Jackson Medical Center
Acute Care Hospitals
16
Procedure Prices at Jackson Medical Center
TRIAL VENIPUNCTURE
CPT 36415
$15
Mechanical Traction
CPT 97012
$42
CBC WITH/DIFF
CPT 85025
$65
EKG Tracing
CPT 93005
$94
Therapeutic Exercises
CPT 97110
$94
Therapeutic Activities
CPT 97530
$103
COMPREHENSIVE METABOLIC PROFILE
CPT 80053
$108
Diagnostic Mammogram (unilateral)
CPT 77065
$129
Screening Mammogram (bilateral)
CPT 77067
$135
Chest X-Ray (1 view)
CPT 71045
$161
Chest X-Ray (2 views)
CPT 71046
$161
Thoracic Spine X-Ray
CPT 72072
$161
Diagnostic Mammogram (bilateral)
CPT 77066
$165
ESTABLISHED PT VISIT/FOLLOWUP, 20-29 MIN
CPT 99213
$248
OB Ultrasound
CPT 76805
$352
ER Visit — Low-Moderate Complexity
CPT 99283
$492
Abdominal Ultrasound
CPT 76700
$694
Abdominal Ultrasound — Limited
CPT 76705
$694
Retroperitoneal Ultrasound
CPT 76770
$694
ER Visit — Moderate Complexity
CPT 99284
$698
Echocardiogram
CPT 93307
$918
ER Visit — High Complexity
CPT 99285
$1,032
CT Chest
CPT 71250
$1,497
Echocardiogram w/ Doppler
CPT 93306
$1,553
CT Abdomen & Pelvis
CPT 74177
$2,286
MRI Brain w/o Contrast
CPT 70551
$2,560
MRI Joint of Lower Extremity
CPT 73721
$2,560
MRI Brain w/ Contrast
CPT 70553
$3,565
Compare Prices Nearby
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.