Home › Hospitals › Jefferson Davis Community Hospital Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
See something wrong with these prices? Tell us →
Compare this hospital against others interactively →
Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $503.97
$1,439.90
0.7×
CT head/brain without contrast (70450) $748.75
$2,139.28
8.3×
MRI brain without contrast (70551) $979.78
$2,799.34
4.8×
MRI brain with contrast (70552) $1,360.71
$3,887.73
4.5×
MRI brain without and with contrast (70553) $1,678.76
$4,796.44
5.6×
X-ray lower spine, 4+ views (72110) $250.29
$715.11
2.8×
MRI lumbar spine without contrast (72148) $1,324.29
$3,783.67
6.4×
CT pelvis with contrast (72193) $869.03
$2,482.92
5.7×
MRI lower-extremity joint without contrast (73721) $1,249.75
$3,570.71
6.1×
CT abdomen and pelvis with contrast (74177) $1,640.22
$4,686.33
5.5×
Ultrasound, abdomen complete (76700) $465.85
$1,331
5.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $297.30
$849.42
3.3×
Ultrasound, transvaginal (76830) $219.38
$626.78
2.4×
Mammography, one breast (diagnostic) (77065) $133.41
$381.15
1.5×
Mammography, both breasts (diagnostic) (77066) $143.99
$411.40
1.3×
Mammography, screening (bilateral) (77067) $123.88
$353.92
1.4×
Basic metabolic panel (80048) $44.05
$125.84
5.2×
Comprehensive metabolic panel (80053) $75.81
$216.59
7.2×
Lipid panel (80061) $38.97
$111.32
2.9×
Renal function panel (80069) $49.13
$140.36
5.7×
Hepatic function panel (80076) $42.35
$121
5.2×
Urinalysis, non-automated, without microscopy (81002) $14.83
$42.35
4.3×
PSA, total (84153) $39.39
$112.53
2.1×
Thyroid stimulating hormone (TSH) (84443) $34.73
$99.22
2.1×
CBC with automated differential (85025) $30.07
$85.91
3.9×
CBC, automated (85027) $29.65
$84.70
4.6×
Prothrombin time (PT) (85610) $19.06
$54.45
4.4×
Partial thromboplastin time (PTT) (85730) $21.18
$60.50
3.5×
Psychotherapy, 30 minutes (90832) $67.34
$192.39
0.4×
Psychotherapy, 45 minutes (90834) $93.17
$266.20
0.6×
Psychotherapy, 60 minutes (90837) $93.17
$266.20
0.6×
Family psychotherapy, without patient (50 min) (90846) $60.57
$173.03
0.4×
Family psychotherapy, with patient (50 min) (90847) $91.70
$261.96
0.6×
Group psychotherapy (90853) $193.54
$552.97
2.2×
Left heart catheterization (93452) $3,441.37
$9,832.46
1.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $37.70
$107.69
1.3×
Office visit, new patient (low complexity, ~30 min) (99203) $74.12
$211.75
0.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $82.59
$235.95
0.7×
Office visit, new patient (high complexity, ~60 min) (99205) $91.06
$260.15
0.8×
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