How many shoppable procedure prices are published for Higgins General Hospital?

Higgins General Hospital in Bremen, GA currently has 110 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Higgins General Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Hospital District or Authority 23 Beds · rural Updated: 3/24/2026

Higgins General Hospital

200 Allen Memorial Drive, Bremen, GA 30110 · 110 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.20×vs. Fair Market Price

Typical commercial prices here are +20% above the fair benchmark (1.20×) even after accounting for local nurse/doctor wages and patient complexity.

71/100 · Corroborated

71/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness50

Price Logic67

Peer Alignment90

Clean Billing57

Real Cash Discount100

High Quality · Fair Price

5-Star CMS clinical quality rating paired with 1.20× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +96% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Higgins General Hospital prices routine shoppable procedures at 1.9× Medicare (median 1.07× Fair BaseRate) while upper-quartile commercial rates jump +96% to 2.10× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#50 of 100 in GA · 49th State Percentile#2,001 of 3,385 in U.S. · 59th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.02× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 86% patient recommendation (82/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (50.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.20× 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 1.07× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.10×) jump +96% above the median procedure ratio (Q50 1.07×)
Unnegotiated chargemaster list prices average 8.7× Medicare (22¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

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

Back-Door Captive & ER0.84× Divergence

1.6× Medicare

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

Quantile Tail Spread+96% Upper Tail

Q25 1.02× · Q50 1.07× · Q75 2.10×

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

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.7× MedicareGood

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

0.8× MedicareGood

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

0% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 82/100Good

Procedure Prices at Higgins General Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 110 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Breast lump removal CPT Code: `19120`	$6,942	$6,942	$3,875	1.8×
Inguinal hernia repair CPT Code: `49505`	$6,748	$6,748	$3,629	1.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$5,933	$5,933	$6,109	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,917	$2,917	$448	6.5×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,730	$2,730	$511	5.3×
Cataract surgery with lens implant CPT Code: `66984`	$2,602	$2,602	$2,540	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,199	$2,199	$981	2.2×
MRI, knee or other leg joint CPT Code: `73721`	$2,082	$2,082	$369	5.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,649	$1,649	$338	4.9×
MRI, brain (no contrast) CPT Code: `70551`	$1,572	$1,572	$343	4.6×
Colonoscopy with biopsy CPT Code: `45380`	$1,460	$1,460	$1,256	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,247	$1,247	$242	5.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,222	$1,222	$303	4.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,262	$1,240	$86	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,077	$1,077	$258	4.2×
Upper endoscopy with biopsy CPT Code: `43239`	$1,095	$1,095	$987	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	$816	$816	$134	6.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$816	$816	$168	4.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$816	$816	$169	4.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$772	$772	$583	1.3×
Sleep study (overnight, in lab) CPT Code: `95810`	$774	$774	$1,021	0.8×
CT scan, pelvis CPT Code: `72192`	$740	$740	$163	4.5×
CT scan, sinuses CPT Code: `70486`	$743	$743	$166	4.5×
CT scan, chest (no contrast) CPT Code: `71250`	$712	$712	$167	4.3×
Injection procedure for pain management HCPCS Code: `G0260`	$690	$690	$855	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$654	$654	$132	5.0×
Ultrasound, pelvis CPT Code: `76856`	$627	$627	$130	4.8×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$499	$499	$272	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$469	$469	$160	2.9×
Blood transfusion CPT Code: `36430`	$410	$410	$498	0.8×
Group therapy session CPT Code: `90853`	$395	$415	$100	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$161	$380	$181	2.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$336	$336	$148	2.3×
Rabies immune globulin HCPCS Code: `90375`	$2,187	$328	$322	1.0×
X-ray, ankle CPT Code: `73610`	$299	$299	$93	3.2×
X-ray, shoulder CPT Code: `73030`	$261	$261	$92	2.8×
X-ray, lower back CPT Code: `72110`	$264	$264	$112	2.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$240	$240	$201	1.2×
X-ray, hand CPT Code: `73130`	$211	$211	$93	2.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$188	$188	$93	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$196	$196	$123	1.6×
X-ray, hip CPT Code: `73502`	$158	$158	$93	1.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$167	$167	$126	1.3×
Hepatitis B immune globulin HCPCS Code: `90371`	$984	$162	$151	1.1×
Family therapy session CPT Code: `90847`	$133	$133	$173	0.8×
Speech therapy (group session) CPT Code: `92508`	$86	$86	$27	3.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$86	$86	$35	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$106	$106	$64	1.7×
X-ray, chest (two views) CPT Code: `71046`	$122	$122	$93	1.3×
X-ray, chest (single view) CPT Code: `71045`	$92	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$92	$92	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$102	$102	$110	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$94	$94	$185	0.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$456	$456	$203	2.2×
Typhoid vaccine HCPCS Code: `90675`	$942	$360	$347	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$222	$222	$140	1.6×
Blood test, vitamin D CPT Code: `82306`	$160	$160	$31	5.2×
Blood test, lipase CPT Code: `83690`	$114	$114	$7	16.3×
Culture, blood CPT Code: `87040`	$118	$118	$11	10.7×
Blood test, amylase CPT Code: `82150`	$88	$88	$7	12.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$108	$108	$11	9.8×
Hepatitis C antibody test CPT Code: `86803`	$96	$96	$15	6.4×
Drug screening test HCPCS Code: `G0480`	$120	$120	$116	1.0×
Blood test, liver function panel CPT Code: `80076`	$81	$81	$9	9.0×
Culture, bacterial CPT Code: `87070`	$66	$66	$9	7.3×
Orthotic fitting and training CPT Code: `97760`	$62	$62	$51	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$78	$78	$86	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$75	$75	$123	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$40	$40	$5	8.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$58	$58	$8	7.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$65	$65	$18	3.6×
Occupational therapy (self-care training) CPT Code: `97535`	$66	$66	$38	1.7×
New patient office visit (30-44 min) CPT Code: `99203`	$79	$79	$110	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$44	$44	$3	14.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$37	$37	$4	9.3×
Blood test, potassium CPT Code: `84132`	$37	$37	$5	7.4×
Blood test, sodium CPT Code: `84295`	$35	$35	$5	7.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$42	$42	$6	7.0×
Blood test, basic metabolic panel CPT Code: `80048`	$51	$51	$9	5.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$59	$59	$14	4.2×
Blood test, vitamin B12 CPT Code: `82607`	$55	$55	$16	3.4×
Blood test, calcium CPT Code: `82310`	$27	$27	$5	5.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$25	$5	5.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$43	$43	$10	4.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$58	$58	$14	4.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$61	$61	$19	3.2×
Blood test, magnesium CPT Code: `83735`	$27	$27	$7	3.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$44	$44	$14	3.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$59	$59	$20	3.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$66	$66	$38	1.7×
Physical therapy (manual therapy) CPT Code: `97140`	$57	$57	$34	1.7×
Physical therapy (gait training) CPT Code: `97116`	$55	$55	$33	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$41	$41	$25	1.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$57	$57	$38	1.5×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$57	$57	$39	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$57	$57	$40	1.4×
Blood antibody screen CPT Code: `86850`	$59	$59	$46	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$50	$50	$87	0.6×
Psychotherapy session (45 minutes) CPT Code: `90834`	$72	$72	$166	0.4×
Behavioral health assessment HCPCS Code: `H0001`	$60	$60	$157	0.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$24	$4	6.0×
Extended office visit (prolonged) HCPCS Code: `G2212`	$34	$34	$33	1.0×
Prosthetic fitting and training CPT Code: `97761`	$44	$44	$45	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$44	$44	$49	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$77	$44	$56	0.8×
Blood test, hemoglobin CPT Code: `85018`	$15	$15	$3	5.0×
Behavioral health outpatient services HCPCS Code: `H2015`	$16	$16	$16	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$27	$27	$48	0.6×
Mental health services (therapy) HCPCS Code: `H0032`	$24	$24	$65	0.4×
Mental health services (assessment) HCPCS Code: `H0031`	$24	$24	$140	0.2×

