Memorial Hospital and Health Care Center

800 W 9Th St, Jasper, IN 47546 · (812) 996-2345

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 4/5Jasper, IN metro Part of Deaconess Health System · 2 hospitals Website ↗

Price file

Prices published

File dated 2026-02-13

6,696 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $17

$17

cash

$3 to $29

82 negotiated rates

$49

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $112

$112

cash

$82 to $1,122

76 negotiated rates

$320

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $219

$219

cash

$38 to $350

124 negotiated rates

$627

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $77

$77

cash

$52 to $623

124 negotiated rates

$220

list

Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines · metro median $1,344

$1,344

cash

$473 to $7,168

30 negotiated rates

$3,841

list

Cesarean delivery with prenatal and postpartum care

CPT 59510 · lowest of 2 lines · metro median $2,520

$2,520

cash

$1,991 to $7,026

70 negotiated rates

$7,200

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$6,839 to $26,999

34 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $56

$56

cash

$30 to $105

40 negotiated rates

$159

list

Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $444

$444

cash

$166 to $2,865

74 negotiated rates

$1,269

list

Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $531

$531

cash

$180 to $3,706

72 negotiated rates

$1,517

list

Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines · metro median $594

$594

cash

$228 to $3,706

72 negotiated rates

$1,698

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 6 lines · metro median $14

$14

cash

$4 to $23

178 negotiated rates

$39

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $23

$23

cash

$6 to $47

130 negotiated rates

$67

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $70

$70

cash

$45 to $430

70 negotiated rates

$200

list

Electrocardiogram (ECG) with interpretation

CPT 93000 · lowest of 2 lines · metro median $29

$29

cash

$11 to $52

70 negotiated rates

$82

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $114

$114

cash

$132 to $498

72 negotiated rates

$327

list

Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $83

$83

cash

$84 to $505

74 negotiated rates

$236

list

Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $85

$85

cash

$9 to $505

72 negotiated rates

$243

list

Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines · metro median $1,017

$1,017

cash

$468 to $18,336

72 negotiated rates

$2,906

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $47

$47

cash

$30 to $105

46 negotiated rates

$134

list

Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $42

$42

cash

$21 to $291

32 negotiated rates

$120

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$14,566 to $51,410

34 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,372 to $22,490

34 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,660 to $34,093

34 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines · metro median $616

$616

cash

$369 to $11,091

72 negotiated rates

$1,761

list

Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines · metro median $1,190

$1,190

cash

$387 to $10,197

72 negotiated rates

$3,400

list

Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 2 lines · metro median $460

$460

cash

$240 to $1,724

30 negotiated rates

$1,314

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $246

$246

cash

$316 to $10,108

72 negotiated rates

$704

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines · metro median $31

$31

cash

$6 to $53

130 negotiated rates

$89

list

Liver function panel

CPT 80076 · lowest of 4 lines · metro median $16

$16

cash

$7 to $28

46 negotiated rates

$46

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $151

$151

cash

$103 to $1,533

124 negotiated rates

$432

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $96

$96

cash

$61 to $760

124 negotiated rates

$275

list

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

CPT 72148 · lowest of 2 lines · metro median $573

$573

cash

$65 to $760

124 negotiated rates

$1,638

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $566

$566

cash

$65 to $760

124 negotiated rates

$1,618

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$10,332 to $64,304

40 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $256

$256

cash

$159 to $2,798

30 negotiated rates

$730

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 10 lines · metro median $87

$87

cash

$75 to $307

272 negotiated rates

$249

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $129

$129

cash

$122 to $461

72 negotiated rates

$369

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $158

$158

cash

$164 to $609

72 negotiated rates

$451

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $18

$18

cash

$10 to $72

130 negotiated rates

$50

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $12

$12

cash

$3 to $20

130 negotiated rates

$33

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $23

$23

cash

$23 to $83

72 negotiated rates

$65

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $107

$107

cash

$45 to $365

172 negotiated rates

$305

list

Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 2 lines · metro median $91

$91

cash

$87 to $358

82 negotiated rates

$260

list

Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 2 lines · metro median $108

$108

cash

$106 to $413

82 negotiated rates

$309

list

Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $233

$233

cash

$114 to $6,438

72 negotiated rates

$667

list

Prostate removal (laparoscopic)

CPT 55866 · lowest of 2 lines · metro median $2,485

$2,485

cash

$1,084 to $32,720

72 negotiated rates

$7,100

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $9

cash

$3 to $16

82 negotiated rates

$26

list

Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $56

$56

cash

$51 to $505

70 negotiated rates

$159

list

Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $66

$66

cash

$67 to $505

70 negotiated rates

$188

list

Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $104

$104

cash

$101 to $505

70 negotiated rates

$298

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $663

$663

cash

$346 to $12,034

72 negotiated rates

$1,895

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $50

$50

cash

$34 to $428

74 negotiated rates

$144

list

Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines · metro median $1,357

$1,357

cash

$127 to $2,067

72 negotiated rates

$3,876

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $788

$788

cash

$168 to $3,197

172 negotiated rates

$2,250

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $193

$193

cash

$71 to $2,798

66 negotiated rates

$550

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $235

$235

cash

$91 to $2,176

72 negotiated rates

$670

list

TSH test (thyroid)

CPT 84443 · lowest of 4 lines · metro median $34

$34

cash

$8 to $58

130 negotiated rates

$96

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $420

$420

cash

$213 to $18,591

72 negotiated rates

$1,200

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $72

$72

cash

$31 to $334

172 negotiated rates

$207

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $49

$49

cash

$36 to $334

124 negotiated rates

$140

list

Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $317

$317

cash

$110 to $2,947

72 negotiated rates

$905

list

Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $455

$455

cash

$124 to $2,947

72 negotiated rates

$1,300

list

Urinalysis with microscope

CPT 81001 · lowest of 4 lines · metro median $8

cash

$2 to $14

130 negotiated rates

$23

list

Vaginal delivery after a previous cesarean

CPT 59610 · lowest of 2 lines · metro median $2,109

$2,109

cash

$1,876 to $6,620

70 negotiated rates

$6,026

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$2,240 to $19,838

34 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400 · lowest of 2 lines · metro median $2,345

$2,345

cash

$1,804 to $6,369

70 negotiated rates

$6,700

list

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

CPT 72110 · lowest of 2 lines · metro median $55

$55

cash

$12 to $334

124 negotiated rates

$158

list

Source files

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

https://sthpiprd.blob.core.windows.net/machine-readable-files/12036/350985964_little-company-of-mary-hospital-of-indiana-inc_standardcharges.csv
Memorial Hospital and Healthcare Center · parsed · tall v3.0.0 · file dated 2026-02-13 · 253.1 MB · 3348 price rows read · read Nov 2026
https://sthpiprd.blob.core.windows.net/machine-readable-files/12036/350985964_little-company-of-mary-hospital-of-indiana-inc_standardcharges.csv
Memorial Hospital and Healthcare Center · parsed · tall v3.0.0 · file dated 2026-02-13 · 253.1 MB · 3348 price rows read · read Nov 2026