Visits & medical services prices at Jacksonville Memorial Hospital
Jacksonville, IL · every code in this section with a posted price and a Medicare benchmark.
201 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ablate Heart Dysrhythm Focus (93650) | $14,497 | $14,497 | 1.7× |
| Aep neurodiagnostic i&r (92653) | $1,409 | $1,409 | 6.1× |
| Aep threshold estimation mlt frequencies i&r (92652) | $1,429 | $1,429 | 6.2× |
| Airway Inhalation Treatment (94640) range across 12 matching MRF lines |
$545–$715 | $545–$715 | varies |
| Analyze Pacemaker System (93724) | $875 | $875 | 2.7× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $186 | $186 | 13.0× |
| Application on-body injector (96377) | $365 | $365 | 7.3× |
| Behavral qualit analys voice (92524) | $398 | $398 | 3.6× |
| Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) | $221 | $221 | 2.7× |
| Bfb training ea addl 15 min (90913) | $107 | $107 | 3.3× |
| Blink reflex test (95933) | $151 | $151 | 2.4× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,097 | $1,097 | 2.7× |
| Bundle of his recording (93600) | $9,102 | $9,102 | 1.1× |
| C motor evoked upr&lwr limbs (95939) | $2,655 | $2,655 | 2.9× |
| Canalith repositioning proc (95992) range across 2 matching MRF lines |
$203–$236 | $203–$236 | varies |
| Cardiac Stress Tst,Tracing Only (93017) | $1,960 | $1,960 | 8.5× |
| Cardiopulmonary exercise testing (94621) | $2,232 | $2,232 | 5.6× |
| Cardiopulmonary resuscitation (92950) range across 5 matching MRF lines |
$945–$1,001 | $945–$1,001 | varies |
| Cardioversion (92960) range across 6 matching MRF lines |
$2,091–$2,541 | $2,091–$2,541 | varies |
| Cardioversion elective internal (92961) | $2,975 | $2,975 | 4.2× |
| Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) | $16,577 | $16,577 | 4.8× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $14,250 | $14,250 | 4.1× |
| Cbt 1st hour (94644) | $342 | $342 | 2.4× |
| Chemo Anti-Neopl Sq/Im (96401) range across 5 matching MRF lines |
$288–$521 | $288–$521 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 4 matching MRF lines |
$248–$282 | $248–$282 | varies |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$229–$532 | $229–$532 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$252–$497 | $252–$497 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $1,436 | $1,436 | 4.1× |
| Chemotherapy Into Cns (96450) | $1,332 | $1,332 | 3.8× |
| Chemotherapy Unspecified (96549) | $296 | $296 | 5.9× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$375–$593 | $375–$593 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 4 matching MRF lines |
$866–$1,666 | $866–$1,666 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$400–$411 | $400–$411 | varies |
| Chest Wall Manipulation (94668) | $222 | $222 | 1.6× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $157 | $157 | 4.9× |
| Continuous Pulse Ox (94762) | $322 | $322 | 2.3× |
| Coronary Art/Grft Angio S&I (93455) | $13,934 | $13,934 | 4.0× |
| Coronary Artery Angio S&I (93454) | $12,697 | $12,697 | 3.7× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 9 matching MRF lines |
$1,267–$1,326 | $1,267–$1,326 | varies |
| Cpt initial (94667) range across 5 matching MRF lines |
$240–$270 | $240–$270 | varies |
| Critical care first hour (99291) | $3,619 | $3,619 | 4.1× |
| Debridement Open Wound 20 Sq Cm< (97597) | $374 | $374 | 1.7× |
| Developmental tst admin phys/qhp 1st hour (96112) | $505 | $505 | 3.7× |
| Dialysis One Evaluation (90945) range across 19 matching MRF lines |
$1,303–$2,005 | $1,303–$2,005 | varies |
| Echo Congenital Complete (93303) range across 3 matching MRF lines |
$1,604–$1,811 | $1,604–$1,811 | varies |
| Echo Heart Xthoracic,Limited (93308) range across 6 matching MRF lines |
$1,301–$1,579 | $1,301–$1,579 | varies |
| Echo transesophageal (93312) | $3,055 | $3,055 | 5.2× |
| Echo Transesophageal - Congenital Tee Complete (93315) | $2,267 | $2,267 | 3.9× |
| Eeg 41-60 Minutes (95812) | $1,642 | $1,642 | 7.1× |
| EEG awake and asleep (95819) | $1,273 | $1,273 | 5.5× |
