George E Weems Memorial Hospital
135 Ave G, Apalachicola, FL 32320 · 61 Priced Procedures
Typical commercial prices here are +87% above the fair benchmark (1.87×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
George E Weems Memorial Hospital prices routine shoppable procedures at 2.8× Medicare (median 1.46× Fair BaseRate) while upper-quartile commercial rates jump +97% to 2.88× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.02× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 50% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.5× markup over Medicare rates
- Commercial insurance median sits at 1.46× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.88×) jump +97% above the median procedure ratio (Q50 1.46×)
- Unnegotiated chargemaster list prices average 10.4× Medicare (25¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at George E Weems Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 61 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,253 | 2.8× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,104 | 4.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $771 | 4.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $790 | 2.6× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $720 | 4.3× |
| Injection procedure for pain management HCPCS Code: G0260 | $739 | 0.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $622 | 3.7× |
| CT scan, pelvis CPT Code: 72192 | $574 | 3.5× |
| CT scan, sinuses CPT Code: 70486 | $559 | 3.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $553 | 2.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $490 | 3.1× |
| Breast lump removal CPT Code: 19120 | $506 | 0.1× |
| X-ray, lower back CPT Code: 72110 | $326 | 2.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $268 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $184 | 2.0× |
| Breathing treatment (nebulizer) CPT Code: 94640 | $201 | 1.0× |
| Blood transfusion CPT Code: 36430 | $209 | 0.4× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $184 | unverified |
| X-ray, chest (single view) CPT Code: 71045 | $134 | 1.5× |
| X-ray, pelvis CPT Code: 72170 | $140 | 1.3× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $140 | 1.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $137 | 1.0× |
| Ultrasound, pelvis CPT Code: 76856 | $134 | 1.0× |
| Speech therapy (language evaluation) CPT Code: 92507 | $99 | 1.2× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $99 | 1.1× |
Audit a Bill or Quote at George E Weems Memorial Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($2,155) Beats Your Bill
George E Weems Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $2,155 (vs. $1,253 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($3,078) is $2,630 above the denoised Fair BaseRate ($448) and 8.6× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify George E Weems Memorial Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at George E Weems Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-12-13·administrative_or_closure
Closure Notice
Recorded - 2024-09-30·cap_corrective_action
CAP Request
Recorded
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for George E Weems Memorial Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.