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Critical Access HospitalGovernment - Hospital District Or Authority

Monroe County Hospital

Atrium Health Navicent ยท Forsyth, GA

88 Martin Luther King Jr Drive, Forsyth, GA 31029(478) 994-2521

32

In-network payers

146

Disclosed rate categories

25

Beds

About this hospital

Monroe County Hospital is a 25-bed government - hospital district or authority hospital in Forsyth, GA, affiliated with Atrium Health Navicent. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 146 disclosed rate categories.

CCN (Medicare provider number)

111318

NPI

1770684284

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

25

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.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

The 24 services Monroe County 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$254 - $635

from 2 insurers ยท median $445

Aetna$254
Insurer A*$635
Medicare $356Nearby hospitals $77342% below nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$109 - $295

from 2 insurers ยท median $202

Aetna$109
Insurer A*$295
Medicare $92Nearby hospitals $201In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$162 - $240

from 2 insurers ยท median $201

Aetna$162
Insurer A*$240
Medicare $107Nearby hospitals $61867% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT angiography of chest blood vessels

CPT 71275

$275 - $756

from 2 insurers ยท median $516

Aetna$275
Insurer A*$756
Medicare $179Nearby hospitals $496In line with nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$1,698 - $7,554

from 2 insurers ยท median $4,626

Cigna$7,554
Insurer A*$1,698
Medicare $6,176Nearby hospitals $3,97117% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$227 - $381

from 2 insurers ยท median $304

Aetna$227
Insurer A*$381
Medicare $244Nearby hospitals $42729% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$319 - $696

from 2 insurers ยท median $507

Blue Cross$696
Insurer A*$319
Medicare $356Nearby hospitals $89843% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$1,074

negotiated rate

Blue Cross$1,074
Medicare $1,223Nearby hospitals $1,062In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Laparoscopic gallbladder removal with bile-duct imaging

CPT 47563

$1,701 - $7,554

from 2 insurers ยท median $4,628

Blue Cross$1,701
Insurer A*$7,554
Medicare $6,176Nearby hospitals $3,40036% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$425 - $460

from 2 insurers ยท median $442

Blue Cross$460
Insurer A*$425
Medicare $244Nearby hospitals $55821% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,077

negotiated rate

Blue Cross$1,077
Medicare $1,223Nearby hospitals $1,127In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$812

negotiated rate

Blue Cross$812
Medicare $927Nearby hospitals $1,60449% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$73 - $217

from 2 insurers ยท median $145

Aetna$73
Insurer A*$217
Medicare $107Nearby hospitals $150In line with nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lower-extremity joint without contrast

CPT 73721

$425 - $507

from 2 insurers ยท median $466

Blue Cross$507
Insurer A*$425
Medicare $244Nearby hospitals $58320% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$319 - $1,018

from 2 insurers ยท median $668

Blue Cross$1,018
Insurer A*$319
Medicare $356Nearby hospitals $89125% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$28 - $49

from 2 insurers ยท median $39

Blue Cross$49
Insurer A*$28
Medicare $89Nearby hospitals $8554% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$118 - $269

from 2 insurers ยท median $193

Aetna$118
Insurer A*$269
Medicare $107Nearby hospitals $1779% above nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, bilateral

CPT 77066

$135 - $343

from 2 insurers ยท median $239

Aetna$135
Insurer A*$343
Medicare $112Nearby hospitals $2567% below nearby hospitals

Typical for a hospital with this service line

Orthopedics and pain

Lower-back disc decompression, one interspace

CPT 63030

$2,395 - $7,554

from 2 insurers ยท median $4,975

Cigna$7,554
Insurer A*$2,395
Medicare $7,413Nearby hospitals $5,92916% below nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, unilateral

CPT 77065

$107 - $257

from 2 insurers ยท median $182

Aetna$107
Insurer A*$257
Medicare $87Nearby hospitals $186In line with nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$36 - $272

from 2 insurers ยท median $154

Aetna$36
Insurer A*$272
Medicare $107Nearby hospitals $1656% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$231

negotiated rate

Aetna$231
Medicare $558Nearby hospitals $41444% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete pelvic ultrasound

CPT 76856

$82 - $226

from 2 insurers ยท median $154

Aetna$82
Insurer A*$226
Medicare $107Nearby hospitals $13911% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$96 - $236

from 2 insurers ยท median $166

Aetna$96
Insurer A*$236
Medicare $107Nearby hospitals $26938% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Monroe County 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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
203%
910
Insurer B*3
122%
00
Insurer C*18
92%
017

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 Monroe County Hospital.

Location

88 Martin Luther King Jr Drive, Forsyth, GA 31029

(478) 994-2521

Get directions

Frequently asked questions

About Monroe County Hospital's rates and hospital price transparency.

How much does an MRI cost at Monroe County Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Monroe County Hospital range from $319 to $696 across 2 insurers. Blue Cross Blue Shield's rate is $696. The median at nearby comparable hospitals is $898. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Monroe County Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Monroe County Hospital range from $254 to $635 across 2 insurers. Aetna's rate is $254. The median at nearby comparable hospitals is $773. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Monroe County Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Monroe County Hospital range from $1,074 to $1,074 across 1 insurers. Blue Cross Blue Shield's rate is $1,074. The median at nearby comparable hospitals is $1,062. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Monroe County Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Monroe County Hospital range from $109 to $295 across 2 insurers. Aetna's rate is $109. The median at nearby comparable hospitals is $201. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Monroe County Hospital have?

Monroe County Hospital has 25 beds. Facility type: Critical Access Hospital.

Where is Monroe County Hospital and what is its phone number?

Monroe County Hospital is located at 88 Martin Luther King Jr Drive, Forsyth, GA 31029. Its main phone number is (478) 994-2521.

What is Monroe County Hospital's CCN (Medicare provider number)?

Monroe County Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 111318.

What is Monroe County Hospital's NPI number?

The National Provider Identifier (NPI) on file for Monroe County Hospital is 1770684284.

What health system is Monroe County Hospital part of?

Monroe County Hospital is affiliated with Atrium Health Navicent.

Which insurance plans are in network at Monroe County Hospital?

Monroe County 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.

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.

Compliance MRF

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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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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
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