| EEG awake drowsy (95816) | $980 | $980 | 4.2× |
| EEG cerebral death evaluation (95824) | $1,108 | $1,108 | 2.8× |
| EEG cont rec w/video by tech min 8 channels (95700) | $846 | $846 | 3.7× |
| EEG extended monitoring 61-119 minutes (95813) | $2,021 | $2,021 | 8.7× |
| Eeg Sleep Only (95822) | $917 | $917 | 4.0× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $2,002 | $2,002 | 8.7× |
| EEG w/o vid 2-12hr cont mntr (95707) | $2,418 | $2,418 | 10.4× |
| EEG w/o vid ea 12-26hr intmt (95709) | $2,752 | $2,752 | 6.9× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $5,101 | $5,101 | 12.8× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $2,347 | $2,347 | 10.1× |
| EEG wo vid ea 12-26hr unmntr (95708) | $2,568 | $2,568 | 6.4× |
| Electrical Stimulation Ea 15 Min (97032) range across 8 matching MRF lines |
$241–$279 | $241–$279 | varies |
| Electrocardiogram Tracing (93005) | $500 | $500 | 7.9× |
| Electrophysiologic Follow-Up W/Pac/Rec W/Arrhyt (93624) | $9,102 | $9,102 | 1.1× |
| Emergency Dept Visit Level 2 (99282) range across 4 matching MRF lines |
$744–$791 | $744–$791 | varies |
| Emergency Dept Visit Level 3 (99283) range across 4 matching MRF lines |
$1,300–$1,374 | $1,300–$1,374 | varies |
| Emergency Dept Visit Level 4 (99284) range across 4 matching MRF lines |
$1,717–$1,904 | $1,717–$1,904 | varies |
| Endomyocardial Biopsy (93505) | $5,456 | $5,456 | 1.6× |
| Ep & ablate supravent arrhyt (93653) | $49,638 | $49,638 | 1.8× |
| Ep & ablate ventric tachy (93654) | $64,742 | $64,742 | 2.3× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) | $21,576 | $21,576 | 2.6× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) | $11,738 | $11,738 | 1.4× |
| Er level 1 (99281) range across 4 matching MRF lines |
$450–$458 | $450–$458 | varies |
| Er level v (99285) range across 4 matching MRF lines |
$2,463–$3,721 | $2,463–$3,721 | varies |
| Evaluate pt use of inhaler (94664) | $322 | $322 | 1.4× |
| Evaluate Speech Production (92522) | $514 | $514 | 4.6× |
| Evaluate Swallowing Function (92610) range across 8 matching MRF lines |
$486–$796 | $486–$796 | varies |
| Evaluation of speech fluency (92521) | $494 | $494 | 3.7× |
| Evoked Auditory Test,Limited (92587) | $650 | $650 | 2.8× |
| External ECG rec>48hr<7d recording (93242) | $529 | $529 | 13.2× |
| External ECG rec>7d<15d recording (93246) | $529 | $529 | 13.2× |
| F-up/limited tthrc echo congenital car anomaly (93304) range across 3 matching MRF lines |
$1,215–$1,347 | $1,215–$1,347 | varies |
| Funcjal Cort&Subcort Mapg Phys/Qhp Attnd Init Hr (95961) | $2,122 | $2,122 | 2.3× |
| Gi tract capsule endoscopy (91110) | $4,460 | $4,460 | 4.6× |
| Group Therapeutic Procedures (97150) | $155 | $155 | 8.6× |
| Heart catheterization, both sides, with coronary and bypass graft angiography (93461) | $18,278 | $18,278 | 5.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 5 matching MRF lines |
$1,976–$2,304 | $1,976–$2,304 | varies |
| Holter monitor recording (93225) | $1,298 | $1,298 | 9.1× |
| Immunization administration (90471) range across 9 matching MRF lines |
$187–$210 | $187–$210 | varies |
| Insert/Place Heart Catheter (93503) | $2,925 | $2,925 | 1.7× |
| Intra-atrial pacing (93610) | $9,102 | $9,102 | 1.1× |
| Intra-atrial recording (93602) | $9,102 | $9,102 | 1.1× |
| Iontophoresis 15 min (97033) | $252 | $252 | 13.2× |
| Irrig Drug Delivery Device (96523) | $212 | $212 | 3.4× |
| IV infusion hydration each additional hour (96361) range across 6 matching MRF lines |
$259–$378 | $259–$378 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 6 matching MRF lines |
$778–$889 | $778–$889 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 7 matching MRF lines |
$434–$446 | $434–$446 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 6 matching MRF lines |
$373–$479 | $373–$479 | varies |
| IV push initial (96374) range across 8 matching MRF lines |
$595–$611 | $595–$611 | varies |
| L Hrt Art/Grft Angio (93459) | $15,010 | $15,010 | 4.3× |
| Lung Function Test (Mbc/Mvv) (94200) | $232 | $232 | 3.7× |
