Supplies, drugs & other prices at Jasper Memorial Hospital
Monticello, GA · every code in this section with a posted price and a Medicare benchmark.
12 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Admin influenza virus vac (G0008) | $18.05 | $36.10 | 0.4× |
| Admin pneumococcal vaccine (G0009) | $18.05 | $36.10 | 0.4× |
| Annual alcohol screen 15 min (G0442) | $13.50 | $27 | 0.4× |
| Behavior counsel obesity 15m (G0447) | $16 | $32 | 0.2× |
| Brief alcohol misuse counsel (G0443) | $24.50 | $49 | 0.2× |
| Ca screen;pelvic/breast exam (G0101) | $30.50 | $61 | 0.3× |
| Catheterize for urine spec (P9612) | $18.15 | $36.30 | 1.9× |
| Depression screen annual (G0444) | $13.50 | $27 | 0.4× |
| Initial preventive exam (G0402) | $111 | $222 | 0.8× |
| Obtaining screen pap smear (Q0091) | $24.50 | $49 | 0.8× |
| Ppps, initial visit (G0438) | $150.50 | $301 | 0.9× |
| Visit to determ ldct elig (G0296) | $24 | $48 | 0.2× |