Procedures & surgery prices at Jasper Memorial Hospital
Monticello, GA · every code in this section with a posted price and a Medicare benchmark.
158 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Application finger splint static (29130) range across 2 matching MRF lines |
$49–$61.50 | $98–$123 | varies |
| Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$90–$112 | $180–$224 | varies |
| Application Long Leg Splint (29505) range across 2 matching MRF lines |
$92.50–$134 | $185–$268 | varies |
| Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$82.50–$132 | $165–$264 | varies |
| Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$82–$87.50 | $164–$175 | varies |
| Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$87–$87.50 | $174–$175 | varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$77–$98 | $154–$196 | varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$106–$118.50 | $212–$237 | varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) | $87.50 | $175 | 0.3× |
| Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$47.50–$62 | $95–$124 | varies |
| Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$67.50–$82.50 | $135–$165 | varies |
| Blepharotomy drainage abscess eyelid (67700) | $148.50 | $297 | 0.5× |
| Blood Transfusion Service (36430) | $133.30 | $266.60 | 0.3× |
| Change Cystostomy Tube Simple (51705) | $117 | $234 | 0.5× |
| Chemical Cautery Tissue (17250) | $32 | $64 | 0.2× |
| Chest tube placement (32551) | $398.50 | $797 | 0.3× |
| Clear outer ear canal (69200) range across 3 matching MRF lines |
$46–$165.50 | $92–$331 | varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) | $547 | $1,094 | 2.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) | $541 | $1,082 | 2.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) | $287 | $574 | 1.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) | $347.50 | $695 | 1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$180.50–$315 | $361–$630 | varies |
| Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$262–$423.50 | $524–$847 | varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$315–$335 | $630–$670 | varies |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) | $315 | $630 | 1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
$257.50–$423.50 | $515–$847 | varies |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) | $353 | $706 | 1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) | $463.50 | $927 | 0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) | $201 | $402 | 0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) | $190.50 | $381 | 0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$216.50–$393.50 | $433–$787 | varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) | $304 | $608 | 1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
$180.50–$423.50 | $361–$847 | varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$154.50–$315 | $309–$630 | varies |
| Collection of venous blood by venipuncture (36415) | $7.75 | $15.50 | 0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) | $180.50 | $361 | 1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$106–$126 | $212–$252 | varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) | $237 | $474 | 1.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) | $208.50 | $417 | 0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) | $77 | $154 | 0.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$101.50–$195.50 | $203–$391 | varies |
| Debride nail 1-5 (11720) | $30.50 | $61 | 0.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$40–$77.50 | $80–$155 | varies |
| Destruct B9 Lesion 1-14 (17110) | $74 | $148 | 0.4× |
| Destruction premalignant lesion 1st (17000) | $77 | $154 | 0.4× |
| Drainage external auditory canal abscess (69020) | $186.50 | $373 | 0.3× |
| Drainage external ear abscess/hematoma cmplx (69005) | $232 | $464 | 0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) | $165 | $330 | 0.2× |
| Drainage Finger Abscess Complicated (26011) | $247 | $494 | 0.1× |
| Drainage of finger abscess simple (26010) | $185.50 | $371 | 0.9× |
| Drainage of hematoma/fluid (10140) | $92 | $184 | 0.1× |
| Drainage of nose lesion (30000) | $157 | $314 | 0.7× |
| Drainage of scrotal wall abscess (55100) | $216.50 | $433 | 0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) | $153 | $306 | 0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) | $185.50 | $371 | 0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) | $114.50 | $229 | 0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$67–$101 | $134–$202 | varies |
| Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
$36–$49 | $72–$98 | varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) | $138.50 | $277 | 0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) | $153 | $306 | 0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
$140–$172 | $280–$344 | varies |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) | $212 | $424 | 0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) | $134.50 | $269 | 0.2× |
| Fine needle aspiration without imaging guidance (10021) | $77 | $154 | 0.2× |
| I&d abscess simple (10060) range across 3 matching MRF lines |
$92–$112 | $184–$224 | varies |
| Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$152.50–$153.50 | $305–$307 | varies |
| Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$181.50–$322.50 | $363–$645 | varies |
| Incision & removal foreign body subq tiss compl (10121) | $592 | $1,184 | 0.4× |
| Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$49–$141.50 | $98–$283 | varies |
| Incision and drainage of bartholin's gland abscess (56420) | $154.50 | $309 | 0.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) | $56.50 | $113 | 0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) | $45 | $90 | 0.1× |
| Injection single tendon origin/insertion (20551) | $48 | $96 | 0.2× |
| Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$92.50–$160 | $185–$320 | varies |
| Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$129–$635.50 | $258–$1,271 | varies |