| Mechanical chest wall oscillation per session (94669) | $424 | $424 | 1.8× |
| Methacholine challenge (94070) | $2,894 | $2,894 | 7.2× |
| Motion Fluoroscopy/Swallow (92611) range across 8 matching MRF lines |
$295–$629 | $295–$629 | varies |
| Multiple Sleep Latency Test (95805) | $3,172 | $3,172 | 3.4× |
| Nasopharyngoscopy (92511) | $406 | $406 | 1.9× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$508–$855 | $508–$855 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $570 | $570 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 3 matching MRF lines |
$729–$1,235 | $729–$1,235 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 3 matching MRF lines |
$770–$1,337 | $770–$1,337 | varies |
| Neuromuscular Reeducation (97112) range across 10 matching MRF lines |
$277–$283 | $277–$283 | varies |
| Newborn resuscitation (99465) | $1,550 | $1,550 | 2.2× |
| Oral Function Therapy (92526) range across 6 matching MRF lines |
$252–$453 | $252–$453 | varies |
| Oral Speech Device Eval (92597) | $343 | $343 | 4.8× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) range across 8 matching MRF lines |
$162–$174 | $162–$174 | varies |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) range across 8 matching MRF lines |
$245–$262 | $245–$262 | varies |
| Osteopathic Manipulative Tx 1-2 Body Regions (98925) | $90 | $90 | 3.9× |
| Ot eval high complexity (97167) range across 4 matching MRF lines |
$654–$2,283 | $654–$2,283 | varies |
| Ot Eval Low Complex (97165) range across 4 matching MRF lines |
$453–$1,230 | $453–$1,230 | varies |
| Ot Eval Moderate Complexity (97166) range across 4 matching MRF lines |
$539–$1,756 | $539–$1,756 | varies |
| Ot manual therapy 15 min (97140) | $230 | $230 | 8.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $113 | $113 | 2.8× |
| Ot Re-Eval Est Plan Care (97168) range across 3 matching MRF lines |
$255–$367 | $255–$367 | varies |
| Oxygen Uptake Rest Indirect (94690) | $382 | $382 | 6.0× |
| Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) | $863 | $863 | 3.7× |
| Perq transcath closure pda (93582) | $17,750 | $17,750 | 0.9× |
| Perq Transcath Cls Aortic (93591) | $21,276 | $21,276 | 1.1× |
| Perq Transcath Cls Mitral (93590) | $28,722 | $28,722 | 1.5× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $11,776 | $11,776 | 1.9× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $34,507 | $34,507 | 2.8× |
| Physical Performance Test (97750) range across 4 matching MRF lines |
$161–$169 | $161–$169 | varies |
| Plethysmography (94726) range across 4 matching MRF lines |
$864–$940 | $864–$940 | varies |
| Pm/Icd Remote Tech Serv (93296) range across 2 matching MRF lines |
$173–$188 | $173–$188 | varies |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) range across 9 matching MRF lines |
$8,382–$9,252 | $8,382–$9,252 | varies |
| Polysom <6 yrs 4/> paramtrs (95782) | $8,643 | $8,643 | 9.4× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $9,124 | $9,124 | 9.9× |
| Prq Card Angio/Athrect 1 Art (92924) | $18,477 | $18,477 | 1.5× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $17,235 | $17,235 | 1.4× |
| Prq Card Stent/Ath/Angio (92933) | $26,793 | $26,793 | 1.4× |
| Prq Revasc Byp Graft 1 Vsl (92937) | $23,146 | $23,146 | 1.9× |
| Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581) | $22,598 | $22,598 | 1.2× |
| Prq trluml pulmonary art balloon angiop 1 vsl (92997) | $14,962 | $14,962 | 1.2× |
| Pt Eval High Complex (97163) range across 4 matching MRF lines |
$667–$2,283 | $667–$2,283 | varies |
| Pt eval low complex 20 min (97161) range across 4 matching MRF lines |
$492–$1,230 | $492–$1,230 | varies |
| Pt Eval Mod Complex (97162) range across 4 matching MRF lines |
$574–$1,756 | $574–$1,756 | varies |
| Pt gait training 15 min (97116) range across 5 matching MRF lines |
$201–$211 | $201–$211 | varies |
| Pt Re-Eval Est Plan Care (97164) range across 3 matching MRF lines |
$198–$317 | $198–$317 | varies |
| Pulm function test by gas (94727) | $563 | $563 | 2.4× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$674–$714 | $674–$714 | varies |
