contrast (70450) | $2,314 | $2,314 | 22.9× |
| MRI brain without contrast (70551) | $3,111.15 | $3,111.15 | 13.5× |
| MRI brain with contrast (70552) | $3,193.05 | $3,193.05 | 9.5× |
| MRI brain without and with contrast (70553) | $4,761.75 | $4,761.75 | 14.1× |
| X-ray lower spine, 4+ views (72110) | $336.21 | $336.21 | 3.3× |
| MRI lumbar spine without contrast (72148) | $3,567.90 | $3,567.90 | 15.5× |
| CT pelvis with contrast (72193) | $1,601.25 | $1,601.25 | 9.5× |
| MRI lower-extremity joint without contrast (73721) | $2,631.30 | $2,631.30 | 11.4× |
| CT abdomen and pelvis with contrast (74177) | $3,200 | $3,200 | 9.5× |
| Ultrasound, abdomen complete (76700) | $911.40 | $911.40 | 9.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $547.05 | $547.05 | 5.4× |
| Ultrasound, transvaginal (76830) | $753.90 | $753.90 | 7.5× |
| Mammography, one breast (diagnostic) (77065) | $383.77 | $383.77 | 4.5× |
| Mammography, both breasts (diagnostic) (77066) | $498.75 | $498.75 | 4.5× |
| Mammography, screening (bilateral) (77067) | $337.85 | $337.85 | 3.7× |
| Basic metabolic panel (80048) | $25.38 | $25.38 | 3.0× |
| Comprehensive metabolic panel (80053) | $31.68 | $31.68 | 3.0× |
| Obstetric panel (80055) | $143.43 | $143.43 | 3.0× |
| Lipid panel (80061) | $40.17 | $40.17 | 3.0× |
| Renal function panel (80069) | $26.04 | $26.04 | 3.0× |
| Hepatic function panel (80076) | $24.51 | $24.51 | 3.0× |
| Urinalysis, non-automated, with microscopy (81000) | $17.54 | $17.54 | 4.4× |
| Urinalysis, non-automated, without microscopy (81002) | $10.44 | $10.44 | 3.0× |
| PSA, total (84153) | $55.17 | $55.17 | 3.0× |
| Thyroid stimulating hormone (TSH) (84443) | $50.40 | $50.40 | 3.0× |
| CBC with automated differential (85025) | $23.31 | $23.31 | 3.0× |
| CBC, automated (85027) | $19.41 | $19.41 | 3.0× |
| Prothrombin time (PT) (85610) | $12.87 | $12.87 | 3.0× |
| Partial thromboplastin time (PTT) (85730) | $18.03 | $18.03 | 3.0× |
| Psychotherapy, 30 minutes (90832) | $188 | $188 | 1.1× |
| Psychotherapy, 45 minutes (90834) | $251 | $251 | 1.5× |
| Psychotherapy, 60 minutes (90837) | $375 | $375 | 2.2× |
| Family psychotherapy, without patient (50 min) (90846) | $302.85 | $302.85 | 1.8× |
| Family psychotherapy, with patient (50 min) (90847) | $394.05 | $394.05 | 2.3× |
| Group psychotherapy (90853) | $74.40 | $74.40 | 0.8× |
| Sleep study (attended polysomnography) (95810) | $3,843 | $3,843 | 4.6× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $164 | $164 | 5.6× |
More prices at this hospital
- Imaging: 225 codes with posted prices and Medicare benchmarks
- Lab & pathology: 694 codes with posted prices and Medicare benchmarks
- Visits & medical services: 131 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 307 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 28 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 80.9 MB) ↓ — captured 2026-07-29
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