CHRISTUS JASPER MEMORIAL HOSPITAL
Hospital
Procedure Prices at CHRISTUS JASPER MEMORIAL HOSPITAL
Insertion Of Needle Into Vein For Collection Of Blood Sample
CPT 36415
$2.7
Complete Blood Cell Count (Red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count
CPT 85025
$5.05
Blood Test, Comprehensive Group Of Blood Chemicals
CPT 80053
$10.35
Thoracic Spine X-Ray
CPT 72072
$38.09
EKG Tracing
CPT 93005
$55.45
Chest X-Ray (2 views)
CPT 71046
$58.53
Screening Mammogram (bilateral)
CPT 77067
$64.42
Diagnostic Mammogram (unilateral)
CPT 77065
$78.46
ER Visit — Low-Moderate Complexity
CPT 99283
$85.8
Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes
CPT 99213
$87.52
Abdominal Ultrasound
CPT 76700
$97.34
Diagnostic Mammogram (bilateral)
CPT 77066
$104
Abdominal Ultrasound — Limited
CPT 76705
$104.22
CT Chest
CPT 71250
$105.68
Retroperitoneal Ultrasound
CPT 76770
$105.68
MRI Brain w/o Contrast
CPT 70551
$223.19
MRI Joint of Lower Extremity
CPT 73721
$223.19
Chest X-Ray (1 view)
CPT 71045
$249.97
MRI Brain w/ Contrast
CPT 70553
$357.01
CT Abdomen & Pelvis
CPT 74177
$357.03
Echocardiogram w/ Doppler
CPT 93306
$414.9
Colonoscopy w/ Biopsy
CPT 45380
$516.04
ER Visit — Moderate Complexity
CPT 99284
$593.54
ER Visit — High Complexity
CPT 99285
$822.43
Colonoscopy
CPT 45378
$1,058.74
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,253.02
Inguinal Hernia Repair
CPT 49505
$7,602.58
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.