How many shoppable procedure prices are published for East Georgia Regional Medical Center?

East Georgia Regional Medical Center in Statesboro, GA currently has 107 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do East Georgia Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, East Georgia Regional Medical Center's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is East Georgia Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns East Georgia Regional Medical Center 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 142 Beds · rural Updated: 2026-04-01

East Georgia Regional Medical Center

1499 Fair Road, Statesboro, GA 30458 · 107 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.33×vs. Fair Market Price

Typical commercial prices here are +33% above the fair benchmark (1.33×) even after accounting for local nurse/doctor wages and patient complexity.

88/100 · Verified

88/100Self-Pay Cash Beats Insurance 55% of the Time

File Completeness85

Price Logic96

Peer Alignment76

Clean Billing82

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 1.33× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 8,981), East Georgia Regional Medical Center commands a 1.33× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#59 of 100 in GA · 58th State Percentile#2,312 of 3,385 in U.S. · 68th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.09× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 55% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (73/100 safety score) with 68% 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 2.2× markup over Medicare rates
Commercial insurance median sits at 1.25× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.58×) jump +26% above the median procedure ratio (Q50 1.25×)
Consolidated metro market (HHI 8,981) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.81× Divergence

1.3× Medicare

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

Quantile Tail Spread+26% Upper Tail

Q25 1.09× · Q50 1.25× · Q75 1.58×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.2× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

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

0.9× MedicareGood

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

55% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 73/100Fair

Procedure Prices at East Georgia 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 107 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Total hip replacement CPT Code: `27130`	$27,261	$18,339	$13,413	1.4×
Total knee replacement CPT Code: `27447`	$33,805	$18,339	$13,523	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,984	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,561	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,631	$17,936	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$18,111	$10,955	$6,109	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,686	$8,223	0.9×
Breast lump removal CPT Code: `19120`	$8,038	$7,095	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	$15,349	$6,488	$3,629	1.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$11,818	$5,929	$3,372	1.8×
Bunion correction surgery CPT Code: `28296`	$15,079	$5,929	$3,446	1.7×
Cataract surgery with lens implant CPT Code: `66984`	$3,866	$4,182	$2,540	1.6×
Colonoscopy with biopsy CPT Code: `45380`	$4,222	$2,169	$1,256	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,215	$1,685	$981	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$4,080	$1,644	$987	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,967	$1,469	$1,021	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	$1,990	$1,279	$855	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,223	$935	$583	unverified
Blood transfusion CPT Code: `36430`	$272	$755	$498	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,969	$632	$448	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,714	$645	$511	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,062	$522	$369	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$586	$408	$272	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,250	$432	$303	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$2,067	$441	$338	1.3×
MRI, brain (no contrast) CPT Code: `70551`	$2,167	$432	$343	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$178	$376	$123	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$155	$334	$201	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$2,315	$318	$242	1.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,817	$318	$258	1.2×
Rabies immune globulin HCPCS Code: `90375`	$555	$280	$322	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$143	$212	$86	2.5×
X-ray, pelvis CPT Code: `72170`	$206	$179	$110	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$391	$189	$126	1.5×
Ultrasound, pelvis CPT Code: `76856`	$695	$189	$130	1.5×
Ultrasound, thyroid and neck CPT Code: `76536`	$402	$189	$132	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$778	$189	$134	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$2,031	$189	$160	1.2×
CT scan, pelvis CPT Code: `72192`	$1,571	$189	$163	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,917	$193	$169	1.1×
CT scan, sinuses CPT Code: `70486`	$1,084	$189	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$1,274	$189	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,869	$189	$168	1.1×
X-ray, lower back CPT Code: `72110`	$496	$182	$112	unverified
X-ray, foot CPT Code: `73630`	$342	$154	$92	1.7×
X-ray, hand CPT Code: `73130`	$325	$154	$93	1.7×
X-ray, hip CPT Code: `73502`	$193	$154	$93	1.7×
X-ray, chest (single view) CPT Code: `71045`	$142	$149	$92	1.6×
X-ray, chest (two views) CPT Code: `71046`	$209	$149	$93	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$247	$149	$93	1.6×
Hepatitis B immune globulin HCPCS Code: `90371`	$128	$138	$151	0.9×
X-ray, shoulder CPT Code: `73030`	$309	$154	$92	unverified
X-ray, ankle CPT Code: `73610`	$451	$154	$93	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$84	$101	$64	1.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$287	$103	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$278	$80	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$652	$320	$347	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$113	$113	$39	2.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$129	$136	$111	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	$149	$111	$140	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$48	$80	$48	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$55	$80	$49	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$41	$57	$35	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$158	$75	$86	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$48	$80	$49	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$210	$14	$11	1.3×
Blood test, vitamin D CPT Code: `82306`	$62	$38	$31	1.2×
Physical therapy (gait training) CPT Code: `97116`	$74	$36	$33	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$71	$43	$40	1.1×
Blood antibody screen CPT Code: `86850`	$62	$49	$46	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$97	$36	$35	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$113	$57	$56	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$170	$38	$38	1.0×
Orthotic fitting and training CPT Code: `97760`	$47	$51	$51	1.0×
Prosthetic fitting and training CPT Code: `97761`	$51	$45	$45	1.0×
Blood test, calcium CPT Code: `82310`	$57	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$78	$7	$5	1.4×
Blood test, clotting time (PTT) CPT Code: `85730`	$93	$8	$6	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$60	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$99	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$29	$9	$7	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$81	$24	$19	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$118	$41	$38	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$40	$40	$38	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$23	$11	$9	1.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$119	$17	$14	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$71	$35	$34	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$57	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$86	$10	$8	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$106	$22	$18	1.2×
Culture, bacterial CPT Code: `87070`	$178	$11	$9	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$147	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$57	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$19	$6	$5	1.2×
Blood test, vitamin B12 CPT Code: `82607`	$66	$19	$16	1.2×
Culture, blood CPT Code: `87040`	$34	$13	$11	1.2×
Blood test, amylase CPT Code: `82150`	$106	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$119	$10	$9	1.1×
Hepatitis C antibody test CPT Code: `86803`	$177	$16	$15	1.1×
Blood test, hemoglobin CPT Code: `85018`	$20	$3	$3	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$38	$20	$20	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$55	$12	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$26	$19	$25	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$30	$21	$37	0.6×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$99	$4	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$56	$5	$4	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$83	$6	$5	unverified

