Supplies, drugs & other prices at Jacksonville Memorial Hospital

Jacksonville, IL · every code in this section with a posted price and a Medicare benchmark.

41 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $8,950 $8,950 2.1×
Abltj perc cryoabltj img gdn lxtr/perph nerve (0441T) $4,298 $4,298 2.1×
Admin influenza virus vac (G0008)
range across 2 matching MRF lines
$187–$210 $187–$210 varies
Anatomic Model 3D Printed 1St Compnt Antmc Strux (0559T) $125 $125 0.9×
Catheterize for urine spec (P9612) $24 $24 2.6×
Diab manage trn per indiv (G0108) $170 $170 3.0×
Diab manage trn ind/group (G0109) $45 $45 2.8×
Direct refer hospital observ (G0379) $375 $375 0.6×
Elec stim other than wound (G0283) $241 $241 19.0×
Hbot, full body chamber, 30m (G0277) $763 $763 5.2×
Hep c screen high risk/other (G0472) $158 $158 3.4×
Hpv combo assay ca screen (G0476) $175 $175 5.0×
Inj for sacroiliac jt anesth (G0260) $1,551 $1,551 2.1×
Oth resp proc, group (G0239)
range across 3 matching MRF lines
$111–$212 $111–$212 varies
Oth resp proc, indiv (G0238) $102 $102 3.3×
Perq Sacral Augmt Bilat Inj (0201T) $16,742 $16,742 2.2×
Perq Sacral Augmt Unilat Inj (0200T) $11,161 $11,161 1.4×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $25,592 $25,592 2.1×
Prostate biopsy, any mthd (G0416) $746 $746 1.9×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $1,533 $1,533 2.2×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $2,342 $2,342 2.3×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $1,983 $1,983 2.0×
Removal Ss Dfb Electrode (0573T) $9,418 $9,418 2.4×
Revasc intra lithotrip-ather (C9766) $23,805 $23,805 1.2×
Revasc intra lithotrip-stent (C9765) $28,648 $28,648 1.5×
Revasc intravasc lithotripsy (C9764) $14,139 $14,139 1.1×
Revasc lith-sten-ath tib/per (C9775) $41,172 $41,172 2.1×
Revasc lithotr-ather tib/per (C9774) $41,172 $41,172 2.1×
Revasc lithotr-stent tib/per (C9773) $40,952 $40,952 2.1×
Revasc lithotrip tibi/perone (C9772) $31,442 $31,442 2.5×
Revasc lithotrip-stent-ather (C9767) $38,296 $38,296 1.9×
Scr c/v cyto,thinlayer,rescr (G0144) $114 $114 2.6×
Screen cerv/vag thin layer (G0123) $227 $227 11.2×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $35,587 $35,587 1.7×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $12,446 $12,446 2.0×
Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) $7,775 $7,775 1.7×
Therapeutic procd strg endur (G0237) $92 $92 3.0×
Tomosynthesis, mammo (G0279) $170 $170 13.4×
Transcatheter Renal Sympath Denervation Bilat (0339T) $15,397 $15,397 2.5×
Transcatheter renal sympath denervation unilat (0338T) $19,449 $19,449 3.2×
Trauma respons w/hosp criti (G0390) $7,255 $7,255 5.1×

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.