| Pulmonary Stress Testing (94618) range across 4 matching MRF lines |
$270–$557 | $270–$557 | varies |
| R Hrt Art/Grft Angio (93457) | $16,745 | $16,745 | 4.8× |
| R hrt coronary artery angio (93456) | $15,528 | $15,528 | 4.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $15,991 | $15,991 | 4.6× |
| Rem Interrog Scrms <30 D Phys/Qhp (93298) | $171 | $171 | 4.3× |
| Remote 30 Day Ecg Rev/Report (93270) | $676 | $676 | 16.9× |
| Respiratory flow volume loop (94375) | $598 | $598 | 2.6× |
| Right Heart Cath (93451) | $14,041 | $14,041 | 4.0× |
| Right ventricular recording (93603) | $3,136 | $3,136 | 2.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 3 matching MRF lines |
$448–$579 | $448–$579 | varies |
| Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) | $330 | $330 | 2.7× |
| Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) | $198 | $198 | 4.1× |
| Self Care Mngment Training (97535) range across 7 matching MRF lines |
$223–$271 | $223–$271 | varies |
| Sensory Integration Ea 15 Min (97533) | $158 | $158 | 2.6× |
| Sleep study attended (95807) | $2,793 | $2,793 | 7.0× |
| Speech sound lang comprehen (92523) range across 8 matching MRF lines |
$296–$954 | $296–$954 | varies |
| Spirometry (94010) | $245 | $245 | 1.1× |
| Stress Tte Only (93350) range across 4 matching MRF lines |
$3,246–$3,570 | $3,246–$3,570 | varies |
| Surfactant Admin Thru Tube (94610) | $647 | $647 | 2.8× |
| Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) | $1,127 | $1,127 | 10.1× |
| Temp transcutaneous pacing (92953) | $776 | $776 | 1.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 10 matching MRF lines |
$124–$151 | $124–$151 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 10 matching MRF lines |
$82–$120 | $82–$120 | varies |
| Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) | $176 | $176 | 4.7× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $295 | $295 | 2.9× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$199–$339 | $199–$339 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 8 matching MRF lines |
$853–$926 | $853–$926 | varies |
| Therapeutic Activities (97530) range across 10 matching MRF lines |
$175–$222 | $175–$222 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $4,224 | $4,224 | 10.6× |
| Transcath Closure of Asd (93580) | $37,337 | $37,337 | 1.9× |
| Transcranial Doppler Intracran Art Emboli Detect (93892) | $873 | $873 | 7.8× |
| Tte w/doppler, complete (93306) range across 5 matching MRF lines |
$4,451–$4,479 | $4,451–$4,479 | varies |
| Tx atrial fib pulm vein isol (93656) | $68,879 | $68,879 | 2.5× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$200–$497 | $200–$497 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) | $100 | $100 | 4.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 8 matching MRF lines |
$356–$440 | $356–$440 | varies |
| Unlisted cardiovascular service/procedure (93799) range across 2 matching MRF lines |
$1,765–$16,776 | $1,765–$16,776 | varies |
| Valvuloplasty aortic valve (92986) | $17,069 | $17,069 | 2.8× |
| Valvuloplasty mitral valve (92987) | $17,597 | $17,597 | 1.4× |
| Valvuloplasty pulmonary valve (92990) | $16,984 | $16,984 | 1.4× |
| Vasopneumatic device (97016) | $197 | $197 | 16.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $3,430 | $3,430 | 8.6× |
| Veeg 2-12 hr intmt mntr (95712) | $2,905 | $2,905 | 7.3× |
| Veeg 2-12 hr unmonitored (95711) | $2,107 | $2,107 | 9.1× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $3,058 | $3,058 | 7.6× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $2,828 | $2,828 | 7.1× |
| Veeg ea 12-26hr cont mntr (95716) | $3,944 | $3,944 | 4.3× |
| Vent Mgmt Inpat Init Day (94002) | $3,081 | $3,081 | 4.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,156 | $2,156 | 3.3× |
| Vital capacity, total (94150) | $270 | $270 | 2.0× |
| Wada Activation Test Hemispheric Function W/Eeg (95958) | $2,563 | $2,563 | 2.8× |
| Wheelchair Mgmt Ea 15 Min (97542) range across 8 matching MRF lines |
$95–$136 | $95–$136 | 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.