Jacksonville Memorial Hospital

1600 W Walnut St, Jacksonville, IL 62650 · (217) 245-9551

Critical Access HospitalsVoluntary non-profit - PrivateJacksonville, IL metro Website ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-09-17

7,329 price rows for 43 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $272

$272

cash

$8 to $272

64 negotiated rates

$272

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 8 lines · metro median $7,344

$7,344

cash

$9 to $7,822

260 negotiated rates

$7,344

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $3,138

$3,138

cash

$9 to $3,707

130 negotiated rates

$3,138

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 6 lines · metro median $4,521

$4,521

cash

$11 to $4,783

195 negotiated rates

$4,521

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$3,025 to $14,279

11 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines · metro median $347

$347

cash

$33 to $347

192 negotiated rates

$347

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $163

$163

cash

$7 to $163

128 negotiated rates

$163

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $380

$380

cash

$10 to $380

64 negotiated rates

$380

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 6 lines · metro median $696

$696

cash

$4 to $742

195 negotiated rates

$696

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 14 lines · metro median $361

$361

cash

$2 to $826

455 negotiated rates

$361

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $298

$298

cash

$33 to $298

128 negotiated rates

$298

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$3,025 to $41,722

14 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,867 to $16,863

15 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$3,025 to $26,836

14 negotiated rates

—

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $10,461

$10,461

cash

$12 to $10,461

65 negotiated rates

$10,461

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $315

$315

cash

$12 to $315

64 negotiated rates

$315

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $332

$332

cash

$8 to $332

64 negotiated rates

$332

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 6 lines · metro median $7,396

$7,396

cash

$23 to $7,396

195 negotiated rates

$7,396

list

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

CPT 72148 · lowest of 6 lines · metro median $5,540

$5,540

cash

$16 to $5,540

195 negotiated rates

$5,540

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $5,199

$5,199

cash

$15 to $5,199

130 negotiated rates

$5,199

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$3,025 to $52,805

14 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 8 lines · metro median $2,450

$2,450

cash

$6 to $5,053

260 negotiated rates

$2,450

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 12 lines · metro median $359

$359

cash

$1 to $473

390 negotiated rates

$359

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 12 lines · metro median $384

$384

cash

$2 to $661

390 negotiated rates

$384

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 10 lines · metro median $407

$407

cash

$2 to $832

325 negotiated rates

$407

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $375

$375

cash

$17 to $375

126 negotiated rates

$375

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $199

$199

cash

$6 to $205

192 negotiated rates

$199

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 12 lines · metro median $247

$247

cash

$26 to $255

384 negotiated rates

$247

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $1,212

$1,212

cash

$3 to $1,212

65 negotiated rates

$1,212

list

Prostate biopsy

CPT 55700 · lowest of 6 lines · metro median $4,001

$4,001

cash

$4 to $4,001

174 negotiated rates

$4,001

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines · metro median $65

$65

cash

$4 to $147

192 negotiated rates

$65

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $538

$538

cash

$3 to $578

130 negotiated rates

$538

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 8 lines · metro median $8,669

$8,669

cash

$16 to $8,669

260 negotiated rates

$8,669

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$3,025 to $79,729

12 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 4 lines · metro median $1,453

$1,453

cash

$6 to $1,851

130 negotiated rates

$1,453

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 12 lines · metro median $2,450

$2,450

cash

$9 to $4,138

390 negotiated rates

$2,450

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $324

$324

cash

$16 to $324

128 negotiated rates

$324

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $1,320

$1,320

cash

$3 to $1,320

65 negotiated rates

$1,320

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $1,947

$1,947

cash

$4 to $1,947

65 negotiated rates

$1,947

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,900

$1,900

cash

$8 to $1,963

65 negotiated rates

$1,900

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $161

$161

cash

$3 to $161

128 negotiated rates

$161

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,025 to $10,041

11 negotiated rates

—

list

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

CPT 72110 · lowest of 2 lines · metro median $1,163

$1,163

cash

$2 to $1,163

65 negotiated rates

$1,163

list

Source files

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

https://memorial.health/Resources/d997e3f0-da18-4ce6-9de5-f1465abf6e66/370661230_Jacksonville_Memorial_Hospital_standardcharges.csv?v=2
Jacksonville Memorial Hospital · parsed · wide v3.0.0 · file dated 2026-09-17 · 613.8 MB · 7329 price rows read · read Nov 2026