Elbert Memorial Hospital
4 Medical Drive, Elberton, GA 30635 · 57 Priced Procedures · 72% Patient Recommendation
Typical commercial prices here are +122% above the fair benchmark (2.22×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Elbert Memorial Hospital prices routine shoppable procedures at 3.1× Medicare (median 2.16× Fair BaseRate) while upper-quartile commercial rates jump +29% to 2.78× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.37× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 68% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (70/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (2.22× 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.
- Commercial insurance median sits at 2.16× Fair BaseRate (3.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.78×) jump +29% above the median procedure ratio (Q50 2.16×)
- Unnegotiated chargemaster list prices average 8.1× Medicare (20¢ 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 Elbert Memorial Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 57 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total knee replacement CPT Code: 27447 | $8,957 | 0.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $2,065 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,022 | 2.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $933 | 1.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $836 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $746 | 2.2× |
| CT scan, sinuses CPT Code: 70486 | $620 | 3.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $572 | 2.1× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $579 | unverified |
| CT scan, neck (cervical spine) CPT Code: 72125 | $503 | 3.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $421 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $434 | unverified |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $403 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $352 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $347 | unverified |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $257 | 1.7× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $259 | unverified |
| X-ray, pelvis CPT Code: 72170 | $272 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $220 | 1.3× |
| X-ray, shoulder CPT Code: 73030 | $213 | unverified |
| X-ray, hand CPT Code: 73130 | $223 | unverified |
| X-ray, hip CPT Code: 73502 | $206 | unverified |
| X-ray, foot CPT Code: 73630 | $214 | unverified |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $237 | unverified |
| X-ray, ankle CPT Code: 73610 | $129 | 1.4× |
Audit a Bill or Quote at Elbert Memorial Hospital (Zero PHI Required)
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.
Self-Pay Cash Rate ($5,379) Beats Your Bill
Elbert Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $5,379 (vs. $8,957 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,523 Fair BaseRate ($13,117 Medicare)
Your entered amount is at or below the modeled Fair BaseRate benchmark ($13,523).
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Elbert Memorial 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (59 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 Elbert Memorial Hospital.
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.