Donalsonville Hospital Inc
102 Hospital Cir, Donalsonville, GA 39845 · 85 Priced Procedures · 69% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Donalsonville Hospital Inc concentrates commercial margin in outpatient surgical suites (13.8× Medicare) and specialty drug infusions (2.6× Medicare) relative to routine diagnostics (5.7×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (98/100 Cash Honesty)
- CMS clinical safety score (66/100 safety score) with 69% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (10.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 13.8× markup over Medicare rates
- Captive ER (3.8×) & laboratory (2.0×) services average 1.25× higher multiples than routine shoppable care (11.0×)
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 10.0× Medicare (14¢ true HCRIS cost per $1 gross)
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 Donalsonville Hospital Inc
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 85 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $5,999 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $4,080 | 12.1× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,996 | 8.7× |
| CT scan, sinuses CPT Code: 70486 | $2,345 | 14.1× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,142 | 5.8× |
| Rabies immune globulin HCPCS Code: 90375 | $2,030 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,895 | unverified |
| CT scan, head (no contrast) CPT Code: 70450 | $1,789 | 11.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,672 | 5.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,522 | 9.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,400 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,313 | 7.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $1,321 | 4.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,045 | 6.2× |
| CT scan, pelvis CPT Code: 72192 | $981 | 6.0× |
| CT scan, head (with contrast) CPT Code: 70460 | $912 | 3.8× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $707 | 4.8× |
| Ultrasound, pelvis CPT Code: 76856 | $653 | 5.0× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $653 | 4.9× |
| Screening mammogram (both breasts) CPT Code: 77067 | $570 | 4.6× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $516 | 3.9× |
| X-ray, lower back CPT Code: 72110 | $443 | 4.0× |
| X-ray, hip CPT Code: 73502 | $389 | 4.2× |
| X-ray, chest (two views) CPT Code: 71046 | $366 | 3.9× |
| New patient office visit (30-44 min) CPT Code: 99203 | $342 | 3.1× |
Audit a Bill or Quote at Donalsonville Hospital Inc (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $706
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (10.0% of gross = $706).
Self-Pay Cash Rate ($5,999) Beats Your Bill
Donalsonville Hospital Inc's published 45 CFR § 180 self-pay cash rate is $5,999 (vs. $5,999 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($7,058) is $6,547 above the denoised Fair BaseRate ($511) and 19.8× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (10.0% 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
CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Donalsonville Hospital Inc. Prior administrative notices do not necessarily reflect current compliance status.
- 2024-12-27·administrative_or_closure
Closure Notice
Recorded - 2024-09-20·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (46 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 Donalsonville Hospital Inc.
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.