Hospital Profile Critical Access Hospitals Government - Local

Jasper Memorial Hospital

898 COLLEGE ST, Monticello, GA 31064

CMS Overall Rating No CMS Rating

Jasper Memorial Hospital publishes prices for 79 shoppable procedures in Monticello, GA. It's classified by CMS as Critical Access Hospitals (Government - Local). CMS has not published a star rating for it.

Facility Overview

Setting: urban Bed Count: 12 Beds Teaching Status: Non-Teaching Annual Discharges: 3

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 86 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 79 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at Jasper Memorial Hospital

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
Blood test, complete blood count (CBC) CPT Code: `85025`	$40	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$53	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$34	—	—	—
Blood test, vitamin D CPT Code: `82306`	$117	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$36	—	—	—
X-ray, lower back CPT Code: `72110`	$142	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$33	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$18	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$18	—	—	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$86	—	—	—
Blood transfusion CPT Code: `36430`	$133	—	—	—
Blood test, liver function panel CPT Code: `80076`	$46	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$223	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$52	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$28	—	—	—
X-ray, hip CPT Code: `73502`	$89	—	—	—
Blood test, amylase CPT Code: `82150`	$35	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$79	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$899	—	—	—
X-ray, ankle CPT Code: `73610`	$137	—	—	—
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$68	—	—	—
X-ray, pelvis CPT Code: `72170`	$105	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,623	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$80	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$1,013	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$10	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$64	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$62	—	—	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$69	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$30	—	—	—
CT scan, sinuses CPT Code: `70486`	$673	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$373	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$16	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$667	—	—	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$93	—	—	—
X-ray, foot CPT Code: `73630`	$132	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$728	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$62	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$24	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$128	—	—	—
CT scan, head (with contrast) CPT Code: `70460`	$689	—	—	—
Culture, blood CPT Code: `87040`	$66	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$296	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,333	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$12	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$101	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$54	—	—	—
Blood test, magnesium CPT Code: `83735`	$27	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$44	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$54	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$50	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$34	—	—	—
CT scan, pelvis CPT Code: `72192`	$606	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$222	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$92	—	—	—
Blood test, sodium CPT Code: `84295`	$28	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$36	—	—	—
Blood test, potassium CPT Code: `84132`	$28	—	—	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	$212	—	—	—
Blood test, calcium CPT Code: `82310`	$28	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$64	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$26	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$52	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$31	—	—	—
Blood test, lipase CPT Code: `83690`	$40	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$31	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$51	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$65	—	—	—
Screening mammogram (both breasts) CPT Code: `77067`	$185	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$652	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$35	—	—	—
Flu vaccine (high dose) HCPCS Code: `90656`	$36	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$247	—	—	—
Culture, bacterial CPT Code: `87070`	$56	—	—	—
X-ray, hand CPT Code: `73130`	$101	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$100	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$706	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$37	—	—	—
X-ray, shoulder CPT Code: `73030`	$157	—	—	—