Jasper Memorial Hospital
Monticello, GA · Critical Access Hospital
Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $666.65 | $1,333.30 | 6.4× |
| X-ray lower spine, 4+ views (72110) | $142.35 | $284.70 | 1.4× |
| CT pelvis with contrast (72193) | $773.30 | $1,546.60 | 4.4× |
| CT abdomen and pelvis with contrast (74177) | $1,623.15 | $3,246.30 | 4.6× |
| Ultrasound, abdomen complete (76700) | $373.30 | $746.60 | 3.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $250.45 | $500.90 | 2.4× |
| Ultrasound, transvaginal (76830) | $255.10 | $510.20 | 2.4× |
| Mammography, one breast (diagnostic) (77065) | $185.15 | $370.30 | 2.1× |
| Mammography, both breasts (diagnostic) (77066) | $211.95 | $423.90 | 1.9× |
| Mammography, screening (bilateral) (77067) range across 3 matching MRF lines |
$176.20–$194.05 | $352.40–$388.10 | varies |
| Basic metabolic panel (80048) | $50.60 | $101.20 | 6.0× |
| Comprehensive metabolic panel (80053) | $92.05 | $184.10 | 8.7× |
| Lipid panel (80061) | $80 | $160 | 6.0× |
| Renal function panel (80069) | $48.05 | $96.10 | 5.5× |
| Hepatic function panel (80076) | $45.70 | $91.40 | 5.6× |
| Urinalysis, non-automated, without microscopy (81002) | $24.20 | $48.40 | 7.0× |
| PSA, total (84153) range across 2 matching MRF lines |
$64.30–$66.20 | $128.60–$132.40 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $62.10 | $124.20 | 3.7× |
| CBC with automated differential (85025) | $40 | $80 | 5.1× |
| Prothrombin time (PT) (85610) range across 3 matching MRF lines |
$32.05–$36.05 | $64.10–$72.10 | varies |
| Partial thromboplastin time (PTT) (85730) | $36 | $72 | 6.0× |
| Electrocardiogram (ECG), complete (93000) | $86.15 | $172.30 | 1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $52.80 | $105.60 | 1.8× |
| Office visit, new patient (low complexity, ~30 min) (99203) | $100.50 | $201 | 0.8× |
| Office visit, new patient (moderate complexity, ~45 min) (99204) | $132 | $264 | 1.0× |
| Office visit, new patient (high complexity, ~60 min) (99205) | $178.50 | $357 | 1.3× |
| Office consultation (low complexity, ~30 min) (99243) | $107 | $214 | 0.8× |
| Office consultation (moderate complexity, ~40 min) (99244) | $141.50 | $283 | 1.1× |
| Preventive visit, new patient (age 18–39) (99385) | $169 | $338 | — |
| Preventive visit, new patient (age 40–64) (99386) | $181.50 | $363 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 140 codes with posted prices and Medicare benchmarks
- Lab & pathology: 230 codes with posted prices and Medicare benchmarks
- Visits & medical services: 64 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 158 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 12 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 10.5 MB) ↓ — captured 2026-08-22
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.