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Jacksonville Memorial Hospital

Illinois · 1,500 published self-pay prices, from $26,451 to $187,706.

These items are published without a standard CPT or HCPCS code, so they cannot be reliably matched against the same service at another hospital. They are shown exactly as this facility published them, and are excluded from every median, average and comparison elsewhere on this site.

Showing the 300 lowest-priced of 1,500 published items.

ItemCash priceSetting
00002-7678-01 - ramucirumab 10 mg/mL Sol$28,222Inpatient
00003-2327-11 - ipilimumab 5 mg/mL 10mL$35,784Inpatient
00003-2328-22 - ipilimumab 5 mg/mL 40mL vial$101,161Inpatient
00003-3734-13 - nivolumab 10 mg/mL Sol$31,391Outpatient
00006-3026-02 - pembrolizumab 25 mg/mL Inj$35,661Inpatient
00006-3026-04 - pembrolizumab 25 mg/mL Sol$35,661Inpatient
00008-0100-01 - inotuzumab ozogamicin 0.9 mg PWD$65,906Outpatient
00008-4510-01 - gemtuzumab 5 mg Inj (Mylotarg equi$66,437Inpatient
00015-1911-13 - ixabepilone 45 mg PWD$38,298Outpatient
00024-5824-11 - cabazitaxel 60 mg/1.5 mL vial$100,795Outpatient
00074-3346-03 - leuprolide 22.5 mg/3 months intram$26,637Outpatient
00074-5015-01 - risankizumab rzaa 60 mg/mL Sol$40,555Outpatient
00078-0342-61 - octreotide 30 mg PWD$32,506Outpatient
00078-0648-81 - octreotide 30 mg Inj$32,506Inpatient
00078-0690-61 - ofatumumab 20 mg/mL Sol$33,078Inpatient
00078-0825-81 - octreotide 30 mg Inj$32,506Inpatient
00173-0821-01 - ofatumumab 1000mg/50ml$33,078Outpatient
00173-0898-03 - dostarlimab 500 mg/10 mL Inj$44,801Outpatient
00281-0365-10 - digoxin immune FAB 40 mg vial$27,289Inpatient
00310-1730-30 - benralizumab 30 mg/mL subcutaneous$33,652Outpatient
00310-3040-00 - anifrolumab fnia 300 mg/2 mL Inj$30,097Inpatient
00310-4535-30 - tremelimumab actl 20 mg/mL Sol$122,671Outpatient
00597-0035-10 - spesolimab sbzo 450 mg/7.5 mL Sol$82,705Outpatient
00944-3810-01 - pegaspargase 750 iu/ml Inj$187,706Inpatient
13533-0800-40 - immune globulin intravenous and su$30,708Inpatient
25682-0028-01 - ravulizumab 100 mg/mL Inj$70,991Outpatient
47783-0101-01 - ecallantide 10 mg/mL Sol$26,572Inpatient
49702-0240-15 - cabotegravir-rilpivirine 200 mg-30$27,502Outpatient
50242-0038-61 - tenecteplase 50 mg Inj (TNKase equ$30,348Inpatient
50242-0053-06 - rituximab 10 mg/ml Sol 50 ml (Ritu$27,847Inpatient
50242-0085-27 - alteplase 100 mg Inj (Activase equ$41,802Inpatient
50242-0105-01 - polatuzumab vedotin-piiq 140 mg PW$53,558Inpatient
50242-0120-47 - tenecteplase 50 mg PWD$30,348Outpatient
