How many shoppable procedure prices are published for Doctors Hospital?

Doctors Hospital in Augusta, GA currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

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

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

CMS Care Compare assigns Doctors Hospital 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 Proprietary 291 Beds · urban Updated: 2026-03-01

Doctors Hospital

3651 Wheeler Road, Augusta, GA 30909 · 127 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Near Fair BaseRate Benchmark

1.02×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.02×) after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness100

Price Logic95

Peer Alignment70

Clean Billing92

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.02× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Doctors Hospital prices shoppable and inpatient services (1.5× to 1.0× Medicare, divergence 0.67×) in alignment with regional hospital peers (1.02× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#38 of 100 in GA · 37th State Percentile#1,370 of 3,385 in U.S. · 40th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.84× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (68/100 safety score) with 73% 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 1.4× markup over Medicare rates
Commercial insurance median sits at 0.98× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.22×) jump +24% above the median procedure ratio (Q50 0.98×)
Consolidated metro market (HHI 2,534) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.67× Divergence

1.0× Medicare

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

Quantile Tail Spread+24% Upper Tail

Q25 0.84× · Q50 0.98× · Q75 1.22×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× 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

1.3× MedicareGood

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

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 68/100Fair

Procedure Prices at Doctors Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

Sort:

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`	—	$23,936	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,224	$19,432	0.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,152	$19,087	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$14,113	$17,936	0.8×
Total knee replacement CPT Code: `27447`	—	$7,512	$13,523	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,387	$8,223	0.9×
Total hip replacement CPT Code: `27130`	—	$7,137	$13,413	0.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,859	$6,109	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,950	$3,372	unverified
Breast lump removal CPT Code: `19120`	—	$4,647	$3,875	1.2×
Trauma team activation HCPCS Code: `G0390`	$25,661	$3,397	$1,453	2.3×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,132	$2,540	1.2×
Bunion correction surgery CPT Code: `28296`	—	$3,132	$3,446	0.9×
Inguinal hernia repair CPT Code: `49505`	—	$3,132	$3,629	0.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,730	$1,256	2.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$2,550	$981	2.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,550	$987	2.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,550	$2,680	1.0×
C-section delivery (full package) CPT Code: `59510`	—	$2,550	$2,975	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$11,094	$2,490	$1,021	2.4×
Blood transfusion CPT Code: `36430`	$4,117	$2,481	$498	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$2,461	$855	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$9,539	$1,408	$583	2.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$1,172	$1,172	$123	9.5×
Psychological testing by technician CPT Code: `96138`	—	$1,024	$395	unverified
Neurobehavioral status check CPT Code: `96116`	—	$799	$231	unverified
New patient office visit (30-44 min) CPT Code: `99203`	$753	$753	$110	6.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	$603	$603	$87	6.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,407	$621	$272	2.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$13,274	$519	$511	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$1,257	$517	$201	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$16,564	$479	$448	1.1×
Rabies immune globulin HCPCS Code: `90375`	$15,073	$447	$322	1.4×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$412	$166	2.5×
Family therapy session CPT Code: `90847`	—	$412	$173	2.4×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$412	$181	2.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$412	$185	2.2×
MRI, brain (no contrast) CPT Code: `70551`	$8,954	$320	$343	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$9,402	$313	$338	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$8,296	$335	$369	0.9×
Psychological testing evaluation CPT Code: `96136`	—	$331	$128	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$7,320	$283	$258	1.1×
Group therapy session CPT Code: `90853`	—	$237	$100	2.4×
Hepatitis B immune globulin HCPCS Code: `90371`	$544	$223	$151	1.5×
CT scan, head (with contrast) CPT Code: `70460`	$6,265	$237	$242	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$13,823	$252	$303	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	$194	$194	$86	2.3×
CT scan, chest (no contrast) CPT Code: `71250`	$7,110	$204	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$9,962	$205	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$8,248	$206	$169	1.2×
CT scan, sinuses CPT Code: `70486`	$3,217	$210	$166	unverified
CT scan, pelvis CPT Code: `72192`	$7,053	$204	$163	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$2,526	$166	$132	1.3×
Ultrasound, pelvis CPT Code: `76856`	$2,509	$158	$130	1.2×
CT scan, head (no contrast) CPT Code: `70450`	$5,841	$163	$160	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,261	$172	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$2,777	$140	$126	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,678	$152	$64	unverified
X-ray, hip CPT Code: `73502`	$1,347	$80	$93	0.9×
X-ray, lower back CPT Code: `72110`	$2,620	$85	$112	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,460	$101	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$1,313	$83	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,468	$524	$347	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	$290	$290	$49	5.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$593	$207	$203	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$385	$164	$140	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$290	$117	$48	2.4×
Drug screening test HCPCS Code: `G0480`	$480	$116	$116	1.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$634	$109	$111	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$290	$118	$49	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$694	$74	$86	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,514	$64	$93	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$37	$34	1.1×
X-ray, hand CPT Code: `73130`	$1,521	$62	$93	0.7×
X-ray, ankle CPT Code: `73610`	$1,738	$61	$93	0.7×
X-ray, shoulder CPT Code: `73030`	$2,015	$56	$92	0.6×
X-ray, foot CPT Code: `73630`	$1,874	$56	$92	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$53	$26	$25	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$68	$38	$37	1.0×
Prosthetic fitting and training CPT Code: `97761`	$331	$39	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$474	$42	$51	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$578	$31	$38	0.8×
X-ray, chest (two views) CPT Code: `71046`	$936	$51	$93	0.5×
X-ray, chest (single view) CPT Code: `71045`	$922	$38	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$1,188	$43	$110	0.4×
Blood test, basic metabolic panel CPT Code: `80048`	$119	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$167	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$253	$14	$14	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$398	$14	$14	1.0×
Blood test, potassium CPT Code: `84132`	$164	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$367	$19	$19	1.0×
Blood test, vitamin D CPT Code: `82306`	$444	$30	$31	1.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$242	$34	$39	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$318	$48	$56	0.9×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$119	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$250	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$212	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$154	$5	$5	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$112	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$243	$10	$10	1.0×
Blood test, magnesium CPT Code: `83735`	$230	$7	$7	1.0×
Blood test, sodium CPT Code: `84295`	$219	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$387	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$107	$6	$6	1.0×
Culture, blood CPT Code: `87040`	$319	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$282	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$492	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$27	$27	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$333	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$411	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$297	$14	$15	0.9×
Blood test, liver function panel CPT Code: `80076`	$230	$8	$9	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$706	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$803	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$345	$27	$33	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$485	$32	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$410	$30	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$72	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$404	$27	$35	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$717	$29	$38	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$477	$25	$34	0.7×
Blood test, hemoglobin CPT Code: `85018`	$74	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$11	$25	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$116	$12	$35	0.3×
Blood antibody screen CPT Code: `86850`	$502	$10	$46	0.2×
Blood test, lipase CPT Code: `83690`	$302	$7	$7	unverified

