How many shoppable procedure prices are published for CHI Memorial Hospital- Georgia?

CHI Memorial Hospital- Georgia in Ringgold, GA currently has 108 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do CHI Memorial Hospital- Georgia's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, CHI Memorial Hospital- Georgia's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is CHI Memorial Hospital- Georgia's CMS Care Compare overall star rating?

CMS Care Compare assigns CHI Memorial Hospital- Georgia an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 35 Beds · urban Updated: 2026-02-28

CHI Memorial Hospital- Georgia

4710 Battlefield Parkway, Ringgold, GA 30736 · 108 Priced Procedures · 76% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

80/100 · Corroborated

80/100Self-Pay Cash Beats Insurance 62% of the Time

File Completeness51

Price Logic86

Peer Alignment77

Clean Billing91

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.49× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 3,025), CHI Memorial Hospital- Georgia commands a 1.49× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#82 of 100 in GA · 81st State Percentile#2,611 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.19× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 62% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (71/100 safety score) with 76% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Commercial insurance median sits at 1.41× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.77×) jump +26% above the median procedure ratio (Q50 1.41×)
Consolidated metro market (HHI 3,025) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.0× Medicare

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

Back-Door Captive & ER0.70× Divergence

1.4× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 1.19× · Q50 1.41× · Q75 1.77×

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

2.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.7× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.9× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.8× MedicareFair

