Lab & pathology prices at Jasper Memorial Hospital
Monticello, GA · every code in this section with a posted price and a Medicare benchmark.
230 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Acth (82024) | $208.90 | $417.80 | 5.4× |
| Acute hepatitis panel (80074) | $170.35 | $340.70 | 3.6× |
| Acylcarnitines Quant (82017) | $141.50 | $283 | 8.4× |
| Albumin serum (82040) | $22.30 | $44.60 | 4.5× |
| Aldosterone urine (82088) | $43.15 | $86.30 | 1.1× |
| Alkaline phosphatase isoenzymes (84080) | $28 | $56 | 1.9× |
| Allergen specific ige (86003) | $18.45 | $36.90 | 3.5× |
| Alpha-1-antitrypsin total (82103) | $57.80 | $115.60 | 4.3× |
| Alpha-Fetoprotein Serum (82105) | $84.05 | $168.10 | 5.0× |
| Alt (sgpt) (84460) | $32.05 | $64.10 | 6.0× |
| Aminolevulinic acid (ala) (82135) | $76.20 | $152.40 | 4.6× |
| Ammonia (82140) | $50.95 | $101.90 | 3.5× |
| Amylase urine (82150) | $35.40 | $70.80 | 5.5× |
| Angiotensin converting enzyme csf (82164) | $94.20 | $188.40 | 6.5× |
| Antibody Borrelia Burgdorferi Confirmatory Tst (86617) | $54.25 | $108.50 | 3.5× |
| Antibody Epstein-Barr Eb Virus Early Antigen Ea (86663) | $26.90 | $53.80 | 2.1× |
| Antibody Epstein-Barr Eb Virus Nuclear Ag Ebna (86664) | $30.25 | $60.50 | 2.0× |
| Antibody Epstein-Barr Eb Virus Viral Capsid Vca (86665) range across 3 matching MRF lines |
$72.85–$75.05 | $145.70–$150.10 | varies |
| Antibody helicobacter pylori (86677) range across 2 matching MRF lines |
$73.15–$75.30 | $146.30–$150.60 | varies |
| Antibody Herpes Smplx Non-Specific Type Test (86694) | $161.50 | $323 | 11.2× |
| Antibody Herpes Smplx Type 1 (86695) | $67.60 | $135.20 | 5.1× |
| Antinuclear antibodies (86038) | $58.85 | $117.70 | 4.9× |
| Antistreptolysin o titer (86060) | $35.30 | $70.60 | 4.8× |
| Assay Blood Carbon Dioxide (82374) | $28.25 | $56.50 | 5.8× |
| Assay of blood/uric acid (84550) | $28.05 | $56.10 | 6.2× |
| Assay of g6pd enzyme (82955) | $75.75 | $151.50 | 7.8× |
| Assay of gammaglobulin igm (82784) range across 4 matching MRF lines |
$24.65–$26.75 | $49.30–$53.50 | varies |
| Assay of lactic acid (83605) | $106.65 | $213.30 | 9.2× |
| Assay of metanephrines (83835) | $193 | $386 | 11.4× |
| Assay of prostate specific antigen complexed (84152) | $66.85 | $133.70 | 3.6× |
| Assay of serotonin (84260) | $213.80 | $427.60 | 6.9× |
| Assay of serum potassium (84132) | $28 | $56 | 5.9× |
| Assay of urea nitrogen (84520) | $37.35 | $74.70 | 9.5× |
| Assay of vitamin b-1 (84425) | $88.90 | $177.80 | 4.2× |
| Beta-2 Microglobulin (82232) | $108.40 | $216.80 | 6.7× |
| Bilirubin direct (82248) | $43.45 | $86.90 | 8.7× |
| Bilirubin total (82247) | $27.95 | $55.90 | 5.6× |
| Blood Count Red Blood Cell Automated (85041) | $9.20 | $18.40 | 3.0× |
| Blood count reticulocyte automated (85045) | $24.05 | $48.10 | 6.0× |
| Blood gas (82803) | $148.45 | $296.90 | 5.7× |
| Blood Occult Peroxidase Actv Qual Feces 1 Deter (82270) | $12.70 | $25.40 | 2.9× |
| Blood typing serologic abo (86900) | $17.80 | $35.60 | 6.0× |