50242-0145-01 - pertuzumab 420 mg/14 mL Sol$26,955Inpatient
50242-0145-01 - pertuzumab 420 mg/14 mL vial$26,955Outpatient
50242-0150-01 - ocrelizumab 300 mg/10 mL Sol$61,180Inpatient
50242-0176-01 - tenecteplase 50 mg Inj$30,348Outpatient
50242-0245-01 - hyaluronidase/pertuzumab/trastuzum$54,998Outpatient
50242-0260-01 - hyaluronidase/pertuzumab/trastuzum$36,664Outpatient
50242-0917-01 - atezolizumab 1200 mg/20 mL Sol$45,801Inpatient
50242-0918-01 - atezolizumab 840 mg/14 mL Sol$29,340Outpatient
50242-0921-01 - emicizumab 150 mg/mL Sol$26,545Outpatient
50242-0923-01 - emicizumab 150 mg/mL Sol$49,772Outpatient
50474-0700-62 - certolizumab 200 mg Kit$43,204Inpatient
50633-0120-11 - digoxin immune FAB 40 mg PWD$27,289Outpatient
51144-0003-01 - tisotumab vedotin tftv 40 mg Inj$28,150Outpatient
51144-0050-01 - brentuximab vedotin 50 mg PWD$46,404Inpatient
55292-0702-55 - hemin 350 mg PWD$43,237Outpatient
55513-0077-01 - tarlatamab dlle 10 mg PWD$59,280Outpatient
57665-0002-02 - pegaspargase 750 unit/ml Inj 5ml ($187,706Inpatient
57894-0061-03 - ustekinumab 90 mg/mL subcutaneous$79,352Outpatient
57894-0503-01 - daratumumab-hyaluronidase 1800 mg-$41,571Outpatient
58468-0040-01 - agalsidase beta 35 mg Inj (Fabrazy$36,188Inpatient
59572-0775-01 - luspatercept aamt 75 mg PWD$48,765Inpatient
61755-0008-01 - cemiplimab 350 mg/7 mL Inj$43,175Inpatient
64764-0300-20 - vedolizumab 300 mg Inj$36,990Inpatient
65219-0550-01 - PRALAtrexate 20 mg/mL Sol$49,261Inpatient
65219-0552-02 - PRALAtrexate 20 mg/mL Sol$106,079Outpatient
68727-0712-01 - lurbinectedin 4 mg PWD$54,152Outpatient
68727-0745-02 - DAUNOrubicin liposomal-cytarabine$40,310Inpatient
70020-1911-01 - ixabepilone 45 mg PWD$38,298Inpatient
72694-0954-01 - pegaspargase 750 iu/ml Inj$187,706Inpatient
72893-0003-01 - PRALAtrexate 20 mg/mL Soln$49,261Inpatient
72893-0005-01 - PRALAtrexate 20 mg/mL Sol$106,079Outpatient
75987-0080-10 - pegloticase 8 mg/mL Inj$111,842Outpatient
ACETABULAR CUP MH W/GRIPTION 52MM PINNACLE$28,754Outpatient
ALLODERM SELECT 16X20 (Consignment)$40,650Inpatient
ALLODERM SELECT 8CM X 12CM (Consignment)$30,488Outpatient
ALLOGRAFT 16MM FRSH OSTEOCHDRL$28,092Outpatient
ALLOGRAFT FEM CONDYLE LAT RT$36,000Outpatient
ALLOGRAFT PATELLA LIG WHL QUAD$33,713Outpatient
ALLOGRAFT RADIUS RIGHT WHOLE$31,500Outpatient
ALLOGRAFT TIBIA DISTAL RIGHT$35,750Inpatient
ALLOGRAFT WHOLE FEM CONDYLE RT$64,050Inpatient
ALLOMAX GRAFT 16X20$27,043Outpatient
ALLOMAX GRAFT 8X16$33,195Outpatient
AMBICOR PENILE PROSTHESIS$49,674Outpatient
ANCHOR HMRL SIDUS SHOULDR LG$30,000Inpatient
