Home › Hospitals › UT Health East Texas Jacksonville Hospital Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $392
$3,920
0.4×
Upper GI endoscopy (EGD) with biopsy (43239) $538.90
$5,389
0.6×
Diagnostic colonoscopy (45378) $592.20
$5,922
0.6×
Colonoscopy with biopsy (45380) $651.50
$6,515
0.5×
Colonoscopy with lesion removal (45385) $520.90
$5,209
0.4×
Epidural injection, lumbar/sacral (with imaging) (62322) $213.20
$2,132
0.2×
Transforaminal epidural injection, lumbar/sacral (64483) $306.80
$3,068
0.3×
CT head/brain without contrast (70450) $562.10
$5,621
5.4×
MRI brain without contrast (70551) $752.60
$7,526
3.1×
MRI brain with contrast (70552) $895.60
$8,956
2.6×
MRI brain without and with contrast (70553) $1,018.10
$10,181
2.9×
X-ray lower spine, 4+ views (72110) $258.10
$2,581
2.5×
MRI lumbar spine without contrast (72148) $703.60
$7,036
2.9×
CT pelvis with contrast (72193) $755.90
$7,559
4.3×
MRI lower-extremity joint without contrast (73721) $781.80
$7,818
3.3×
CT abdomen and pelvis with contrast (74177) $1,134
$11,340
3.2×
Ultrasound, abdomen complete (76700) $296.90
$2,969
2.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $241.30
$2,413
2.3×
Ultrasound, transvaginal (76830) $171.60
$1,716
1.6×
Mammography, one breast (diagnostic) (77065) $94.10
$941
1.1×
Mammography, both breasts (diagnostic) (77066) $103.50
$1,035
0.9×
Mammography, screening (bilateral) (77067) $69.50
$695
0.8×
Basic metabolic panel (80048) $48.50
$485
5.7×
Comprehensive metabolic panel (80053) $60.70
$607
5.7×
Lipid panel (80061) $77
$770
5.8×
Renal function panel (80069) $135.30
$1,353
15.6×
Hepatic function panel (80076) $47
$470
5.8×
Urinalysis, non-automated, with microscopy (81000) $6.70
$67
1.7×
Urinalysis, non-automated, without microscopy (81002) $4.20
$42
1.2×
PSA, total (84153) $90.70
$907
4.9×
Thyroid stimulating hormone (TSH) (84443) $82.90
$829
4.9×
CBC with automated differential (85025) $38.40
$384
4.9×
CBC, automated (85027) $32
$320
4.9×
Prothrombin time (PT) (85610) $19.50
$195
4.5×
Partial thromboplastin time (PTT) (85730) $29.70
$297
4.9×
Sleep study (attended polysomnography) (95810) $606.60
$6,066
0.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines $31.20–$37.30
$312–$373
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.
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