| C-Peptide (84681) | $129.70 | $259.40 | 6.2× |
| C-reactive protein (86140) | $37.35 | $74.70 | 7.2× |
| Calcium ionized (82330) | $38.80 | $77.60 | 2.8× |
| Calcium total (82310) | $28 | $56 | 5.4× |
| Calprotectin Fecal (83993) | $156.60 | $313.20 | 8.0× |
| Cancer Antigen 125 (86304) | $40 | $80 | 1.9× |
| Carbamazepine total (80156) | $52.40 | $104.80 | 3.6× |
| Carcinoembryonic antigen (82378) | $72 | $144 | 3.8× |
| Carnitine Quantitative Each Specimen (82379) range across 2 matching MRF lines |
$121.30–$125.05 | $242.60–$250.10 | varies |
| Cell count csf (89051) | $52.90 | $105.80 | 9.4× |
| Ceruloplasmin (82390) | $65.75 | $131.50 | 6.1× |
| Chloride Serum (82435) | $18.35 | $36.70 | 4.0× |
| Chloride urine (82436) | $20 | $40 | 3.5× |
| Cholesterol total (82465) | $19.95 | $39.90 | 4.6× |
| Chorionic gonadotropin test (84702) | $77.80 | $155.60 | 5.2× |
| Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr (87491) range across 2 matching MRF lines |
$35.05–$51.70 | $70.10–$103.40 | varies |
| Ckmb (82553) | $63.90 | $127.80 | 5.5× |
| Clostridium Difficile (87324) | $43.10 | $86.20 | 3.6× |
| Compatibility test antiglob (86922) | $63.55 | $127.10 | 0.4× |
| Complement Antigen Each Component (86160) range across 2 matching MRF lines |
$55.05–$57.85 | $110.10–$115.70 | varies |
| Copper urine (82525) | $44.20 | $88.40 | 3.6× |
| Cortisol free (82530) | $112.05 | $224.10 | 6.7× |
| Cortisol saliva (82533) range across 2 matching MRF lines |
$41.10–$44.40 | $82.20–$88.80 | varies |
| Creatine kinase total (82550) | $39.60 | $79.20 | 6.1× |
| Creatinine blood (82565) | $31.45 | $62.90 | 6.1× |
| Creatinine clearance (82575) | $44.40 | $88.80 | 4.7× |
| Creatinine Urine (82570) range across 2 matching MRF lines |
$19.40–$31.40 | $38.80–$62.80 | varies |
| Crossmatch immediate spin (86920) | $43.55 | $87.10 | 0.3× |
| Crp High Sensitivity (86141) | $48.95 | $97.90 | 3.8× |
| Cul Bact Aerobic Addl Meths Definitive Ea Isol (87077) | $29.35 | $58.70 | 3.6× |
| Culture afb (87116) | $26.70 | $53.40 | 2.5× |
| Culture Anaerobic (87075) | $49.80 | $99.60 | 5.3× |
| Culture blood (87040) | $65.70 | $131.40 | 6.4× |
| Culture csf (87070) range across 5 matching MRF lines |
$55.65–$55.85 | $111.30–$111.70 | varies |
| Culture screen only (87081) | $6.40 | $12.80 | 1.0× |
| Culture stool (87045) | $55.55 | $111.10 | 5.9× |
| Culture urine (87086) | $54 | $108 | 6.7× |
| Cyclosporine (80158) | $116.05 | $232.10 | 6.4× |
| Cytopath C/V Thin Layer - Lab Cytopath Cerv/Vag Thin Layer (88142) | $51.70 | $103.40 | 2.6× |
| Cytp C/V Auto Thin Lyr Prepj Scr Mnl Rescr Phys (88175) | $56.55 | $113.10 | 2.1× |
| Detect Agent Nos Dna Amp (87798) | $121.85 | $243.70 | 3.5× |
| Dhea (82626) | $158 | $316 | 6.3× |
| Dhea-S (82627) | $106.65 | $213.30 | 4.8× |
| Digoxin (80162) | $52.50 | $105 | 4.0× |
| Dna Antibody Native/Double Stranded (86225) | $72.20 | $144.40 | 5.3× |
| Drug Assay Everolimus (80169) | $224.75 | $449.50 | 16.4× |
| Drug Screen Quantitative Lamotrigine (80175) | $88.90 | $177.80 | 6.7× |
