CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$439
negotiated rate
Aetna$439
Medicare $356Nearby hospitals $4166% above nearby hospitals
Typical for a hospital with this service line
Critical Access HospitalGovernment - Local
Jasper Memorial Hospital
Monticello, GA
898 College Street, Monticello, GA 31064(706) 468-6411
32
In-network payers
267
Disclosed rate categories
17
Beds
About this hospital
Jasper Memorial Hospital is a 17-bed government - local hospital in Monticello, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 267 disclosed rate categories.
CCN (Medicare provider number)
111303
NPI
1225031750
Type
Critical Access Hospital
Ownership
Government - Local
Beds
17
Insurance Accepted
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene
Prices for common services
The 24 services Jasper Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Mammography
Screening mammography, bilateral
CPT 77067
$75 - $193
from 4 insurers · median $83
Cigna$85
Insurer A*$75
Insurer B*$80
Insurer C*$193
Medicare $92Nearby hospitals $22463% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Upper GI endoscopy with biopsy
CPT 43239
$332 - $600
from 2 insurers · median $466
Blue Cross$600
Insurer A*$332
Medicare $927Nearby hospitals $1,78474% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with polyp removal
CPT 45385
$519 - $600
from 2 insurers · median $559
Blue Cross$600
Insurer A*$519
Medicare $1,223Nearby hospitals $1,74268% below nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Chest X-ray, two views
CPT 71046
$49 - $85
from 4 insurers · median $78
Cigna$85
Insurer A*$49
Insurer B*$75
Insurer C*$80
Medicare $89Nearby hospitals $12438% below nearby hospitals
Typical for a hospital with this service line
Laboratory and pathology
Comprehensive metabolic panel
CPT 80053
$18 - $85
from 4 insurers · median $78
UnitedHealthcare$80
Insurer A*$18
Insurer B*$75
Insurer C*$85
Medicare $11Nearby hospitals $21274% above nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Colonoscopy with biopsy
CPT 45380
$492 - $600
from 2 insurers · median $546
Blue Cross$600
Insurer A*$492
Medicare $1,223Nearby hospitals $1,92472% below nearby hospitals
Typical for a hospital with this service line
CT imaging
CT head or brain without contrast
CPT 70450
$75 - $252
from 4 insurers · median $83
Aetna$252
Insurer A*$75
Insurer B*$80
Insurer C*$85
Medicare $107Nearby hospitals $45682% below nearby hospitals
Typical for a hospital with this service line
Laboratory and pathology
Complete blood count with differential
CPT 85025
$6 - $85
from 4 insurers · median $78
UnitedHealthcare$80
Insurer A*$6
Insurer B*$75
Insurer C*$85
Medicare $8Nearby hospitals $17355% above nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI brain before and after contrast
CPT 70553
$1,255
negotiated rate
Aetna$1,255
Medicare $356Nearby hospitals $93235% above nearby hospitals
Typical for a hospital with this service line
Medicine & Surgery
Cataract removal with lens insertion
CPT 66984
$815 - $1,500
from 2 insurers · median $1,158
Aetna$815
Insurer A*$1,500
Medicare $2,358Nearby hospitals $4,08572% below nearby hospitals
Typical for a hospital with this service line
Digestive procedures
Diagnostic colonoscopy
CPT 45378
$490 - $600
from 2 insurers · median $545
Blue Cross$600
Insurer A*$490
Medicare $950Nearby hospitals $1,71068% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI lumbar spine without contrast
CPT 72148
$745
negotiated rate
Aetna$745
Medicare $244Nearby hospitals $42575% above nearby hospitals
Typical for a hospital with this service line
Laboratory and pathology
Basic metabolic panel
CPT 80048
$13 - $85
from 4 insurers · median $78
UnitedHealthcare$80
Insurer A*$13
Insurer B*$75
Insurer C*$85
Medicare $8Nearby hospitals $24228% above nearby hospitals
Typical for a hospital with this service line
CT imaging
CT of the abdomen and pelvis, without contrast
CPT 74176
$75 - $239
from 4 insurers · median $83
Aetna$239
Insurer A*$75
Insurer B*$80
Insurer C*$85
Medicare $244Nearby hospitals $88691% below nearby hospitals
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of the abdomen
CPT 76705
$75 - $112
from 4 insurers · median $83
Blue Cross$75
Insurer A*$80
Insurer B*$85
Insurer C*$112
Medicare $107Nearby hospitals $21361% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI of the abdomen, before and after contrast
CPT 74183
$1,058
negotiated rate
Aetna$1,058
Medicare $356Nearby hospitals $83527% above nearby hospitals
Typical for a hospital with this service line
CT imaging
CT angiography of chest blood vessels
CPT 71275
$75 - $640
from 4 insurers · median $83
Aetna$640
Insurer A*$75
Insurer B*$80
Insurer C*$85
Medicare $179Nearby hospitals $59886% below nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Foot X-ray, at least three views
CPT 73630
$39 - $85
from 4 insurers · median $78
Cigna$85
Insurer A*$39
Insurer B*$75
Insurer C*$80
Medicare $89Nearby hospitals $6126% above nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Shoulder X-ray, at least two views
CPT 73030
$49 - $85
from 4 insurers · median $78
Cigna$85
Insurer A*$49
Insurer B*$75
Insurer C*$80
Medicare $89Nearby hospitals $6225% above nearby hospitals
Typical for a hospital with this service line
X-ray and bone density
Bone-density scan of the spine and hip
CPT 77080
$75 - $99
from 4 insurers · median $83
Cigna$85
Insurer A*$75
Insurer B*$80
Insurer C*$99
Medicare $107Nearby hospitals $18255% below nearby hospitals
Typical for a hospital with this service line
Ultrasound
Limited ultrasound of one breast
CPT 76642
$75 - $96
from 4 insurers · median $83
Blue Cross$75
Insurer A*$80
Insurer B*$85
Insurer C*$96
Medicare $89Nearby hospitals $19056% below nearby hospitals
Typical for a hospital with this service line
Cardiology and vascular testing
Complete echocardiogram with Doppler and color flow
CPT 93306
$157
negotiated rate
Aetna$157
Medicare $558Nearby hospitals $23132% below nearby hospitals
Typical for a hospital with this service line
MRI imaging
MRI of the brain, without contrast
CPT 70551
$421
negotiated rate
Aetna$421
Medicare $244Nearby hospitals $83550% below nearby hospitals
Typical for a hospital with this service line
How the insurers pay at Jasper Memorial Hospital
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 101% | 8 | 16 |
| Insurer B* | 13 | 96% | 5 | 8 |
| Insurer C* | 13 | 90% | 3 | 10 |
| Insurer D* | 18 | 70% | 5 | 13 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Jasper Memorial Hospital.