ANCHOR HMRL SIDUS SHOULDR SM$30,000Inpatient
ART SURF PSN CCK VE 12 11-13GH$28,003Inpatient
ASSEMBLY DIS RAD-ULN LOCK PLT$29,622Inpatient
ASSEMBLY ULNA C/M PLAMA REG LT$33,150Outpatient
AUGMENT COMPR SRS MOD RGX LG$35,130Inpatient
AUGMENT COMPR SRS MOD RGX SM$35,130Inpatient
BASE TIB ATUNE REV RP CEM SZ2$35,751Outpatient
BASE TIB ATUNE REV RP CEM SZ3$33,675Inpatient
BASE TIB ATUNE REV RP CEM SZ4$33,675Inpatient
BASE TIB ATUNE REV RP CEM SZ5$33,675Inpatient
BASE TIB ATUNE REV RP CEM SZ6$33,675Inpatient
BASE TIB ATUNE REV RP CEM SZ7$33,675Inpatient
BASE TIB ATUNE REV RP CEM SZ8$33,675Inpatient
BASE TIBIAL SZ 1$38,750Inpatient
BASEPLATE 63MM$27,570Outpatient
BASEPLATE 75MM$27,570Outpatient
BASEPLATE MRH TIBIAL S1$28,043Inpatient
BASEPLATE TIB OSS MOD 83MM$27,570Inpatient
BODY 18MM DIA X 20-26MM TALL$27,000Outpatient
BODY 18MM DIA X 30-46MM TALL$27,000Outpatient
BODY 18MM DIA X 40-66MM TALL$27,000Outpatient
BODY 19 30 REST MOD CONE$29,238Inpatient
BODY FEM MOD PROX CONE 19 20$29,238Inpatient
BODY FEM MOD PROX CONE 21 10$29,238Inpatient
BODY FEM MOD PROX CONE 21 20$29,238Inpatient
BODY FEM MOD PROX CONE 21 30$29,238Inpatient
BODY FEM MOD PROX CONE 23 10$29,238Inpatient
BODY FEM MOD PROX CONE 23 20$29,238Inpatient
BODY FEM MOD PROX CONE 25 10$29,238Inpatient
BODY FEM MOD PROX CONE 25 20$29,238Inpatient
BODY FEM MOD PROX CONE 25 30$29,238Inpatient
BODY FEM MOD PROX CONE 27 10$29,238Inpatient
BODY FEM MOD PROX CONE 27 20$29,238Inpatient
BODY FEM MOD PROX CONE 27 30$29,238Inpatient
BODY FEM MOD PROX CONE 29 10$29,238Inpatient
BODY FEM MOD PROX CONE 29 20$29,238Inpatient
BODY FEM MOD PROX CONE 29 30$29,238Inpatient
BODY FEM MOD PROX CONE 31 10$29,238Inpatient
BODY FEM MOD PROX CONE 31 20$29,238Inpatient
BODY FEM MOD PROX CONE 31 30$29,238Inpatient
BODY FEM MOD PRX CON STD 21 0$29,238Inpatient
BODY FEM MOD PRX CON STD 25 0$29,238Inpatient
BODY FEM MOD PRX CON STD 27 0$29,238Inpatient
BODY FEM MOD PRX CON STD 29 0$29,238Inpatient
BODY FEM MOD PRX CON STD 31 0$29,238Inpatient
BODY HIP 46X45MM SZ A 45 BUILD$28,797Outpatient
BODY HIP 46X55MM SZ A 55 BUILD$28,797Outpatient
BODY HRS PROXIMAL STD 15M 135D$32,220Outpatient
BODY HUM PROX HRS STD 13 135D$32,220Outpatient
BODY HUM PROX STD 11M 135D PTC$32,220Outpatient
BODY POROUS FEMORAL$28,797Outpatient
BODY RST MOD PROX CONE 19MM 0$29,238Outpatient
BODY RST MOD PRX CONE 19MM 10$29,238Outpatient
BODY RSTOR 23MM 30 PROX MODUL$29,238Inpatient
BODY XL STAN OFFSET 103MM$28,797Outpatient
BONE CORTICAL IMPACT 10X26$36,975Outpatient
BONE CORTICAL IMPACT 10X32$36,975Outpatient