| Drug Screen Quantitative Levetiracetam (80177) | $133.30 | $266.60 | 10.1× |
| Drug Test Prsmv Chem Anlyzr (80307) | $42.35 | $84.70 | 0.7× |
| Drug Test Prsmv Instrmnt (80306) | $59.85 | $119.70 | 3.5× |
| Ehrlichia antibody (86666) | $61.30 | $122.60 | 6.0× |
| Electrolyte panel (80051) | $39.60 | $79.20 | 5.6× |
| Estradiol serum (82670) | $65.75 | $131.50 | 2.4× |
| Estriol (82677) | $85.05 | $170.10 | 3.5× |
| Ethylene Glycol (82693) | $113 | $226 | 7.6× |
| Ferritin (82728) | $52 | $104 | 3.8× |
| Fibrin Degradation Quant (85379) | $73.55 | $147.10 | 7.2× |
| Fluorescent antibody screen (86255) range across 2 matching MRF lines |
$88.30–$130.70 | $176.60–$261.40 | varies |
| Fluorescent Nonnfct Agt Antb Titer Ea Antibody (86256) | $57.90 | $115.80 | 4.8× |
| Folic acid rbc (82747) | $41.40 | $82.80 | 2.3× |
| Folic Acid Serum (82746) | $33.70 | $67.40 | 2.3× |
| Follicle Stimulating Hormone (83001) | $44.40 | $88.80 | 2.4× |
| Gammaglobulin ige (82785) | $32.85 | $65.70 | 2.0× |
| Gases blood ph only (82800) | $29.65 | $59.30 | 2.7× |
| Gentamicin (80170) | $59.35 | $118.70 | 3.6× |
| Ggt (82977) | $42.65 | $85.30 | 5.9× |
| Giardia antigen (87329) | $30.45 | $60.90 | 2.5× |
| Glucose body fluid (82945) | $24 | $48 | 6.1× |
| Glucose Serum (82947) | $24 | $48 | 6.1× |
| Glucose tolerance test (gtt) (82951) | $70.80 | $141.60 | 5.5× |
| Glycated Protein (82985) | $61.90 | $123.80 | 3.7× |
| Gtt-added samples (82952) | $20 | $40 | 5.1× |
| Helicobacter Pylori Stool (87338) | $129.10 | $258.20 | 9.0× |
| Hematocrit (85014) range across 2 matching MRF lines |
$15.75–$16 | $31.50–$32 | varies |
| Hemoglobin (85018) | $15.75 | $31.50 | 6.6× |
| Hemoglobin a1c (83036) | $54 | $108 | 5.6× |
| Hepatitis b core ab igm (86705) | $43.80 | $87.60 | 3.7× |
| Hepatitis B Surface Antibody (86706) | $38 | $76 | 3.5× |
| Hepatitis B Surface Antigen (87340) | $42.65 | $85.30 | 4.1× |
| Hepatitis C Antibody (86803) | $49.80 | $99.60 | 3.5× |
| Hepatitis C Revrs Trnscrpj (87522) | $314.85 | $629.70 | 7.3× |
| Herpes simplex type 2 (86696) | $64.85 | $129.70 | 3.4× |
| Heterophile Antibody Screen (86308) | $24.95 | $49.90 | 4.8× |
| Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab (87389) | $63.90 | $127.80 | 2.7× |
| Hiv-1 Quant&Revrse Trnscrpj (87536) | $238.25 | $476.50 | 2.8× |
| Hla I Low Resolution One Antigen Equivalent Each (81374) | $22 | $44 | 0.3× |
| Hla ii type 1 ag equiv lr (81377) | $67.05 | $134.10 | 0.7× |
| Homocysteine (83090) | $62.15 | $124.30 | 3.5× |
| Hpv High-Risk Types (87624) | $63.90 | $127.80 | 1.8× |
| Hydroxyprogesterone 17-d (83498) | $100.15 | $200.30 | 3.7× |
| Iaad Ia Respiratory Synctial Virus - Rsv Rapid Antigen Screen (87420) | $66.80 | $133.60 | 4.8× |
| Iadna Cytomegalovirus Quantification (87497) | $255.55 | $511.10 | 6.0× |
| Iadna Neisseria Gonorrhoeae Amplified Probe Tq (87591) | $35.05 | $70.10 | 1.0× |
| Immunfix e-phorsis/urine/csf (86335) | $82.70 | $165.40 | 2.8× |
| Immunoassay Analyte Quant Radioimmunoassay (83519) range across 2 matching MRF lines |