Showing top 25 high-impact procedures of 110 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.0%

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

CMS CCN: 111320

CPT 19120

Select Procedure to Audit:

Fair BaseRate™ $3,875

Medicare Rate $4,000

Self-Pay Cash $6,942

Insurer Median $6,942

1. Amount on Your Bill or Quote ($) Pre-filled with Higgins General 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 501(r) AGB Cap: $8,677 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,677

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $8,677).

Step 2 · Cash vs. Insurance Arbitrage Save $10,412 Paying Cash

Self-Pay Cash Rate ($6,942) Beats Your Bill

Higgins General Hospital's published 45 CFR § 180 self-pay cash rate is $6,942 (vs. $6,942 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$13,479 Above Fair BaseRate

Negotiate Toward $3,875 Fair BaseRate ($4,000 Medicare)

Your bill ($17,354) is $13,479 above the denoised Fair BaseRate ($3,875) and 4.3× the $4,000 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 582453303

Filing Period: 200610

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (50.0% 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.

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 Overall5/5 Stars (5/5)

Safety Composite82/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)85%

Median ER Wait127 min

Left ER Before Seen3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Higgins General Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2024-09-27·administrative_or_closure
Closure Notice
Recorded
2024-09-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (110 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 Higgins General Hospital.

Price Index: 0.54× regional baseline

Quality: 81/100 CMS composite

Median Household Income$65,016U.S. Census ACS

Local Uninsured Share12.0%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 71/100 · Corroborated CMS CCN 111320 EIN 582453303

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 111320) ↗ Verify IRS Form 990 (EIN 582453303) ↗ CMS HCRIS Cost Reports ↗

Published MRF File582453303_Tanner-Medical-Center---Villa-Rica_standardcharges.csv

Publication / Vintage3/24/2026 · 83.32 MB

Validated Rate Rows11 (CMS v3.0.0)

File Integrity DigestVerified · CCN 111320

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