Colquitt Regional Medical Center
3131 South Main Street, Moultrie, GA 31768 · 114 Priced Procedures · 79% Patient Recommendation
Typical commercial prices here are +135% above the fair benchmark (2.35×) even after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 2.35× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Colquitt Regional Medical Center prices routine shoppable procedures near 2.8× Medicare (p50 2.15×) while skewing captive emergency, lab, and upper-quartile codes to 3.0× Medicare (p75 3.17×, +47% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.34× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 35% of shoppable procedures (25/100 Cash Honesty)
- 4-Star CMS clinical rating with 79% patient recommendation (82/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (88.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.35× 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 (4.1×) & laboratory (6.2×) services average 1.07× higher multiples than routine shoppable care (2.8×)
- Upper-quartile procedures (Q75 3.17×) jump +47% above the median procedure ratio (Q50 2.15×)
- Consolidated metro market (HHI 6,909) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Colquitt Regional Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 114 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $42,622 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $39,371 | 2.1× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $19,096 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $6,124 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $4,112 | 1.4× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $4,108 | 0.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,859 | 7.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $3,589 | 10.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $3,556 | 10.4× |
| Total knee replacement CPT Code: 27447 | $3,574 | 0.3× |
| Vaginal delivery (full package) CPT Code: 59400 | $3,501 | 1.3× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $3,247 | 19.2× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $3,256 | 12.6× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $3,186 | unverified |
| CT scan, pelvis CPT Code: 72192 | $2,763 | 17.0× |
| CT scan, head (with contrast) CPT Code: 70460 | $2,647 | 10.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,616 | 7.1× |
| Inguinal hernia repair CPT Code: 49505 | $2,570 | 0.7× |
| CT scan, head (no contrast) CPT Code: 70450 | $2,540 | 15.9× |
| CT scan, sinuses CPT Code: 70486 | $2,507 | 15.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,450 | 8.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,238 | 3.8× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,962 | 11.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,778 | 1.4× |
| Breast lump removal CPT Code: 19120 | $1,621 | 0.4× |
Audit a Bill or Quote at Colquitt Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $37,507
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (88.0% of gross = $37,507).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Colquitt Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $42,622 (vs. $42,622 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($42,622) is $23,190 above the denoised Fair BaseRate ($19,432) and 3.0× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (88.0% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Colquitt Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-05-12·administrative_or_closure
Closure Notice
Recorded - 2026-05-06·cap_corrective_action
CAP Request
Recorded - 2026-04-10·cap_corrective_action
CAP Request
Recorded - 2026-01-08·warning_notice
Warning Notice
Recorded - 2024-12-27·administrative_or_closure
Closure Notice
Recorded - 2024-11-25·cap_corrective_action
CAP Request
Recorded - 2024-08-22·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (425 completed HCAHPS patient surveys). 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 Colquitt Regional Medical Center.
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.