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Evans Memorial Hospital prices. From its own published file.

Evans Memorial Hospital in Claxton, GA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,890prices published
Mar 2026file last updated

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
—$1,200$186–$1,067
Emergency visit, high (level 4)
99284
—$1,400$216–$1,190
Emergency visit, highest (level 5)
99285
—$1,840$284–$1,564
Comprehensive metabolic panel
80053
—$565$13.82–$480
Basic metabolic panel
80048
—$435$11.08–$370
Complete blood count (CBC)
85025
—$275$10.16–$234
Blood draw (venipuncture)
36415
—$45.00$2.20–$38.25
Urinalysis
81001
—$120$4.15–$157
Troponin (heart test)
84484
—$305$12.88–$259
EKG tracing
93005
—$330$51.02–$281
Chest X-ray, 2 views
71046
—$450$65.71–$578
CT head without contrast
70450
—$3,315$91.17–$2,818
CT abdomen and pelvis with contrast
74177
—$6,695$304–$5,691
MRI lower back without contrast
72148
—$5,250$208–$4,463
Ultrasound, abdomen
76700
—$1,185$91.17–$1,007
IV push, single drug
96374
—$295$45.61–$260
IV fluids, first hour
96360
—$635$98.17–$540
Ketorolac injection, 15 mg
J1885
—$65.00$0.32–$55.25
Ondansetron injection
J2405
—$70.00$0.10–$59.50
Knee arthroscopy
29881
—$21,245$2,853–$18,058

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Evans Memorial Hospital price transparency page.

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