Showing top 25 high-impact procedures of 127 total

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

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

CMS CCN: 110177

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $23,936

1. Amount on Your Bill or Quote ($) Pre-filled with Doctors 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 Doctors 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 +$26,671 Above Fair BaseRate

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

Your bill ($57,446) is $26,671 above the denoised Fair BaseRate ($30,775) and 2.4× 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: 581162801

Public IRS & CMS ownership records classify Doctors 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 Composite68/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait171 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (569 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 Doctors Hospital.

Price Index: 0.98× regional baseline

Quality: 66/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-62.6%

Blue Cross Blue Shield

-60.6%

Blue Choice

-42.1%

Health Net

+67.6%

Kaiser Permanente

+98.1%

Centurion

+110.7%

Median Household Income$53,197U.S. Census ACS

Local Uninsured Share11.6%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 76/100 · Corroborated CMS CCN 110177 EIN 581162801

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 110177) ↗ Verify IRS Form 990 (EIN 581162801) ↗ CMS HCRIS Cost Reports ↗

Published MRF File58-1162801_DOCTORS-HOSPITAL_standardcharges.json

Publication / Vintage2026-03-01 · 488.72 MB

Validated Rate Rows7,703 (CMS v3.0.0)

File Integrity Digest9b5bf58389b9c4b5af66…

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.

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