Hospital Profile
Acute Care Hospital Voluntary non-profit - Private 22 Beds · rural
Updated: 6/3/26
Flint River Community Hospital
509 Sumter Street, Box 770, Montezuma, GA 31063 · 46 Priced Procedures
CMS Overall Rating No CMS Rating
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Near Fair BaseRate Benchmark
0.95×vs. Fair Market Price
Position vs. 1.00× Fair Price5% Below Fair Price
1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.
Typical commercial prices here are 5% below the fair benchmark (0.95×) after accounting for local nurse/doctor wages and patient complexity.
Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).70/100 · Caution
70/100Self-Pay Cash Beats Insurance 0% of the Time
File Completeness66Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic83Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment79Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing17Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Behavioral Pricing FingerprintConsistent Department Multiples
Aligned Regional Benchmark Peer
Flint River Community Hospital prices shoppable and inpatient services (1.0× to 1.0× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.95× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
#28 of 100 in GA · 27th State Percentile#961 of 3,385 in U.S. · 28th National Percentile
Advantage
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 5% below peer Fair BaseRate (0.95×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% 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 1.2× markup over Medicare rates
- Commercial insurance median sits at 0.96× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Specialty infusion drugs (J-codes) average 1.2× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 8.2× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
1.0× Medicare
Pre-scheduled outpatient procedures where patients can comparison-shop.
Back-Door Captive & ER1.00× Divergence
1.0× Medicare
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Quantile Tail Spread+1% Upper Tail
Q25 0.91× · Q50 0.96× · Q75 0.97×
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
1.0× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.2× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.0× 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
1.2× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated
Procedure Prices at Flint River Community Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 46 published procedures.
Sort:
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, brain (with and without contrast) CPT Code: 70553 | $356 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $244 | 0.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $179 | 0.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $179 | 0.7× |
| New patient office visit (30-44 min) CPT Code: 99203 | $144 | unverified |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $135 | unverified |
| X-ray, pelvis CPT Code: 72170 | $107 | 1.0× |
| Office visit, established patient (20-29 min) CPT Code: 99213 | $117 | unverified |
| X-ray, shoulder CPT Code: 73030 | $89 | 1.0× |
| X-ray, foot CPT Code: 73630 | $89 | 1.0× |
| X-ray, chest (two views) CPT Code: 71046 | $89 | 1.0× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $89 | 1.0× |
| X-ray, hand CPT Code: 73130 | $89 | 1.0× |
| X-ray, hip CPT Code: 73502 | $89 | 1.0× |
| X-ray, ankle CPT Code: 73610 | $89 | 1.0× |
| X-ray, lower back CPT Code: 72110 | $107 | 1.0× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $107 | 0.8× |
| Ultrasound, pelvis CPT Code: 76856 | $107 | 0.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $107 | 0.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $107 | 0.7× |
| Flu vaccine (high dose) HCPCS Code: 90656 | $218 | 8.7× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $60 | 0.9× |
| Blood test, comprehensive metabolic panel CPT Code: 80053 | $11 | 1.0× |
| Blood test, creatinine (kidney) CPT Code: 82565 | $5 | 1.0× |
| Blood test, ferritin (iron stores) CPT Code: 82728 | $14 | 1.0× |
Showing top 25 high-impact procedures of 46 total
Inline Bill X-Ray & 501(r) Calculator
For-Profit Facility · Cash & Fair BaseRate Audit
Audit a Bill or Quote at Flint River Community Hospital (Zero PHI Required)
CMS CCN: 110190
CPT 70553
Fair BaseRate™ $511
Medicare Rate $356
Self-Pay Cash $4,305
Insurer Median $356
Pre-filled with Flint River Community Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 $1,435 Paying Cash
Self-Pay Cash Rate ($4,305) Beats Your Bill
Flint River Community Hospital's published 45 CFR § 180 self-pay cash rate is $4,305 (vs. $356 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Step 3 · Fair BaseRate Target
+$5,229 Above Fair BaseRate
Negotiate Toward $511 Fair BaseRate ($356 Medicare)
Your bill ($5,740) is $5,229 above the denoised Fair BaseRate ($511) and 16.1× the $356 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)
Public IRS & CMS ownership records classify Flint River Community 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 ↑
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 Flint River Community Hospital.
Price Index: 0.86× regional baseline
Quality: 54/100 CMS composite
Median Household Income$37,177U.S. Census ACS
Local Uninsured Share23.2%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 70/100 · Caution
CMS CCN 110190
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
MRF Portal Indexed (CMS_45_CFR_180_FILING.json)
Verify on CMS Medicare.gov (CCN 110190) ↗
CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage6/3/26
Validated Rate Rows252 (CMS v3.0.0)
File Integrity DigestVerified · CCN 110190
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.