How many shoppable procedure prices are published for Bacon County Hospital?

Bacon County Hospital in Alma, GA currently has 92 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Bacon County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Bacon County Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 04/01/2026

Bacon County Hospital

302 South Wayne Street, Alma, GA 31510 · 92 Priced Procedures · 77% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

0.99×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (0.99×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 5% of the Time

File Completeness66

Price Logic90

Peer Alignment77

Clean Billing79

Real Cash Discount98

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.99× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Bacon County Hospital prices shoppable and inpatient services (1.0× to 1.2× Medicare, divergence 1.20×) in alignment with regional hospital peers (0.99× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#34 of 100 in GA · 33rd State Percentile#1,227 of 3,385 in U.S. · 36th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.61× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 5% of shoppable procedures (98/100 Cash Honesty)
4-Star CMS clinical rating with 77% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (10.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.99× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (1.4×) & laboratory (2.3×) services average 1.20× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.20×) jump +22% above the median procedure ratio (Q50 0.98×)
Unnegotiated chargemaster list prices average 9.7× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.20× Divergence

1.2× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+22% Upper Tail

Q25 0.61× · Q50 0.98× · Q75 1.20×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.3× MedicareFair

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.2× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

5% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 73/100Fair

Procedure Prices at Bacon County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 92 published procedures.

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Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$17,073	$21,342	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$10,267	$12,833	$19,087	0.7×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$10,195	$12,743	$19,432	0.7×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$9,318	$11,647	$17,936	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$4,120	$5,150	$8,223	0.6×
Upper endoscopy with biopsy CPT Code: `43239`	$2,432	$892	$987	0.9×
Blood transfusion CPT Code: `36430`	$808	$808	$498	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$4,039	$753	$511	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$624	$624	$6,109	0.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,403	$547	$1,021	0.5×
MRI, lower back (no contrast) CPT Code: `72148`	$2,573	$489	$338	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$2,824	$447	$343	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$2,661	$443	$369	1.2×
Inguinal hernia repair CPT Code: `49505`	$500	$375	$3,629	0.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,210	$297	$258	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,943	$289	$448	0.6×
CT scan, pelvis CPT Code: `72192`	$1,842	$249	$163	1.5×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,922	$253	$168	1.5×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,999	$253	$169	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$2,061	$243	$242	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,202	$234	$583	0.4×
CT scan, chest (no contrast) CPT Code: `71250`	$2,018	$197	$167	1.2×
CT scan, sinuses CPT Code: `70486`	$1,474	$177	$166	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,915	$170	$160	1.1×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,222	$178	$272	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,593	$184	$303	0.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$330	$149	$148	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$201	$100	$86	1.2×
Screening mammogram (both breasts) CPT Code: `77067`	$344	$119	$123	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$164	$116	$123	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$92	$82	$87	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$887	$103	$134	0.8×
Ultrasound, pelvis CPT Code: `76856`	$654	$83	$130	0.6×
Neurobehavioral status check CPT Code: `96116`	$226	$93	$231	0.4×
Drug screening test HCPCS Code: `G0480`	$327	$94	$116	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$104	$57	$35	1.6×
New patient office visit (30-44 min) CPT Code: `99203`	$210	$79	$110	0.7×
X-ray, chest (single view) CPT Code: `71045`	$193	$57	$92	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$734	$75	$126	0.6×
X-ray, ankle CPT Code: `73610`	$277	$55	$93	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$613	$74	$132	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$78	$78	$201	0.4×
Blood test, vitamin D CPT Code: `82306`	$38	$37	$31	1.2×
Prosthetic fitting and training CPT Code: `97761`	$95	$45	$45	1.0×
X-ray, shoulder CPT Code: `73030`	$273	$42	$92	0.5×
X-ray, lower back CPT Code: `72110`	$552	$46	$112	0.4×
Pneumococcal vaccine HCPCS Code: `90732`	$47	$47	$140	0.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$87	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$132	$12	$9	1.3×
Blood test, lipase CPT Code: `83690`	$70	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$70	$9	$7	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$66	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$43	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$101	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$254	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$129	$17	$14	1.2×
Blood test, ferritin (iron stores) CPT Code: `82728`	$97	$17	$14	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$23	$19	1.2×
Blood test, calcium CPT Code: `82310`	$70	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$70	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$78	$12	$10	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$295	$13	$11	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$88	$36	$38	0.9×
Blood test, potassium CPT Code: `84132`	$88	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$45	$6	$5	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$148	$19	$16	1.2×
Culture, blood CPT Code: `87040`	$162	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$124	$21	$18	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$98	$39	$40	1.0×
Blood test, amylase CPT Code: `82150`	$79	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$254	$10	$9	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$100	$33	$35	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$322	$31	$93	0.3×
X-ray, foot CPT Code: `73630`	$250	$30	$92	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$70	$4	$3	1.3×
Blood test, hemoglobin CPT Code: `85018`	$38	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$69	$5	$5	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$62	$27	$27	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$42	$14	$14	1.0×
Speech therapy (group session) CPT Code: `92508`	$144	$26	$27	1.0×
Physical therapy (gait training) CPT Code: `97116`	$92	$27	$33	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$88	$26	$34	0.8×
Hepatitis C antibody test CPT Code: `86803`	$134	$10	$15	0.7×
Occupational therapy (self-care training) CPT Code: `97535`	$100	$23	$38	0.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$97	$22	$38	0.6×
Orthotic fitting and training CPT Code: `97760`	$103	$28	$51	0.5×
Blood antibody screen CPT Code: `86850`	$116	$24	$46	0.5×
Hospital observation (per hour) HCPCS Code: `G0378`	$55	$27	$86	0.3×
X-ray, chest (two views) CPT Code: `71046`	$221	$27	$93	0.3×
X-ray, hand CPT Code: `73130`	$273	$27	$93	0.3×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$125	$16	$64	0.3×
X-ray, pelvis CPT Code: `72170`	$245	$26	$110	0.2×

Showing top 25 high-impact procedures of 92 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 10.5%

Audit a Bill or Quote at Bacon County Hospital (Zero PHI Required)

CMS CCN: 111327

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $17,073

Insurer Median $21,342

1. Amount on Your Bill or Quote ($) Pre-filled with Bacon County Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $2,232 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,232

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (10.5% of gross = $2,232).

Step 2 · Cash vs. Insurance Arbitrage Save $4,269 Paying Cash

Self-Pay Cash Rate ($17,073) Beats Your Bill

Bacon County Hospital's published 45 CFR § 180 self-pay cash rate is $17,073 (vs. $21,342 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $30,775 Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($30,775).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (10.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend77%

Rated 9 or 10 (HCAHPS)75%

Median ER Wait156 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare (200 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bacon County Hospital.

Price Index: 0.95× regional baseline

Quality: 67/100 CMS composite

Median Household Income$50,310U.S. Census ACS

Local Uninsured Share14.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 111327

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 111327) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage04/01/2026

Validated Rate Rows1,498 (CMS v3.0.0)

File Integrity DigestVerified · CCN 111327

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.

Submit MRF Update Correction Policy