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

Candler County Hospital in Metter, GA currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Candler County Hospital's median negotiated commercial rate is 0.7× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Proprietary 25 Beds · rural Updated: 2026-03-20

Candler County Hospital

400 Cedar Street, Metter, GA 30439 · 101 Priced Procedures

CMS Overall Rating No CMS Rating

Good Deal · Below Fair Market

0.66×vs. Fair Market Price

Typical commercial prices here are 34% below the fair benchmark (0.66×) after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness51

Price Logic73

Peer Alignment62

Clean Billing85

Real Cash Discount50

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Candler County Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.88× Fair BaseRate) and emergency/ancillary services (1.4× Medicare, p75 0.49× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#1 of 100 in GA · 1st State Percentile#106 of 3,385 in U.S. · 3rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 34% below peer Fair BaseRate (0.66×)
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.8×) services average 1.40× higher multiples than routine shoppable care (1.0×)
Even at low-cost facilities (0.66× 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.
Unnegotiated chargemaster list prices average 9.4× Medicare (17¢ 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 & ER1.40× Divergence

1.4× Medicare

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

Quantile Tail Spread+-44% Upper Tail

Q25 0.49× · Q50 0.88× · Q75 0.49×

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

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.6× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

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

0.9× MedicareGood

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

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Candler County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	—	$6,109	—
Breast lump removal CPT Code: `19120`	—	—	$3,875	—
Inguinal hernia repair CPT Code: `49505`	—	—	$3,629	—
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,256	—
Sleep study (overnight, in lab) CPT Code: `95810`	—	—	$1,021	—
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$987	—
Blood transfusion CPT Code: `36430`	—	—	$498	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	—	—	$511	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	—	$448	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$344	$272	1.3×
MRI, knee or other leg joint CPT Code: `73721`	—	—	$369	—
MRI, brain (no contrast) CPT Code: `70551`	—	—	$343	—
MRI, lower back (no contrast) CPT Code: `72148`	—	—	$338	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$285	$583	0.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	—	$303	—
CT scan, head (with contrast) CPT Code: `70460`	—	—	$242	—
CT scan, head (with and without contrast) CPT Code: `70470`	—	—	$258	—
Psychiatric evaluation (first visit) CPT Code: `90791`	—	—	$185	—
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$201	—
CT scan, head (no contrast) CPT Code: `70450`	—	—	$160	—
CT scan, sinuses CPT Code: `70486`	—	—	$166	—
CT scan, chest (no contrast) CPT Code: `71250`	—	—	$167	—
CT scan, neck (cervical spine) CPT Code: `72125`	—	—	$169	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	—	$168	—
CT scan, pelvis CPT Code: `72192`	—	—	$163	—
Hepatitis B immune globulin HCPCS Code: `90371`	—	—	$151	—
Psychotherapy session (45 minutes) CPT Code: `90834`	—	—	$166	—
Psychotherapy session (60 minutes) CPT Code: `90837`	—	—	$181	—
Family therapy session CPT Code: `90847`	—	—	$173	—
X-ray, chest (single view) CPT Code: `71045`	—	—	$92	—
X-ray, chest (two views) CPT Code: `71046`	—	—	$93	—
X-ray, neck (cervical spine) CPT Code: `72040`	—	—	$93	—
X-ray, lower back CPT Code: `72110`	—	—	$112	—
X-ray, pelvis CPT Code: `72170`	—	—	$110	—
Ultrasound, thyroid and neck CPT Code: `76536`	—	—	$132	—
Ultrasound, abdomen (complete) CPT Code: `76700`	—	—	$134	—
Ultrasound, abdomen (limited) CPT Code: `76705`	—	—	$126	—
Ultrasound, pelvis CPT Code: `76856`	—	—	$130	—
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	—	$148	—
Screening mammogram (both breasts) CPT Code: `77067`	—	—	$123	—
X-ray, shoulder CPT Code: `73030`	—	—	$92	—
X-ray, hand CPT Code: `73130`	—	—	$93	—
X-ray, hip CPT Code: `73502`	—	—	$93	—
X-ray, ankle CPT Code: `73610`	—	—	$93	—
X-ray, foot CPT Code: `73630`	—	—	$92	—
Group therapy session CPT Code: `90853`	—	—	$100	—
Speech therapy (language evaluation) CPT Code: `92507`	—	—	$86	—
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$110	—
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$123	—
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$87	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Typhoid vaccine HCPCS Code: `90675`	—	—	$347	—
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
Drug screening test HCPCS Code: `G0480`	—	—	$116	—
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	unverified
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Blood test, vitamin D CPT Code: `82306`	—	—	$31	—
Blood antibody screen CPT Code: `86850`	—	—	$46	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$39	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	—	$64	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	—	$38	—
Physical therapy (manual therapy) CPT Code: `97140`	—	—	$34	—
Occupational therapy (self-care training) CPT Code: `97535`	—	—	$38	—
Orthotic fitting and training CPT Code: `97760`	—	—	$51	—
Flu vaccine injection HCPCS Code: `G0008`	—	—	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	—	—	$49	unverified
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	unverified
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	—	$35	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$40	—
Physical therapy (functional capacity test) CPT Code: `97750`	—	—	$38	—
Prosthetic fitting and training CPT Code: `97761`	—	—	$45	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$3	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	unverified
Blood test, lipase CPT Code: `83690`	—	—	$7	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$4	—
Blood test, hemoglobin CPT Code: `85018`	—	—	$3	—
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$8	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	—
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	unverified
Speech therapy (group session) CPT Code: `92508`	—	—	$27	—
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	—	$25	—
Physical therapy (gait training) CPT Code: `97116`	—	—	$33	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$20	—
Electrical stimulation therapy HCPCS Code: `G0283`	—	—	$14	—

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 111334

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash Request Quote

Insurer Median $7,025

1. Amount on Your Bill or Quote ($) Pre-filled with Candler 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 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Candler County Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target Target: $6,109 Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($6,109).

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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Candler County 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.

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

Safety Composite69/100

Median ER Wait113 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Candler County Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-02·administrative_or_closure
Closure Notice
Recorded
2025-12-19·cap_corrective_action
CAP Request
Recorded
2025-09-15·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare. 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.52× regional baseline

Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-44.7%

Median Household Income$50,431U.S. Census ACS

Local Uninsured Share17.3%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 64/100 · Caution CMS CCN 111334

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 111334) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-20

Validated Rate Rows1,811 (CMS v3.0.0)

File Integrity DigestVerified · CCN 111334

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