Jackson County Memorial Hospital Authority

1200 East Pecan St, Altus, OK 73521 · (580) 379-5500

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Altus, OK metro Website ↗

Price file

Prices published

File dated 2025-12-31

1,186 price rows for 62 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $25

$25

cash

$9 to $49

20 negotiated rates

$25

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $3,200

$3,200

cash

$364 to $3,040

20 negotiated rates

$3,200

list

CT scan of the head, no contrast

CPT 70450 · metro median $2,314

$2,314

cash

$108 to $2,198

20 negotiated rates

$2,314

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,601

$1,601

cash

$181 to $1,521

20 negotiated rates

$1,601

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,324 to $13,292

8 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$8,536 to $21,075

8 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $105

$105

cash

$38 to $100

40 negotiated rates

$105

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$929 to $2,228

8 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,201 to $2,228

8 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,201 to $8,121

8 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $23

$23

cash

$8 to $34

20 negotiated rates

$23

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $32

$32

cash

$11 to $49

20 negotiated rates

$32

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $499

$499

cash

$299 to $508

17 negotiated rates

$499

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$44 to $44

5 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $496

$496

cash

$298 to $471

12 negotiated rates

$496

list

Family psychotherapy with the patient

CPT 90847 · metro median $394

$394

cash

$164 to $875

20 negotiated rates

$394

list

Family psychotherapy without the patient

CPT 90846 · metro median $303

$303

cash

$164 to $875

20 negotiated rates

$303

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$5,944 to $26,956

8 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 3 lines · metro median $105

$105

cash

$38 to $129

60 negotiated rates

$105

list

Group psychotherapy

CPT 90853 · metro median $74

$74

cash

$45 to $546

20 negotiated rates

$74

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$17,790 to $48,069

8 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$7,362 to $17,767

8 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$11,310 to $25,142

8 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,595 to $19,394

8 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,305 to $19,277

8 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$559 to $2,970

8 negotiated rates

—

list

Left heart catheterization

CPT 93452

—

cash

$3,277 to $3,905

8 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $40

$40

cash

$14 to $49

20 negotiated rates

$40

list

Liver function panel

CPT 80076 · metro median $25

$25

cash

$9 to $49

20 negotiated rates

$25

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $4,762

$4,762

cash

$364 to $4,524

20 negotiated rates

$4,762

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $2,631

$2,631

cash

$246 to $842

8 negotiated rates

$2,631

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $3,568

$3,568

cash

$246 to $3,390

20 negotiated rates

$3,568

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $3,443

$3,443

cash

$246 to $3,271

20 negotiated rates

$3,443

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$22,337 to $53,621

8 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 6 lines · metro median $320

$320

cash

$907 to $6,423

8 negotiated rates

$320

list

PSA test (prostate)

CPT 84153 · metro median $55

$55

cash

$20 to $52

20 negotiated rates

$55

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $18

$18

cash

$6 to $18

20 negotiated rates

$18

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $164

$164

cash

$128 to $192

5 negotiated rates

$164

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $547

$547

cash

$108 to $520

20 negotiated rates

$547

list

Prostate biopsy

CPT 55700

—

cash

$2,087 to $10,206

8 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$10,607 to $39,604

8 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $13

$13

cash

$5 to $18

20 negotiated rates

$13

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $188

$188

cash

$113 to $179

15 negotiated rates

$188

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $251

$251

cash

$151 to $238

15 negotiated rates

$251

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $375

$375

cash

$164 to $356

15 negotiated rates

$375

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$3,901 to $10,670

8 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $338

$338

cash

$203 to $508

17 negotiated rates

$338

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$12,857 to $19,277

5 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $3,843

$3,843

cash

$1,036 to $3,651

20 negotiated rates

$3,843

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$62,624 to $93,945

5 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$907 to $3,935

8 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 4 lines · metro median $287

$287

cash

$172 to $3,935

40 negotiated rates

$287

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $50

$50

cash

$18 to $74

40 negotiated rates

$50

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$6,027 to $14,405

8 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $754

$754

cash

$108 to $716

20 negotiated rates

$754

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $911

$911

cash

$108 to $866

20 negotiated rates

$911

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$955 to $2,139

8 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$955 to $2,139

8 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · metro median $10

$10

cash

$3 to $14

20 negotiated rates

$10

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$6,423 to $9,630

5 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$6,013 to $14,367

8 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $336

$336

cash

$100 to $319

20 negotiated rates

$336

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://mrfs.hyvehealthcare.com/JacksonCountyMemorialHospital/730568956_jackson-county-memorial-hospital_standardcharges.json
Jackson County Memorial Hospital · parsed · json v3.0.0 · file dated 2025-12-31 · 77.1 MB · 1186 price rows read · read Nov 2026