How many shoppable procedure prices are published for Crisp Regional Hospital?

Crisp Regional Hospital in Cordele, GA currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Crisp Regional Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Crisp Regional Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is Crisp Regional Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Crisp Regional Hospital an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 68 Beds · rural Updated: 3/9/2026

Crisp Regional Hospital

902 7Th Street North, Cordele, GA 31015 · 91 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.34×vs. Fair Market Price

Typical commercial prices here are +34% above the fair benchmark (1.34×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness90

Price Logic95

Peer Alignment73

Clean Billing62

Real Cash Discount41

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.34× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Crisp Regional Hospital commands a 1.34× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#60 of 100 in GA · 59th State Percentile#2,335 of 3,385 in U.S. · 68th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.16× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (41/100 Cash Honesty)
2-Star CMS clinical rating with 63% patient recommendation (63/100 safety score)
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 1.6× markup over Medicare rates
Captive ER (1.9×) & laboratory (0.9×) services average 1.23× higher multiples than routine shoppable care (1.3×)
Specialty infusion drugs (J-codes) average 1.5× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.23× Divergence

1.6× Medicare

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

Quantile Tail Spread+11% Upper Tail

Q25 1.16× · Q50 1.33× · Q75 1.47×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

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

1.5× MedicareGood

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

2% Cash Edge · 41/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 63/100Elevated

Procedure Prices at Crisp Regional Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 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`	—	$40,632	$30,775	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$24,731	$17,936	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,383	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,248	$19,432	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,511	$8,223	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,838	$1,259	$1,021	1.2×
Trauma team activation HCPCS Code: `G0390`	$1,071	$1,071	$1,453	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,259	$801	$583	1.4×
Blood transfusion CPT Code: `36430`	$655	$647	$498	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,340	$512	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,852	$512	$511	1.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$861	$350	$272	1.3×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,282	$350	$303	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,752	$350	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,414	$350	$343	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,657	$350	$369	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$1,964	$257	$242	1.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,528	$257	$258	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$209	$209	$201	1.0×
X-ray, chest (single view) CPT Code: `71045`	$194	$128	$92	1.4×
X-ray, shoulder CPT Code: `73030`	$294	$128	$92	1.4×
X-ray, foot CPT Code: `73630`	$213	$128	$92	1.4×
X-ray, pelvis CPT Code: `72170`	$237	$153	$110	1.4×
X-ray, chest (two views) CPT Code: `71046`	$221	$128	$93	1.4×
X-ray, neck (cervical spine) CPT Code: `72040`	$237	$128	$93	1.4×
X-ray, hand CPT Code: `73130`	$213	$128	$93	1.4×
X-ray, hip CPT Code: `73502`	$188	$128	$93	1.4×
X-ray, ankle CPT Code: `73610`	$216	$128	$93	1.4×
X-ray, lower back CPT Code: `72110`	$339	$153	$112	1.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$649	$153	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	$668	$153	$130	1.2×
Ultrasound, thyroid and neck CPT Code: `76536`	$649	$153	$132	1.2×
Ultrasound, abdomen (complete) CPT Code: `76700`	$669	$153	$134	1.1×
Speech therapy (language evaluation) CPT Code: `92507`	$174	$114	$86	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$157	$131	$123	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,691	$153	$160	1.0×
CT scan, pelvis CPT Code: `72192`	$1,483	$153	$163	0.9×
CT scan, sinuses CPT Code: `70486`	$1,691	$153	$166	0.9×
CT scan, chest (no contrast) CPT Code: `71250`	$1,340	$153	$167	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,786	$153	$168	0.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,972	$153	$169	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$135	$87	$64	1.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$238	$89	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$157	$112	$110	1.0×
Typhoid vaccine HCPCS Code: `90675`	$391	$391	$347	1.1×
Pneumococcal vaccine HCPCS Code: `90732`	$240	$240	$140	1.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$87	$87	$56	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	$67	$69	$49	1.4×
Orthotic fitting and training CPT Code: `97760`	$108	$68	$51	1.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$90	$90	$111	0.8×
Blood antibody screen CPT Code: `86850`	$106	$76	$46	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$77	$50	$38	1.3×
Physical therapy (gait training) CPT Code: `97116`	$56	$43	$33	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$74	$52	$40	1.3×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$398	$72	$148	0.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$99	$43	$35	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$67	$43	$35	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$110	$41	$34	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$45	$45	$86	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$267	$54	$123	0.4×
Blood test, vitamin D CPT Code: `82306`	$55	$46	$31	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$73	$49	$38	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$66	$48	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$66	$60	$45	unverified
Flu vaccine injection HCPCS Code: `G0008`	$54	$54	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$54	$54	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$56	$5	$3	1.7×
Blood test, sodium CPT Code: `84295`	$30	$8	$5	1.6×
Blood test, magnesium CPT Code: `83735`	$74	$11	$7	1.6×
Culture, bacterial CPT Code: `87070`	$122	$14	$9	1.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$409	$17	$11	1.5×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$114	$21	$14	1.5×
Blood test, vitamin B12 CPT Code: `82607`	$286	$24	$16	1.5×
Blood test, ferritin (iron stores) CPT Code: `82728`	$146	$21	$14	1.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$30	$6	$4	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$43	$15	$10	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$6	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$101	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$64	$9	$6	1.5×
Hepatitis C antibody test CPT Code: `86803`	$86	$22	$15	1.5×
Culture, blood CPT Code: `87040`	$97	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$128	$13	$9	1.4×
Blood test, liver function panel CPT Code: `80076`	$107	$13	$9	1.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$105	$26	$18	1.4×
Blood test, amylase CPT Code: `82150`	$34	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$30	$7	$5	1.4×
Blood test, hemoglobin CPT Code: `85018`	$36	$4	$3	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	$29	$29	$25	1.2×
Blood test, lipase CPT Code: `83690`	$42	$11	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$114	$29	$19	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$72	$7	$5	unverified

Showing top 25 high-impact procedures of 91 total

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

Audit a Bill or Quote at Crisp Regional Hospital (Zero PHI Required)

CMS CCN: 110104

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $40,632

1. Amount on Your Bill or Quote ($) Pre-filled with Crisp Regional 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 Crisp Regional 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 +$66,742 Above Fair BaseRate

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

Your bill ($97,517) is $66,742 above the denoised Fair BaseRate ($30,775) and 4.1× 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) For-Profit / Non-501(c)(3)

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

EIN: 582175978

Filing Period: 199607

Public IRS & CMS ownership records classify Crisp Regional 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

CMS Overall3/5 Stars (3/5)

Safety Composite63/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait180 min

Left ER Before Seen4%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

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

2025-02-12·administrative_or_closure
Closure Notice
Recorded
2024-10-22·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (219 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 Pareto Frontier (Price + Quality)

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

Price Index: 1.00× regional baseline

Quality: 52/100 CMS composite

Median Household Income$42,745U.S. Census ACS

Local Uninsured Share16.1%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 75/100 · Corroborated CMS CCN 110104 EIN 582175978

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 110104) ↗ Verify IRS Form 990 (EIN 582175978) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemrf

Publication / Vintage3/9/2026 · 11.30 MB

Validated Rate Rows247 (CMS v3.0.0)

File Integrity Digest5144d2e9a54f6f2ae3f7…

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