Location
898 College Street, Monticello, GA 31064
(706) 468-6411
Comparable hospitals nearby
The nearest hospitals of similar type and size. Their rates are compared with Jasper Memorial Hospital for the same insurers and services above.
Sylvan Grove Hospital
Jackson, GA · 17 mi · 25 bedsView rates
â–² Rates typically 65% higher than Jasper Memorial Hospital (24 services)
Putnam General Hospital
Eatonton, GA · 20 mi · 25 bedsView rates
â–² Rates typically 114% higher than Jasper Memorial Hospital (23 services)
Morgan Memorial Hospital
Madison, GA · 22 mi · 25 bedsView rates
â–² Rates typically 11% higher than Jasper Memorial Hospital (24 services)
Monroe County Hospital
Forsyth, GA · 25 mi · 25 bedsView rates
â–² Rates typically 7% higher than Jasper Memorial Hospital (24 services)
St Marys Good Samaritan
Greensboro, GA · 32 mi · 25 bedsView rates
â–² Rates typically 29% higher than Jasper Memorial Hospital (22 services)
Medical Center Of Peach County
Bryon, GA · 49 mi · 25 bedsView rates
â–² Rates typically 175% higher than Jasper Memorial Hospital (24 services)
Phoebe Worth Medical Center
Sylvester, GAView rates
Brooks County Hospital
Quitman, GAView rates
Elbert Memorial Hospital
Elberton, GAView rates
Mitchell County Hospital
Camilla, GAView rates
Frequently asked questions
About Jasper Memorial Hospital's rates and hospital price transparency.
How much does an MRI cost at Jasper Memorial Hospital?
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Jasper Memorial Hospital range from $1,255 to $1,255 across 1 insurers. Aetna's rate is $1,255. The median at nearby comparable hospitals is $932. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a CT scan cost at Jasper Memorial Hospital?
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Jasper Memorial Hospital range from $439 to $439 across 1 insurers. Aetna's rate is $439. The median at nearby comparable hospitals is $416. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a colonoscopy cost at Jasper Memorial Hospital?
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Jasper Memorial Hospital range from $519 to $600 across 2 insurers. Blue Cross Blue Shield's rate is $600. The median at nearby comparable hospitals is $1,742. What a patient pays depends on their plan's deductible, coinsurance and network status.
How much does a mammogram cost at Jasper Memorial Hospital?
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Jasper Memorial Hospital range from $75 to $193 across 4 insurers. Cigna's rate is $85. The median at nearby comparable hospitals is $224. What a patient pays depends on their plan's deductible, coinsurance and network status.
How many beds does Jasper Memorial Hospital have?
Jasper Memorial Hospital has 17 beds. Facility type: Critical Access Hospital.
Where is Jasper Memorial Hospital and what is its phone number?
Jasper Memorial Hospital is located at 898 College Street, Monticello, GA 31064. Its main phone number is (706) 468-6411.
What is Jasper Memorial Hospital's CCN (Medicare provider number)?
Jasper Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 111303.
What is Jasper Memorial Hospital's NPI number?
The National Provider Identifier (NPI) on file for Jasper Memorial Hospital is 1225031750.
Which insurance plans are in network at Jasper Memorial Hospital?
Jasper Memorial Hospital lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
What price transparency data is available for Jasper Memorial Hospital?
267 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
What is a hospital price transparency MRF?
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
What is a chargemaster review?
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
Running price transparency at a hospital like this one?
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
Publish a CMS-compliant machine-readable file
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
CMS v3 example: standard_charge_information[0]
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}- CMS template layout, in JSON or CSV
- Gross, discounted cash, payer-specific and de-identified min / max charges
- cms-hpt.txt file and homepage footer link
- Refreshed when your contracts change
Get your chargemaster right for billing and payer contracts
Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers
CodingPricingPayer contractsCompliance
- CPT, HCPCS, revenue code and modifier errors flagged line by line
- Missing, duplicate and outdated charge lines identified
- Charges set below payer allowables caught before lesser-of clauses cut payment
- Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
- Your negotiated rates benchmarked against peer hospitals for the same payers