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Jasper Memorial Hospital prices. From its own published file.

Jasper Memorial Hospital in Monticello, 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.

946prices published
Jan 2026file last updated
$1,623cash price for ct abdomen and pelvis with contrast (list $3,246)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$129$301$53.56–$322
Emergency visit, high (level 4)
99284
$155$412$53.56–$463
Emergency visit, highest (level 5)
99285
$181$564$53.56–$689
Comprehensive metabolic panel
80053
$92.05$184$53.56–$166
Basic metabolic panel
80048
$50.60$101$53.56–$91.08
Complete blood count (CBC)
85025
$40.00$80.00$42.85–$90.00
Blood draw (venipuncture)
36415
$7.75$15.50$8.30–$90.00
Urinalysis
81001
$10.10$24.60$10.82–$90.00
Troponin (heart test)
84484
$77.65$155$53.56–$140
EKG tracing
93005
$62.05$124$53.56–$112
Chest X-ray, 2 views
71046
$128$256$53.56–$230
CT head without contrast
70450
$667$1,333$53.56–$1,200
CT abdomen and pelvis with contrast
74177
$1,623$3,246$53.56–$2,922
Ultrasound, abdomen
76700
$373$747$53.56–$672
IV push, single drug
96374
$74.00$148$53.56–$322
IV fluids, first hour
96360
$127$253$53.56–$228
Ketorolac injection, 15 mg
J1885
$10.30$20.60$11.03–$90.00
Ondansetron injection
J2405
$7.75$18.05$8.30–$90.00

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: Jasper Memorial Hospital price transparency page.

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