Jacksonville Memorial Hospital prices. From its own published file.

Jacksonville Memorial Hospital in Jacksonville, IL publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

4,032prices published

Sep 2026file last updated

$2,463cash price for emergency visit, highest (level 5) (list $3,092)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$1,300	$1,337	$1.78–$2,546
Emergency visit, high (level 4) `99284`	$1,717	$1,811	$2.74–$4,828
Emergency visit, highest (level 5) `99285`	$2,463	$3,092	$4.15–$7,002
Comprehensive metabolic panel `80053`	$380	$380	$0.59–$380
Basic metabolic panel `80048`	$272	$272	$0.46–$272
Complete blood count (CBC) `85025`	$163	$163	$0.38–$163
Blood draw (venipuncture) `36415`	$45.00	$45.00	$0.14–$51.00
Urinalysis `81001`	$161	$161	$0.23–$161
Troponin (heart test) `84484`	$371	$371	$0.67–$371
EKG tracing `93005`	$500	$500	$0.60–$500
Chest X-ray, 2 views `71046`	$92.00	$676	$0.92–$676
CT head without contrast `70450`	$3,138	$3,423	$8.77–$3,707
CT abdomen and pelvis with contrast `74177`	$7,344	$7,344	$9.49–$7,822
MRI lower back without contrast `72148`	$5,540	$5,540	$15.66–$5,540
Ultrasound, abdomen `76700`	$1,947	$1,947	$4.05–$1,947
IV push, single drug `96374`	$595	$603	$0.87–$982
IV fluids, first hour `96360`	$778	$889	$1.08–$982
Ketorolac injection, 15 mg `J1885`	$9.17	$9.45	$0.05–$16.90
Upper GI endoscopy with biopsy `43239`	$1,900	$1,900	$7.99–$1,963

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Jacksonville Memorial Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.