CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Phoebe Sumter Medical Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$38
about 0.9× the $40 Medicare rate · typically $16–$50
modeled estimate · not a bill or quote
What this hospital charges insurers
$16
Below the fair price — a good deal
about $22 under the fair price · 0.4× Medicare
Medicare pays $40 Fair price $38 This hospital $16

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $11 Priciest $16

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $38 (about 0.9× the $40 Medicare rate). Phoebe Sumter Medical Center charges insurers about $16 — below the fair price — a good deal. Located in Americus, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

1 of 6 major insurers have a published price at this hospital

✓ Aetna UnitedHealthcareBlue Cross Blue ShieldCignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Aetnamajor $13 - $20 32%
Ambetter (Centene) $23 57%
Clover Health $13 32%
+ 2 smaller / regional plans $14 - $19

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Facility Profile & Credentials

  • Address: 126 Highway 280 W, Americus, GA 31719
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals