Morgan Medical Center
1740 Lions Club Road, Madison, GA 30650 · 89 Priced Procedures · 85% Patient Recommendation
Typical commercial prices here are +127% above the fair benchmark (2.27×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 2.27× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Morgan Medical Center prices routine shoppable procedures at 3.4× Medicare (median 2.57× Fair BaseRate) while upper-quartile commercial rates jump +21% to 3.12× 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 1.89× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- 4-Star CMS clinical rating with 85% patient recommendation (76/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (80.1% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
- Commercial insurance median sits at 2.57× Fair BaseRate (3.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.12×) jump +21% above the median procedure ratio (Q50 2.57×)
- Unnegotiated chargemaster list prices average 6.2× Medicare (32¢ 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 Morgan Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 89 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Trauma team activation HCPCS Code: G0390 | $3,408 | 2.3× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $2,344 | 0.7× |
| Inguinal hernia repair CPT Code: 49505 | $2,344 | 0.6× |
| Breast lump removal CPT Code: 19120 | $2,344 | 0.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,344 | 0.4× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,400 | 1.1× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $1,257 | 2.2× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,101 | unverified |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,024 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | — | — |
| Colonoscopy (diagnostic) CPT Code: 45378 | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | $906 | 2.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $906 | 2.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $906 | 1.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $800 | 5.0× |
| CT scan, pelvis CPT Code: 72192 | $800 | 4.9× |
| CT scan, sinuses CPT Code: 70486 | $800 | 4.8× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $800 | 4.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $800 | 4.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $800 | 3.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $800 | 3.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $800 | 2.6× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $800 | 1.8× |
| Blood transfusion CPT Code: 36430 | $711 | 1.4× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $580 | unverified |
Audit a Bill or Quote at Morgan Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $4,946
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (80.1% of gross = $4,946).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Morgan Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)
Your bill ($6,174) is $4,721 above the denoised Fair BaseRate ($1,453) and 4.5× the $1,362 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (80.1% 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
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Morgan Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-03-19·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (108 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 Morgan Medical Center.
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.