Memorial Hospital and Health Care Center
Listed in its price file as “Little Company of Mary Hospital of Indiana Inc”.
Memorial Hospital and Health Care Center in Jasper, IN publishes cash prices for 20 common procedures listed here, from its own machine-readable price file updated Feb 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 20 of 20 procedures. Select a procedure to compare it with other hospitals nearby.
800 W 9th Street, Jasper, IN 47546-2514 Collected Sep 23, 2026 Source price file Check a bill from this hospital (812) 996-2345
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 150115 · CMS hospital register NPI 1003895947
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Memorial Hospital and Health Care Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Indiana | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $33.00 | $110.00 | $0.02–$294.48 | 43% below | 70% |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY | $33.00 | $110.00 | $44.20–$93.50 | — | 70% |
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY | $186.45 | $621.50 | $137.40–$528.28 | 14% below | 70% |
| COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACC (MODERNA) 50 MCG/0.5ML IM SUSY | $186.45 | $621.50 | $249.72–$528.28 | — | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY | $161.40 | $538.00 | $59.82–$457.30 | 8% below | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSY | $161.40 | $538.00 | $216.17–$457.30 | — | 70% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY | $224.10 | $747.00 | $150.92–$634.95 | 25% below | 70% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY | $224.10 | $747.00 | $300.14–$634.95 | — | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP (WRAPPER) | $65.25 | $217.50 | $26.92–$184.88 | 11% below | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY | $65.25 | $217.50 | $26.92–$184.88 | 11% below | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY | $65.25 | $217.50 | $87.39–$184.88 | — | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML IJ SUSP (WRAPPER) | $65.25 | $217.50 | $87.39–$184.88 | — | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR | $40.05 | $133.50 | $14.05–$113.48 | 18% below | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR | $40.05 | $133.50 | $14.05–$113.48 | 18% below | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR | $40.05 | $133.50 | $53.64–$113.48 | — | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR | $40.05 | $133.50 | $53.64–$113.48 | — | 70% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $140.55 | $468.50 | $100.14–$398.23 | 45% below | 70% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR | $140.55 | $468.50 | $188.24–$398.23 | — | 70% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR | $369.30 | $1,231.00 | $283.21–$1,046.35 | 13% below | 70% |
| MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR | $369.30 | $1,231.00 | $494.62–$1,046.35 | — | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $239.85 | $799.50 | $102.50–$679.58 | 31% below | 70% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR | $239.85 | $799.50 | $321.24–$679.58 | — | 70% |
| Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $226.35 | $754.50 | $175.28–$641.33 | 28% below | 70% |
| Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN | $226.35 | $754.50 | $303.16–$641.33 | — | 70% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $303.15 | $1,010.50 | $241.74–$858.93 | 22% below | 70% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY | $303.15 | $1,010.50 | $406.02–$858.93 | — | 70% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $298.50 | $995.00 | $219.29–$845.75 | 36% below | 70% |
| Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP | $298.50 | $995.00 | $399.79–$845.75 | — | 70% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOCCAL 15-VAL CONJ VACC 0.5 ML IM SUSY | $307.65 | $1,025.50 | $221.97–$871.68 | 45% below | 70% |
| Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOCCAL 15-VAL CONJ VACC 0.5 ML IM SUSY | $302.25 | $1,007.50 | $404.81–$856.38 | — | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $362.10 | $1,207.00 | $265.97–$1,025.95 | 42% below | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY | $351.15 | $1,170.50 | $470.31–$994.93 | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY | $24.00 | $80.00 | $32.14–$400.41 | 89% below | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY | $24.00 | $80.00 | $32.14–$68.00 | — | 70% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $622.35 | $2,074.50 | $567.26–$1,763.33 | 45% below | 70% |
| RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOSY | $622.35 | $2,074.50 | $833.53–$1,763.33 | — | 70% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $622.35 | $2,074.50 | $567.26–$1,763.33 | 45% below | 70% |
| RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOSY | $622.35 | $2,074.50 | $833.53–$1,763.33 | — | 70% |
| Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $485.55 | $1,618.50 | $266.63–$1,375.73 | 39% below | 70% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR | $486.45 | $1,621.50 | $266.63–$1,378.28 | 39% below | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR | $485.55 | $1,618.50 | $650.31–$1,375.73 | — | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR | $486.45 | $1,621.50 | $651.52–$1,378.28 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $102.30 | $341.00 | $36.37–$289.85 | 11% below | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP | $102.30 | $341.00 | $137.01–$289.85 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP (WRAPPER) | $108.30 | $361.00 | $39.71–$306.85 | 12% below | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP (WRAPPER) | $113.55 | $378.50 | $39.71–$321.73 | 7% below | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP (WRAPPER) | $96.75 | $322.50 | $129.58–$274.13 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP (WRAPPER) | $113.55 | $378.50 | $152.08–$321.73 | — | 70% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.