$137.70–$560.85 | $275.40–$1,121.70 | varies |
| Immunoassay Infectious Agent Antibody Quan Nos (86317) | $25.85 | $51.70 | 1.7× |
| Immunoassay nonantibody (83516) range across 3 matching MRF lines |
$59.65–$95.95 | $119.30–$191.90 | varies |
| Immunofixation electrophoresis (86334) | $82.70 | $165.40 | 3.7× |
| Influenza assay w/optic (87804) range across 3 matching MRF lines |
$22.15–$22.40 | $44.30–$44.80 | varies |
| Inhibin b (83520) range across 3 matching MRF lines |
$16.60–$130.65 | $33.20–$261.30 | varies |
| Insulin antibodies (86337) | $108.95 | $217.90 | 5.1× |
| Insulin total (83525) | $38.45 | $76.90 | 3.4× |
| Iron (83540) | $40 | $80 | 6.2× |
| Iron Binding Capacity (83550) | $52 | $104 | 5.9× |
| Lactate (ld) (ldh) enzyme (83615) | $36 | $72 | 6.0× |
| Lead (83655) range across 2 matching MRF lines |
$6.10–$23.45 | $12.20–$46.90 | varies |
| Legionella antigen urine (87449) | $44.40 | $88.80 | 3.7× |
| Leukocyte Assessment Fecal (89055) | $10.65 | $21.30 | 2.5× |
| Lipase (83690) | $40 | $80 | 5.8× |
| Lithium (80178) | $35.15 | $70.30 | 5.3× |
| Luteinizing Hormone (Lh) (83002) | $42.45 | $84.90 | 2.3× |
| Lyme disease antibody (86618) range across 2 matching MRF lines |
$141.10–$148.20 | $282.20–$296.40 | varies |
| Magnesium Urine (83735) | $27.15 | $54.30 | 4.1× |
| Methylmalonic acid serum (83921) | $177.85 | $355.70 | 8.4× |
| Microalbumin, quantitative (82043) | $24 | $48 | 4.2× |
| Microsomal Antibodies Each (86376) | $52.95 | $105.90 | 3.6× |
| Mumps antibody (86735) | $48 | $96 | 3.7× |
| Mycoplasma culture (87109) | $25.60 | $51.20 | 1.7× |
| Myoglobin urine (83874) | $69.85 | $139.70 | 5.4× |
| Natriuretic peptide (83880) | $145.70 | $291.40 | 3.7× |
| Nk cells total count (86357) | $35.55 | $71.10 | 0.9× |
| Occult blood feces (82272) range across 2 matching MRF lines |
$12.20–$12.70 | $24.40–$25.40 | varies |
| Osmolality serum (83930) | $24.85 | $49.70 | 3.8× |
| Ova and parasites smears (87177) | $26.70 | $53.40 | 3.0× |
| Phenobarbital Level (80184) | $45.25 | $90.50 | 3.0× |
| Phenylalanine (84030) | $8.95 | $17.90 | 1.6× |
| Phenytoin (Dilantin) (80185) | $51.55 | $103.10 | 3.9× |
| Phosphorus Serum (84100) | $28 | $56 | 5.9× |
| Platelet count automated (85049) | $27.65 | $55.30 | 6.2× |
| Potassium Urine (84133) | $37.40 | $74.80 | 7.9× |
| Prealbumin (84134) | $46.20 | $92.40 | 3.2× |
| Progesterone (84144) | $44.40 | $88.80 | 2.1× |
| Prolactin (84146) | $44.40 | $88.80 | 2.3× |
| Protein body fluid (84157) | $20 | $40 | 5.0× |
| Protein Electrophoretic Fractj&Quantj Serum (84165) | $19.70 | $39.40 | 1.8× |
| Protein total serum (84155) | $19.40 | $38.80 | 5.3× |
| Protein Total Urine (84156) range across 2 matching MRF lines |
$19.40–$19.45 | $38.80–$38.90 | varies |
| PSA free (84154) | $66.90 | $133.80 | 3.6× |
| Pth Intact (83970) range across 2 matching MRF lines |
$71.60–$145.75 | $143.20–$291.50 | varies |
| Quantiferon tb gold plus (86480) | $159.45 | $318.90 | 2.6× |
| Reagent Strip/Blood Glucose (82948) | $13.90 | $27.80 | 2.8× |
