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.

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ProcedureCash priceGross charge× Medicare
Advance care planning first 30 mins (99497) $74 $148 0.7×
Airway inhalation treatment (94640) $26.20 $52.40 0.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $37.30 $74.60 0.1×
Cardiopulmonary resuscitation (92950) $376.75 $753.50 1.7×
Cardioversion (92960) $607 $1,214 0.9×
Cpap initiation and management (94660) $440.25 $880.50 2.0×
Critical care (99291) $327.50 $655 0.4×
Debridement Open Wound 20 Sq Cm< (97597) $91.50 $183 0.5×
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 unilateral/limited study (93971) $248.95 $497.90 2.4×
Duplex scan extracranial art compl bi study (93880) $357.65 $715.30 1.5×
EKG (93005) $62.05 $124.10 1.0×
Er level 1 (99281) $81 $162 1.0×
Er level ii (99282) $106 $212 0.7×
Er level iii (99283) $150.50 $301 0.5×
Er level IV (99284) $205.75 $411.50 0.5×
Er level v (99285) $281.75 $563.50 0.5×
Evaluation of speech sound production (92522) $136.70 $273.40 1.2×
Evaluation of swallowing function (92610) $192.65 $385.30 2.3×
Holter Monitor Recording (93225) $112.35 $224.70 0.8×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $32.80 $65.60 0.8×
Immunization Admin (90471) $38.70 $77.40 0.5×
Immunotherapy, 2+ Injections (95117) $17.50 $35 0.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,initial,1st hour (96365) $126.70 $253.40 0.6×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $38.30 $76.60 0.8×
IV push initial (96374) $74.08 $148.15 0.3×
Manual therapy 15 min (97140) $54.25 $108.50 2.0×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $29.55 $59.10 0.9×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $25.80 $51.60 0.7×
Mnt Group Ea 30 Min (97804) $18.98 $37.95 1.1×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $231.15 $462.30 2.5×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $116.85 $233.70 0.6×
Ot eval high complex 60 min (97167) $166.05 $332.10 1.7×
Ot eval low complex 30 min (97165) $90.70 $181.40 0.9×
Ot eval mod complex 45 min (97166) $122.65 $245.30 1.2×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $8.78 $17.55 0.2×
Pt Electrical Stimulation (97032) $32.05 $64.10 2.2×
Pt eval high complex 45 min (97163) $175.30 $350.60 1.8×
Pt eval low complex 20 min (97161) $74.85 $149.70 0.8×
Pt Gait Training Therapy (97116) $34.20 $68.40 1.2×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $36.30 $72.60 1.1×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $119.95 $239.90 1.2×
Pt re-evaluation (97164) $37.85 $75.70 0.6×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $31.15 $62.30 1.0×
Pt Ultrasound Therapy (97035) $33 $66 2.3×
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×
Smoking cessation > 10 min (99407) $27.50 $55 0.7×
Spirometry (94010) $23.45 $46.90 0.1×
Temp transcutaneous pacing (92953) $317.50 $635 0.5×
Ther/Proph/Diag Inj Sc/Im (96372) $38.62 $77.25 0.5×
Therapeutic Activities (97530) $33.40 $66.80 1.0×
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 - Tte Complete W/ Contrast (93306) $898.50 $1,797 1.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $64.40 $128.80 0.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $84.45 $168.90 1.0×
Tx/Pro/Dx Inj New Drug Addon (96375) $38.60 $77.20 0.8×
Vasc Duplex Extrem Venous,Bilat (93970) $296.35 $592.70 1.2×