Visits & medical services prices at Jasper Memorial Hospital
Monticello, GA · every code in this section with a posted price and a Medicare benchmark.
64 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $32.80 | $65.60 | 0.8× |
| Advncd Care Plan 30 Min (99497) | $74 | $148 | 0.7× |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$26.20–$29.60 | $52.40–$59.20 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $33 | $66 | 2.3× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $37.30 | $74.60 | 0.1× |
| Cardiopulmonary resuscitation (92950) range across 2 matching MRF lines |
$309–$444.50 | $618–$889 | varies |
| Cardioversion (92960) | $607 | $1,214 | 0.9× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $440.25 | $880.50 | 2.0× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$214.25–$444.50 | $428.50–$889 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$80–$103 | $160–$206 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $296.35 | $592.70 | 1.2× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $176.40 | $352.80 | 1.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $296.35 | $592.70 | 1.2× |
| Dup-scan xtr veins unilateral/limited study (93971) | $248.95 | $497.90 | 2.4× |
| Electrical Stimulation Ea 15 Min (97032) | $32.05 | $64.10 | 2.2× |
| Electrocardiogram Tracing (93005) | $62.05 | $124.10 | 1.0× |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$98–$114 | $196–$228 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$129–$172 | $258–$344 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$154.50–$257 | $309–$514 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$77.50–$84.50 | $155–$169 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$180.50–$383 | $361–$766 | varies |
| Evaluate Speech Production (92522) | $136.70 | $273.40 | 1.2× |
| Evaluate Swallowing Function (92610) | $192.65 | $385.30 | 2.3× |
| Extracranial Bilat Study (93880) | $357.65 | $715.30 | 1.5× |
| Holter monitor recording (93225) | $112.35 | $224.70 | 0.8× |
| Immunization administration (90471) | $38.70 | $77.40 | 0.5× |
| Irrig Drug Delivery Device (96523) | $37.50 | $75 | 0.6× |
| IV infusion hydration each additional hour (96361) | $30.25 | $60.50 | 0.6× |
| IV infusion hydration initial 31 min-1 hour (96360) | $126.70 | $253.40 | 0.6× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $38.30 | $76.60 | 0.8× |
| IV push initial (96374) range across 2 matching MRF lines |
$74–$74.15 | $148–$148.30 | varies |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $29.55 | $59.10 | 0.9× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) range across 2 matching MRF lines |
$17–$34.60 | $34–$69.20 | varies |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) range across 2 matching MRF lines |
$16.45–$21.50 | $32.90–$43 | varies |
| Motion Fluoroscopy/Swallow (92611) | $231.15 | $462.30 | 2.5× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $116.85 | $233.70 | 0.6× |
| Neuromuscular Reeducation (97112) | $36.30 | $72.60 | 1.1× |
| Oral Function Therapy (92526) | $84.45 | $168.90 | 1.0× |
| Ot eval high complexity (97167) | $166.05 | $332.10 | 1.7× |
| Ot Eval Low Complex (97165) | $90.70 | $181.40 | 0.9× |
| Ot Eval Moderate Complexity (97166) | $122.65 | $245.30 | 1.2× |
| Ot manual therapy 15 min (97140) range across 2 matching MRF lines |
$28.50–$80 | $57–$160 | varies |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) range across 2 matching MRF lines |
$8.05–$9.50 | $16.10–$19 | varies |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) range across 3 matching MRF lines |
$17–$17.50 | $34–$35 | varies |
| Pt Eval High Complex (97163) | $175.30 | $350.60 | 1.8× |
| Pt eval low complex 20 min (97161) | $74.85 | $149.70 | 0.8× |
| Pt Eval Mod Complex (97162) | $119.95 | $239.90 | 1.2× |
| Pt gait training 15 min (97116) | $34.20 | $68.40 | 1.2× |
| Pt Re-Eval Est Plan Care (97164) | $37.85 | $75.70 | 0.6× |
| Pure Tone Audiometry Air (92552) | $10.30 | $20.60 | 0.1× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $71 | $142 | 0.4× |
| Self Care Mngment Training (97535) | $31.15 | $62.30 | 1.0× |
| Spirometry (94010) | $23.45 | $46.90 | 0.1× |
| Temp transcutaneous pacing (92953) | $317.50 | $635 | 0.5× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 2 matching MRF lines |
$38.50–$38.75 | $77–$77.50 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $126.70 | $253.40 | 0.6× |
| Therapeutic Activities (97530) range across 2 matching MRF lines |
$30.40–$36.40 | $60.80–$72.80 | varies |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $27.50 | $55 | 0.7× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $18 | $36 | 0.5× |
| Trans Care Mgmt 14 Day Disch (99495) | $110.50 | $221 | 0.8× |
| Trans Care Mgmt 7 Day Disch (99496) | $153.50 | $307 | 1.1× |
| Tte w/doppler, complete (93306) | $898.50 | $1,797 | 1.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $64.40 | $128.80 | 0.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 2 matching MRF lines |
$38.50–$38.70 | $77–$77.40 | varies |
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.