BONE CORTICAL IMPACT 12X26$36,975Inpatient
BONE CORTICAL IMPACT 12X32$36,975Outpatient
BONE CORTICAL IMPACT 14X26$36,975Inpatient
BONE CORTICAL IMPACT 14X32$36,975Outpatient
BONE CORTICAL IMPACT 8X26$36,975Outpatient
BONE CORTICAL IMPACT 8X32$36,975Outpatient
BONE CORTICAL IMPACT 8X36$36,975Outpatient
BONE MATRIX VIVIGEN FRMBL LRG 10CC$30,240Outpatient
BONE SUBSTITUTE NFORCE BL 10CC$32,310Outpatient
BUNDLE ACUMED MAXILLA MANDIBLE$40,406Inpatient
BUNDLE RECOR PARADISE$60,000Outpatient
CAGE 3D FORZA STR 8D 11X31X11$27,750Inpatient
CAGE 3D FORZA STR 8D 11X31X14$27,750Inpatient
CAGE CASCADIA CONVX 10X28X12MM$26,625Inpatient
CAGE CASCADIA CONVX 10X28X14MM$26,625Outpatient
CAGE EXP 18MM DIA 24-34MM TALL$27,000Outpatient
CAGE F3D LAT 18X50X8MM 8DEG$41,250Inpatient
CAGE F3D LAT 18X55X8MM 8DEG$41,250Inpatient
CAGE F3D STRGHT 26X10X15MM 0DG$27,750Outpatient
CAGE F3D STRGHT 26X10X17MM 0DG$27,750Outpatient
CAGE F3D STRGHT 34X10X16MM 0DG$27,750Outpatient
CAGE F3D STRGT 3PD 0D 34X10X17$27,750Outpatient
CAGE INTERBODY 10D 9X24X11MM$27,750Inpatient
CAGE INTERBODY 5D 9X24X13MM$27,750Inpatient
CAGE INTERBODY CNVX 10X28X11MM$26,625Inpatient
CAGE INTERBODY CNVX 10X28X7MM$26,625Inpatient
CAGE SPNL W10XH13XL28MM TI POR$26,625Outpatient
CALCAR VERSYS 7.5IN 13.5X180MM$34,232Outpatient
CAP PRM ST/OSS CP/REV VE LN/MT$36,750Outpatient
CAP PRM ST/OSS LH CP/XL LN/CER$33,700Outpatient
CAP Z1 ST/OSS CP/VE DM LN/MTL$33,750Outpatient
CAP Z1 ST/OSS CP/VE LN/CER HD$33,700Outpatient
CAP Z1 ST/OSS CP/VE LN/MTL HD$33,750Outpatient
CAP Z1 ST/OSS CP/XL LN/CER HD$33,750Outpatient
CATH CARDIAC ABL D-F CURVE$30,750Inpatient
CATH CARDIAC ABL F-J CURVE$30,750Inpatient
CATH CRYO BALLOON 28MM$37,125Inpatient
CATH EKOSONIC 12/106CM$26,625Outpatient
CATH EKOSONIC 18/106CM$26,625Outpatient
CATH EKOSONIC 24/106CM$26,625Outpatient
CATH EKOSONIC 30/106CM$26,625Outpatient
CATH EKOSONIC 40/106CM$26,625Outpatient
CATH EP BALN CRYO 102CM$36,000Inpatient
CATH EP ORION MAPPING 8.5 FR$28,125Outpatient
CATH INDIGO LITNG FLASH 115CM$29,310Inpatient
CATH INDIGO LITNG FLASH 80CM$29,310Inpatient
CATH IVL SHCKWV 2.5X12MM$35,250Outpatient
CATH IVL SHCKWV 3.0X12MM$35,250Outpatient
CATH IVL SHCKWV 3.5X12MM$35,250Outpatient
CATH IVL SHCKWV 4.0X12MM$35,250Outpatient
CATH LIGHT FLASH 135BER 100CM$29,310Inpatient
CATHETER ANGIOJET 4FRX145$37,125Inpatient
CATHETER POUNCE 7FR X 135CM$35,625Inpatient
CCLP-ACUTE MI BMSATHTHMB-SGL$32,782Outpatient
CCLP-ACUTE MI DESATHTHMB-SGL$32,782Outpatient
CCLP-ACUTE MI PTCA/THROMB-SGL$32,782Outpatient
CCLP-ATH/STNT FEM-POP PTAUNI$29,499Outpatient
