Top 40 services provided by MEMORIAL HOSPITAL JACKSONVILLE
Services CPT Price Est. Cash Price
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $12,371.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $3,379.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $7,440.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $9,073.00 $0.00
MRI scan of the brain with and without contrast 70553 $11,273.00 $0.00
MRI scan of the brain with and without contrast 70553 $9,053.00 $0.00
X-ray of the chest, 2 views 71046 $1,130.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $2,338.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $4,408.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $8,985.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $8,214.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $9,836.00 $0.00
Ultrasound of the abdomen 76700 $2,965.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $2,306.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $456.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,568.00 $0.00
Mammogram of both breasts 77067 $775.00 $0.00
Basic Metabolic Panel 80048 $1,314.00 $0.00
Comprehensive Metabolic Panel 80053 $1,531.00 $0.00
Lipid Panel 80061 $1,079.00 $0.00
Lipid Panel 80061 $606.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $385.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $823.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $148.00 $0.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $1,149.00 $0.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $681.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $675.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $1,089.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $499.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $588.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $4.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $5.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $772.00 $0.00
Ultrasound of chest to examine the heart 93307 $3,952.00 $0.00
Insertion of catheter into left heart for diagnosis 93452 $28,892.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $723.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $208.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $311.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $417.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $1,015.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $3,315.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $4,924.00 $0.00