| Renin activity plasma (84244) range across 2 matching MRF lines |
$101.80–$101.85 | $203.60–$203.70 | varies |
| Rheumatoid Factor Qualitative (86430) | $29.65 | $59.30 | 4.8× |
| Rickettsia antibody (86757) range across 2 matching MRF lines |
$48.05–$50.40 | $96.10–$100.80 | varies |
| Rpr qualitative (86592) | $16 | $32 | 3.7× |
| Rubella Antibody (86762) | $24.85 | $49.70 | 1.7× |
| Rubeola antibody (86765) | $76.20 | $152.40 | 5.9× |
| Sars-Cov-2 Covid-19 Amp Prb (87635) | $157.80 | $315.60 | 3.1× |
| Sars-cov-2 COVID-19 antibody (86769) | $123.60 | $247.20 | 2.9× |
| Sedimentation Rate, Automated (85652) | $29.60 | $59.20 | 11.0× |
| Sensitivity mic (87186) | $34.80 | $69.60 | 4.0× |
| Sex Hormone Binding Globulin (84270) | $69.85 | $139.70 | 3.2× |
| Sirolimus (80195) | $126.25 | $252.50 | 9.2× |
| Skin test tuberculosis intradermal (86580) | $19.55 | $39.10 | 0.7× |
| Smr Prim Src Wet Mount Nfct Agt (87210) range across 3 matching MRF lines |
$18.75–$19.05 | $37.50–$38.10 | varies |
| Sodium Serum (84295) | $28.05 | $56.10 | 5.8× |
| Sodium Urine (84300) | $20 | $40 | 4.0× |
| Strep a assay w/optic (87880) range across 2 matching MRF lines |
$29.35–$33.35 | $58.70–$66.70 | varies |
| T cells absolute cd4 count (86361) | $128.40 | $256.80 | 4.8× |
| T3 Free (84481) | $82.75 | $165.50 | 4.9× |
| T3 reverse (84482) | $56.15 | $112.30 | 3.6× |
| T3 Total (84480) | $88.90 | $177.80 | 6.3× |
| T3 Uptake (84479) | $40 | $80 | 6.2× |
| T4 Free (84439) | $50.45 | $100.90 | 5.6× |
| T4 total (84436) | $29.40 | $58.80 | 4.3× |
| Tacrolimus (80197) | $112.65 | $225.30 | 8.2× |
| Test for acetone/ketones (82009) | $18.70 | $37.40 | 4.1× |
| Testosterone Bioavailable (84410) | $84.25 | $168.50 | 1.6× |
| Testosterone total (84403) | $67.70 | $135.40 | 2.6× |
| Testosterone, Free (84402) | $69.30 | $138.60 | 2.7× |
| Theophylline (80198) | $54.40 | $108.80 | 3.8× |
| Thyroglobulin Antibody (86800) | $82.90 | $165.80 | 5.2× |
| Thyroxine binding globulin (84442) | $73.35 | $146.70 | 5.0× |
| Transferase Aspartate Amino Ast Sgot (84450) | $32.05 | $64.10 | 6.2× |
| Triglycerides (84478) | $32.05 | $64.10 | 5.6× |
| Troponin Quant (84484) | $77.65 | $155.30 | 6.2× |
| Urine Bacteria Culture (87088) | $23.30 | $46.60 | 2.9× |
| Urine Pregnancy Test (81025) | $37.10 | $74.20 | 4.3× |
| Urnls Dip Stick/Tablet Reagent Auto Microscopy (81001) range across 4 matching MRF lines |
$10.10–$28.05 | $20.20–$56.10 | varies |
| Valproic acid (80164) | $51.70 | $103.40 | 3.8× |
| Vancomycin (80202) range across 2 matching MRF lines |
$79.20–$79.25 | $158.40–$158.50 | varies |
| Varicella-zoster antibody (86787) | $46.60 | $93.20 | 3.6× |
| Viral Culture (87252) | $155.95 | $311.90 | 6.0× |
| Vit D 1 25-Dihydroxy (82652) | $229.35 | $458.70 | 6.0× |
| Vitamin b-12 (82607) | $34.75 | $69.50 | 2.3× |
| Vitamin B6 (84207) | $95.65 | $191.30 | 3.4× |
| Vitamin D 25-Hydroxy (82306) | $116.50 | $233 | 3.9× |
| Zinc (84630) | $54.65 | $109.30 | 4.8× |
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.