CCLP-CORO BMS ATHREC-SGL AR/BR$26,793Outpatient
CCLP-CORO DES ATHREC-SGL AR/BR$26,793Outpatient
CCLP-CTO BMS ATHREC-SNGL$34,507Outpatient
CCLP-CTO DES ATHREC-SNGL$34,507Outpatient
CCLP-EMBOL-ARTVENHEM-NON-NEU$38,854Outpatient
CCLP-EP EVAL TRANSEPTAL AFIB$68,879Outpatient
CCLP-EP EVAL- ABL VT3DLV P R$64,742Outpatient
CCLP-EP EVAL-SVT ABL AV PATH$49,638Outpatient
CCLP-EP EVALTRNSPLAFIBLA-CS$68,879Outpatient
CCLP-ICD GEN REM REPL 1 LEAD$37,502Outpatient
CCLP-ICD GEN REM REPL 2 LEADS$39,731Outpatient
CCLP-ICD GEN REM REPL 3 LEADS$41,395Outpatient
CCLP-ICD INS/RPS LD ICD-DUAL$41,098Outpatient
CCLP-ICD INS/RPS LD ICD-SNGL$41,098Outpatient
CCLP-INSERTION ICD GENERATOR ONLY WITH EXISTING MU$56,200Inpatient
CCLP-IVL W/ATHEREC STENT BELOW KNEE$41,172Inpatient
CCLP-IVL W/PTA BELOW KNEE$31,442Inpatient
CCLP-IVL W/STENT BELOW KNEE$40,952Inpatient
CCLP-IVLW/ATHEREC PTA BELOW KNEE$41,172Inpatient
CCLP-LITHOTRIPSYATHERECTOMYPTASTENT$38,296Inpatient
CCLP-LITHOTRIPSYPTASTENT$28,648Inpatient
CCLP-LLPACR(PERM) INS/RPL W/IM$35,756Outpatient
CCLP-PERC CLOS ASD W/IMPLT$37,337Outpatient
CCLP-PERC TRNSC CLSR L ATRL AP$41,632Outpatient
CCLP-PERQ TRANSCATH CLS MITRAL$28,722Outpatient
CCLP-RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/ST$60,759Inpatient
CCLP-SUBQ INS/REPL ICD LEAD$47,263Outpatient
CCLP-TAMBE Bundle 1$77,876Inpatient
CCLP-TAVR BYPASS CENTRAL ART$36,114Outpatient
CCLP-TAVR BYPASS OPEN PERIPHRL$27,355Outpatient
CCLP-TAVR OPEN AXILLARY APPRCH$50,553Outpatient
CCLP-TAVR OPEN FEMORAL APPRCH$48,829Outpatient
CCLP-TAVR OPEN ILIAC APPRCH$50,553Outpatient
CCLP-TAVR PERC FEMORAL APPRCH$46,998Outpatient
CCLP-TAVR TRANSAPICAL APPRCH$58,209Outpatient
CCLP-TAVR TRANSOAORTIC APPRCH$52,784Outpatient
CCLP-TAVR with carotid approach$37,180Outpatient
CCLP-TCAT INS 2CHMBR LDLS PM CMPL$35,587Outpatient
CCLP-THRMCT/THRMLY DX CIRSTNT$45,237Outpatient
CCLP-TMVI/R W VALVPERC APP$33,360Outpatient
CCLP-TTVR PERQ APPR 1ST PROSTH$31,897Outpatient
CCLP-UTERINE ARTERY EMBOLIZTN$29,577Outpatient
CCLP-VISCR AND INFRARENAL ABDOM AORTA 4 PROS$29,196Inpatient
CCLS- ENDOVASCLR DISSECTION STENT$75,633Inpatient
CCLS-CANNULA C180 ANGIOVAC GEN3$29,000Inpatient
CCLS-CANNULA C20 ANGIOVAC GEN3$29,000Inpatient
CCLS-CRM-ICD DUAL LEVEL I$64,949Outpatient
CCLS-CRM-ICD DUAL LEVEL II$73,581Outpatient
CCLS-CRM-ICD DUAL LEVEL III$75,000Outpatient
CCLS-CRM-ICD NOT S OR D LVL I$89,581Outpatient
CCLS-CRM-ICD NOT S OR D LVL II$104,094Outpatient
CCLS-CRM-ICD NOT S OR D LVLIII$104,400Outpatient
CCLS-CRM-ICD SINGLE LEVEL I$57,604Outpatient