| Insert Temp Bladder Cath (51702) | $82 | $164 | 0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) | $77.95 | $155.90 | 0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) | $181.50 | $363 | 0.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) | $181.50 | $363 | 0.4× |
| Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$206–$211.50 | $412–$423 | varies |
| Late closure of wound (13160) | $819 | $1,638 | 0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) | $127 | $254 | 0.3× |
| Punch biopsy skin single lesion (11104) | $89 | $178 | 0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) | $100.50 | $201 | 0.2× |
| Puncture Aspiration Cyst Breast (19000) | $92.50 | $185 | 0.1× |
| Removal foreign body foot deep (28192) | $181.50 | $363 | 0.1× |
| Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
$92–$218.50 | $184–$437 | varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
$138.50–$154.50 | $277–$309 | varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) | $26 | $52 | 0.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$40–$128 | $80–$256 | varies |
| Removal of nail bed (11750) | $187.50 | $375 | 0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 3 matching MRF lines |
$52.50–$103.50 | $105–$207 | varies |
| Remove drug implant device (11982) | $107.50 | $215 | 0.2× |
| Remove foreign body from eye (65205) | $82.50 | $165 | 0.6× |
| Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$67.50–$101.50 | $135–$203 | varies |
| Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$98–$127 | $196–$254 | varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) | $190.50 | $381 | 0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) | $190.50 | $381 | 0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) | $190.50 | $381 | 0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) | $190.50 | $381 | 0.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) | $190.50 | $381 | 0.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$190.50–$232 | $381–$464 | varies |
| Repair complex trunk 1.1-2.5 cm (13100) | $190.50 | $381 | 0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) | $190.50 | $381 | 0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$174–$181.50 | $348–$363 | varies |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) | $181.50 | $363 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) | $181.50 | $363 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) | $181.50 | $363 | 0.4× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) | $181.50 | $363 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) | $181.50 | $363 | 0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) | $181.50 | $363 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) | $181.50 | $363 | 0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) | $181.50 | $363 | 0.2× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) | $181.50 | $363 | 0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$181.50–$244.50 | $363–$489 | varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) | $181.50 | $363 | 0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$179.50–$181.50 | $359–$363 | varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) | $181.50 | $363 | 0.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$181.50–$195 | $363–$390 | varies |
| Repair intermediate s/a/t/e >30.0 cm (12037) | $181.50 | $363 | 0.1× |
| Repair tongue laceration (41250) | $202 | $404 | 0.5× |
| Reposition Gastrostomy Tube (43761) | $110.50 | $221 | 0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$105–$120.50 | $210–$241 | varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) | $98 | $196 | 0.2× |
| Rplc Gtube No Revj Trc (43762) | $172.50 | $345 | 0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$96.50–$155.50 | $193–$311 | varies |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) | $181.50 | $363 | 0.2× |
| Shave skin lesion 0.5 cm/< (11300) | $61.50 | $123 | 0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) | $86 | $172 | 0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) | $92 | $184 | 0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$131–$155.50 | $262–$311 | varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$57–$155.50 | $114–$311 | varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$59–$155.50 | $118–$311 | varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) | $155.50 | $311 | 0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$77.50–$155.50 | $155–$311 | varies |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) | $155.50 | $311 | 0.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$46.50–$155.50 | $93–$311 | varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) | $155.50 | $311 | 0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$75.50–$155.50 | $151–$311 | varies |
| Skin sub graft face/nk/hf/g (15275) | $104.55 | $209.10 | 0.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines |
$60.50–$155.50 | $121–$311 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$97–$155.50 | $194–$311 | varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
$155.50–$195 | $311–$390 | varies |
| Spinal puncture lumbar diagnostic (62270) | $234.50 | $469 | 0.3× |
| Strapping ankle (29540) | $77.50 | $155 | 0.5× |
| Strapping elbow or wrist (29260) | $37.40 | $74.80 | 0.6× |
| Strapping shoulder (29240) | $62 | $124 | 0.5× |
| Strapping toes (29550) | $56.50 | $113 | 1.0× |
| Tangential biopsy skin single lesion (11102) | $89 | $178 | 0.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) | $335 | $670 | 1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) | $679.50 | $1,359 | 0.4× |
| Treat Vaginal Bleeding (57180) | $190.50 | $381 | 0.9× |
| Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$315–$458.50 | $630–$917 | varies |
| Trim skin lesion (11055) | $69.50 | $139 | 0.3× |
| Tx Gastro Intub W/Asp (43753) | $104 | $208 | 0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$155.50–$201 | $311–$402 | varies |
| Tx superficial wound dehiscence w/packing (12021) | $155.50 | $311 | 0.4× |
| Wedge excision skin nail fold (11765) | $57 | $114 | 0.1× |
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.