Showing top 25 high-impact procedures of 107 total

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

Audit a Bill or Quote at East Georgia Regional Medical Center (Zero PHI Required)

CMS CCN: 110075

CPT 27130

Select Procedure to Audit:

Fair BaseRate™ $13,413

Medicare Rate $13,117

Self-Pay Cash $27,261

Insurer Median $18,339

1. Amount on Your Bill or Quote ($) Pre-filled with East Georgia Regional Medical Center’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 Save $73,706 Paying Cash

Self-Pay Cash Rate ($27,261) Beats Your Bill

East Georgia Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $27,261 (vs. $18,339 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$87,554 Above Fair BaseRate

Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)

Your bill ($100,967) is $87,554 above the denoised Fair BaseRate ($13,413) and 7.7× the $13,117 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: 582190713

Public IRS & CMS ownership records classify East Georgia Regional Medical Center 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 Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)73%

Median ER Wait139 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

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

2026-04-28·warning_notice
Warning Notice
Recorded
2025-07-17·administrative_or_closure
Met Requirements
Recorded
2023-01-05·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (488 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 East Georgia Regional Medical Center.

Price Index: 1.00× regional baseline

Quality: 71/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Health Net

-60.7%

Humana

-56.0%

Aetna

+120.5%

Median Household Income$56,832U.S. Census ACS

Local Uninsured Share11.9%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 88/100 · Verified CMS CCN 110075 EIN 582190713

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 110075) ↗ Verify IRS Form 990 (EIN 582190713) ↗ CMS HCRIS Cost Reports ↗

Published MRF File582190713_east-georgia-regional-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 112.89 MB

Validated Rate Rows5,627 (CMS v3.0.0)

File Integrity Digestde8f48b56d5b5d033c39…

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