CCLS-CRM-ICD SINGLE LEVEL II$65,405Outpatient
CCLS-CRM-ICD SINGLE LEVEL IV$95,750Outpatient
CCLS-CRM-PPM DUAL RR LVL II$26,613Outpatient
CCLS-CRM-PPM NOT S OR D LVL I$38,898Outpatient
CCLS-CRM-PPM SINGLE RR LVL IV$53,750Outpatient
CCLS-CRM-PPM SINGLE RR LVL VI$66,250Inpatient
CCLS-H070005 OCCLUDER AMPLATZER PIVSD$35,970Outpatient
CCLS-STENT COAT/COVRD LVL IX$88,836Inpatient
CCLS-STENT COAT/COVRD LVL VI$36,812Outpatient
CCLS-STENT W/ DEL SYS LVL XI$79,414Inpatient
CCLS-STENT W/ DEL SYS LVL XIII$75,633Inpatient
CCLS-SYSTEM CARDIOMEMS SENSOR$97,500Outpatient
CCLS-VASCULAR GRAFT LEVEL III$41,304Outpatient
CCLS-VASCULAR GRAFT LEVEL IV$53,713Outpatient
CCLS-VASCULAR GRAFT LEVEL V$95,875Outpatient
CCLS-VASCULAR GRAFT LEVEL VI$83,699Outpatient
CENTERPIECE OBELISC 20MM 20-28$48,812Inpatient
CLAMP SPINOUS PROCESS 35-40MM$41,530Inpatient
CMPNT MAXIM FEM 60DEG LT INTLK$28,897Outpatient
CMPNT MAXIM FEM 65DEG RT INTLK$28,897Outpatient
COCHLEAR NUCLEUS C1512$51,300Inpatient
COCHLEAR NUCLEUS IMPLANT C1532$51,300Inpatient
COLLAR LCK MOD ARTHRO 0 DEG$27,668Outpatient
COLLAR LCK MOD ARTHRO 5 DEG$27,668Outpatient
COLLAR LCK MOD ARTHRO 7 DEG$27,668Outpatient
COMP FEM LPS DISTAL XXSM LT$33,359Outpatient
COMPNT ART 25X2.5MM OFFSET CE$32,513Inpatient
COMPNT ART 25X3.0MM OFFSET$32,513Inpatient
COMPNT ART 25X3.0MM OFFSET CE$32,513Inpatient
COMPNT ART 25X3.5MM OFFSET$32,513Inpatient
COMPNT ART 25X3.5MM OFFSET CE$32,513Inpatient
COMPNT ART 25X4.0MM OFFSET$32,513Inpatient
COMPNT ART 25X4.0MM OFFSET CE$32,513Inpatient
COMPNT ART 25X4.5MM OFFSET$32,513Inpatient
COMPNT ART 25X4.5MM OFFSET CE$32,513Inpatient
COMPNT ART 25X5.0MM OFFSET$32,513Inpatient
COMPNT ART 25X5.0MM OFFSET CE$32,513Inpatient
COMPNT ART 30X4.5MM OFFSET$32,513Inpatient
COMPNT ART 30X4.5MM OFFSET CE$32,513Inpatient
COMPNT ART 30X5.0MM OFFSET$32,513Inpatient
COMPNT ART 30X5.0MM OFFSET CE$32,513Inpatient
COMPNT ART 30X5.5MM OFFSET$32,513Inpatient
COMPNT ART 30X5.5MM OFFSET CE$32,513Inpatient
COMPNT ART 30X6.0MM OFFSET$32,513Inpatient
COMPNT ART 30X6.0MM OFFSET CE$32,513Inpatient
COMPNT ART 30X6.5MM OFFSET$32,513Inpatient
COMPNT ART 30X6.5MM OFFSET CE$32,513Inpatient
COMPNT ART 30X7.0MM OFFSET$32,513Inpatient
COMPNT ART 30X7.0MM OFFSET CE$32,513Inpatient
COMPNT ART 35X6.0X6.0MM HUM HD$32,513Inpatient
COMPNT ART 35X6.0X7.0MM HUM HD$32,513Inpatient
COMPNT ART 35X6.5X6.5MM HUM HD$32,513Inpatient
COMPNT ART 35X7.0X7.0MM HUM HD$32,513Inpatient
COMPNT ART 35X7.0X8.0MM HUM HD$32,513Inpatient
COMPNT ART 35X7.5X7.5MM HUM HD$32,513Inpatient

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