Jacksonville Memorial Hospital
Jacksonville, IL · Critical Access Hospital
Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,900 | $1,900 | 2.0× |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$1,453–$1,851 | $1,453–$1,851 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 7 matching MRF lines |
$2,450–$5,053 | $2,450–$5,053 | varies |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$3,138–$3,707 | $3,138–$3,707 | varies |
| MRI brain without contrast (70551) range across 4 matching MRF lines |
$4,012–$5,786 | $4,012–$5,786 | varies |
| MRI brain with contrast (70552) | $6,416 | $6,416 | 17.2× |
| MRI brain without and with contrast (70553) | $7,396 | $7,396 | 19.8× |
| X-ray lower spine, 4+ views (72110) | $1,163 | $1,163 | 10.4× |
| MRI lumbar spine without contrast (72148) | $5,540 | $5,540 | 21.7× |
| CT pelvis with contrast (72193) range across 3 matching MRF lines |
$4,521–$4,783 | $4,521–$4,783 | varies |
| MRI lower-extremity joint without contrast (73721) | $4,800 | $4,800 | 18.8× |
| CT abdomen and pelvis with contrast (74177) range across 4 matching MRF lines |
$7,344–$7,822 | $7,344–$7,822 | varies |
| Ultrasound, abdomen complete (76700) | $1,947 | $1,947 | 17.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $1,212 | $1,212 | 10.8× |
| Ultrasound, transvaginal (76830) | $1,320 | $1,320 | 11.8× |
| Mammography, one breast (diagnostic) (77065) range across 6 matching MRF lines |
$521–$546 | $521–$546 | varies |
| Mammography, both breasts (diagnostic) (77066) range across 3 matching MRF lines |
$696–$742 | $696–$742 | varies |
| Mammography, screening (bilateral) (77067) range across 4 matching MRF lines |
$538–$578 | $538–$578 | varies |
| Basic metabolic panel (80048) | $272 | $272 | 32.2× |
| Comprehensive metabolic panel (80053) | $380 | $380 | 36.0× |
| Obstetric panel (80055) | $258 | $258 | 5.4× |
| Lipid panel (80061) | $315 | $315 | 23.5× |
| Renal function panel (80069) | $314 | $314 | 36.2× |
| Hepatic function panel (80076) | $332 | $332 | 40.6× |
| Urinalysis, non-automated, without microscopy (81002) | $47 | $47 | 13.5× |
| PSA, total (84153) | $375 | $375 | 20.4× |
| Thyroid stimulating hormone (TSH) (84443) | $324 | $324 | 19.3× |
| CBC with automated differential (85025) | $163 | $163 | 21.0× |
| CBC, automated (85027) | $151 | $151 | 23.3× |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$65–$147 | $65–$147 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$199–$205 | $199–$205 | varies |
| Left heart catheterization (93452) | $10,461 | $10,461 | 3.0× |
| Sleep study (attended polysomnography) (95810) | $8,669 | $8,669 | 9.4× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 10 matching MRF lines |
$247–$255 | $247–$255 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 8 matching MRF lines |
$359–$473 | $359–$473 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 8 matching MRF lines |
$384–$661 | $384–$661 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 7 matching MRF lines |
$407–$832 | $407–$832 | 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: 382 codes with posted prices and Medicare benchmarks
- Lab & pathology: 583 codes with posted prices and Medicare benchmarks
- Visits & medical services: 201 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 938 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 41 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 643.7 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.