Home › Hospitals › Jasper Memorial Hospital Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
See something wrong with these prices? Tell us →
Compare this hospital against others interactively →
Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $666.65
$1,333.30
6.4×
X-ray lower spine, 4+ views (72110) $142.35
$284.70
1.4×
CT pelvis with contrast (72193) $773.30
$1,546.60
4.4×
CT abdomen and pelvis with contrast (74177) $1,623.15
$3,246.30
4.6×
Ultrasound, abdomen complete (76700) $373.30
$746.60
3.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $250.45
$500.90
2.4×
Ultrasound, transvaginal (76830) $255.10
$510.20
2.4×
Mammography, one breast (diagnostic) (77065) $185.15
$370.30
2.1×
Mammography, both breasts (diagnostic) (77066) $211.95
$423.90
1.9×
Mammography, screening (bilateral) (77067) $176.20
$352.40
1.9×
Basic metabolic panel (80048) $50.60
$101.20
6.0×
Comprehensive metabolic panel (80053) $92.05
$184.10
8.7×
Lipid panel (80061) $80
$160
6.0×
Renal function panel (80069) $48.05
$96.10
5.5×
Hepatic function panel (80076) $45.70
$91.40
5.6×
Urinalysis, non-automated, without microscopy (81002) $24.20
$48.40
7.0×
PSA, total (84153) $65.25
$130.50
3.5×
Thyroid stimulating hormone (TSH) (84443) $62.10
$124.20
3.7×
CBC with automated differential (85025) $40
$80
5.1×
Prothrombin time (PT) (85610) $32.05
$64.10
7.5×
Partial thromboplastin time (PTT) (85730) $36
$72
6.0×
Electrocardiogram (ECG), complete (93000) $86.15
$172.30
1.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $52.80
$105.60
1.8×
Office visit, new patient (low complexity, ~30 min) (99203) $100.50
$201
0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $132
$264
1.0×
Office visit, new patient (high complexity, ~60 min) (99205) $178.50
$357
1.3×
Office consultation (low complexity, ~30 min) (99243) $107
$214
0.8×
Office consultation (moderate complexity, ~40 min) (99244) $141.50
$283
1.1×
Preventive visit, new patient (age 18–39) (99385) $169
$338
—
Preventive visit, new patient (age 40–64) (99386) $181.50
$363
—
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