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

1.1× MedicareGood

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

62% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 71/100Fair

Procedure Prices at CHI Memorial Hospital- Georgia

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 108 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,740	$30,775	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,865	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,168	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,263	$17,936	0.9×
Total hip replacement CPT Code: `27130`	—	$11,503	$13,413	0.9×
Total knee replacement CPT Code: `27447`	—	$11,503	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$8,329	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,503	$6,109	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$3,324	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,104	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	—	$2,988	$3,446	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,943	$2,540	1.2×
Breast lump removal CPT Code: `19120`	—	$2,819	$3,875	0.7×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,204	$2,680	0.8×
C-section delivery (full package) CPT Code: `59510`	—	$2,204	$2,975	0.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,679	$1,256	1.3×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,627	$981	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,627	$987	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,591	$1,540	$1,021	1.5×
Blood transfusion CPT Code: `36430`	$630	$1,188	$498	2.4×
Injection procedure for pain management HCPCS Code: `G0260`	$634	$1,155	$855	1.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,228	$1,106	$343	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$2,480	$981	$511	1.9×
MRI, lower back (no contrast) CPT Code: `72148`	$1,067	$961	$338	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$765	$723	$583	1.2×
Rabies immune globulin HCPCS Code: `90375`	$617	$617	$322	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,160	$567	$258	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$826	$558	$369	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$715	$564	$448	1.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,216	$550	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,168	$548	$169	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,021	$522	$242	2.2×
CT scan, head (no contrast) CPT Code: `70450`	$928	$449	$160	2.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$885	$455	$168	2.7×
CT scan, sinuses CPT Code: `70486`	$667	$396	$166	2.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$607	$410	$303	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$361	$370	$272	1.4×
CT scan, pelvis CPT Code: `72192`	$501	$312	$163	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$156	$268	$110	2.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$127	$275	$148	1.9×
Screening mammogram (both breasts) CPT Code: `77067`	$98	$244	$123	2.0×
Speech therapy (language evaluation) CPT Code: `92507`	$101	$216	$86	2.5×
X-ray, lower back CPT Code: `72110`	$549	$198	$112	1.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$110	$205	$123	1.7×
Ultrasound, abdomen (complete) CPT Code: `76700`	$625	$218	$134	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$375	$214	$132	1.6×
Ultrasound, pelvis CPT Code: `76856`	$583	$207	$130	1.6×
X-ray, ankle CPT Code: `73610`	$209	$169	$93	1.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$282	$172	$126	1.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$190	$180	$151	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$143	$194	$201	1.0×
X-ray, foot CPT Code: `73630`	$236	$191	$92	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	$71	$152	$87	1.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$49	$150	$86	1.7×
X-ray, shoulder CPT Code: `73030`	$269	$154	$92	1.7×
X-ray, hand CPT Code: `73130`	$213	$136	$93	1.5×
X-ray, chest (two views) CPT Code: `71046`	$203	$134	$93	1.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$244	$130	$64	unverified
Physical therapy (gait training) CPT Code: `97116`	$31	$85	$33	2.6×
Occupational therapy (self-care training) CPT Code: `97535`	$30	$83	$38	2.2×
X-ray, chest (single view) CPT Code: `71045`	$136	$92	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$81	$103	$110	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$102	$85	$93	0.9×
X-ray, hip CPT Code: `73502`	$80	$85	$93	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$91	$91	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$83	$83	$34	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$86	$86	$38	unverified
Typhoid vaccine HCPCS Code: `90675`	$396	$396	$347	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$115	$250	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$61	$132	$56	2.4×
Drug screening test HCPCS Code: `G0480`	$155	$155	$116	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$126	$105	$140	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$27	$75	$35	2.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$78	$78	$40	1.9×
Orthotic fitting and training CPT Code: `97760`	$27	$73	$51	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$78	$78	$38	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$27	$29	$20	1.4×
Blood test, ferritin (iron stores) CPT Code: `82728`	$97	$20	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$93	$43	$31	1.4×
Prosthetic fitting and training CPT Code: `97761`	$59	$59	$45	1.3×
Blood antibody screen CPT Code: `86850`	$83	$50	$46	1.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$65	$65	$14	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$10	$5	$3	1.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$6	$4	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$58	$6	$4	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$82	$9	$6	1.5×
Blood test, lipase CPT Code: `83690`	$125	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$15	$10	$7	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$31	$27	$19	1.4×
Blood test, calcium CPT Code: `82310`	$72	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$7	$5	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$25	$14	$10	1.4×
Blood test, potassium CPT Code: `84132`	$13	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$8	$7	$5	1.4×
Blood test, vitamin B12 CPT Code: `82607`	$35	$22	$16	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$83	$11	$8	1.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$183	$15	$11	1.4×
Culture, blood CPT Code: `87040`	$25	$15	$11	1.4×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$25	$19	$14	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$105	$12	$9	1.3×
Blood test, liver function panel CPT Code: `80076`	$150	$12	$9	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$58	$24	$18	1.3×
Blood test, amylase CPT Code: `82150`	$15	$9	$7	1.3×
Hepatitis C antibody test CPT Code: `86803`	$17	$19	$15	1.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$77	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$36	$3	$3	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$25	$20	$25	0.8×
Culture, bacterial CPT Code: `87070`	$21	$20	$9	unverified

Showing top 25 high-impact procedures of 108 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 20.0%

Audit a Bill or Quote at CHI Memorial Hospital- Georgia (Zero PHI Required)

CMS CCN: 110236

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $27,740

1. Amount on Your Bill or Quote ($) Pre-filled with CHI Memorial Hospital- Georgia’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: $13,315 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $13,315

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.0% of gross = $13,315).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask CHI Memorial Hospital- Georgia'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 +$35,801 Above Fair BaseRate

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

Your bill ($66,576) is $35,801 above the denoised Fair BaseRate ($30,775) and 2.8× the $23,504 Medicare rate.

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 (20.0% 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 Overall3/5 Stars (3/5)

Safety Composite71/100

Would Recommend76%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait118 min

Left ER Before Seen2%

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 CHI Memorial Hospital- Georgia. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-09·administrative_or_closure
Met Requirements
Recorded
2025-04-02·administrative_or_closure
Met Requirements
Recorded
2022-12-06·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (84 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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for CHI Memorial Hospital- Georgia.

Price Index: 1.06× regional baseline

Quality: 57/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-44.3%

Aetna

+111.9%

Median Household Income$72,425U.S. Census ACS

Local Uninsured Share10.4%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 80/100 · Corroborated CMS CCN 110236

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 110236) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows2,501 (CMS v3.0.0)

File Integrity DigestVerified · CCN 110236

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