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Hospital Profile Critical Access Hospital Proprietary 25 Beds · rural Updated: 2/25/2026

Optim Medical Center - Screven

215 Mims Road, Sylvania, GA 30467 · 88 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.Good Deal · Below Fair Market
0.87×vs. Fair Market Price
Position vs. 1.00× Fair Price13% 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 13% below the fair benchmark (0.87×) 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).71/100 · Corroborated
71/100Self-Pay Cash Beats Insurance 1% of the Time
File Completeness100Provenance (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 Logic98Coherence (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 Alignment68Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing65Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount6Cash 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 Score85/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait87 minMedian 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 FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Optim Medical Center - Screven maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.85× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.96× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#14 of 100 in GA · 13th State Percentile#497 of 3,385 in U.S. · 14th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Elective shoppable care is priced 13% below peer Fair BaseRate (0.87×)
  • Self-pay cash beats commercial insurance on 1% of shoppable procedures (25/100 Cash Honesty)
  • CMS clinical safety score (85/100 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 1.1× markup over Medicare rates
  • Captive ER (1.0×) & laboratory (1.3×) services average 1.11× higher multiples than routine shoppable care (0.9×)
  • Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
  • Unnegotiated chargemaster list prices average 6.8× Medicare (15¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
0.9× Medicare

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

Back-Door Captive & ER1.11× Divergence
1.0× Medicare

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

Quantile Tail Spread+13% Upper Tail
Q25 0.78× · Q50 0.85× · Q75 0.96×

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
0.9× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.1× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.1× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.0× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.3× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
1% Cash Edge · 25/100Watchout
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 85/100Good

Procedure Prices at Optim Medical Center - Screven

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 88 published procedures.

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Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Total hip replacement
CPT Code: 27130
 $11,363 0.8×
Total knee replacement
CPT Code: 27447
 $11,363 0.8×
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $5,351 0.9×
Breast lump removal
CPT Code: 19120
 $3,465 0.9×
Inguinal hernia repair
CPT Code: 49505
 $3,169 0.9×
Knee arthroscopy with meniscus repair
CPT Code: 29881
 $2,896 0.9×
Bunion correction surgery
CPT Code: 28296
 $2,896 0.8×
Cataract surgery with lens implant
CPT Code: 66984
 $2,043 0.8×
Colonoscopy with biopsy
CPT Code: 45380
 $1,059 0.8×
Colonoscopy (diagnostic)
CPT Code: 45378
 $823 0.8×
Upper endoscopy with biopsy
CPT Code: 43239
 $803 0.8×
Sleep study (overnight, in lab)
CPT Code: 95810
 $760 0.7×
Injection procedure for pain management
HCPCS Code: G0260
 $625 0.7×
MRI, knee or other leg joint
CPT Code: 73721
 $461 1.2×
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $484 0.8×
Blood transfusion
CPT Code: 36430
 $390 0.8×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $312 0.7×
MRI, brain (with and without contrast)
CPT Code: 70553
 $312 0.6×
Breathing treatment (nebulizer)
CPT Code: 94640
 $194 1.0×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $211 0.8×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $213 0.7×
MRI, lower back (no contrast)
CPT Code: 72148
 $213 0.6×
MRI, brain (no contrast)
CPT Code: 70551
 $213 0.6×
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $173 6.9×
CT scan, head (with contrast)
CPT Code: 70460
 $157 0.6×
Showing top 25 high-impact procedures of 88 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Optim Medical Center - Screven (Zero PHI Required)

CMS CCN: 111312
CPT 27130
Fair BaseRate™ $13,413
Medicare Rate $13,117
Self-Pay Cash $104,659
Insurer Median $11,363
Pre-filled with Optim Medical Center - Screven’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 Published Cash: $104,659

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Optim Medical Center - Screven's published 45 CFR § 180 self-pay cash rate is $104,659 (vs. $11,363 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$91,246 Above Fair BaseRate

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

Your bill ($104,659) is $91,246 above the denoised Fair BaseRate ($13,413) and 8.0× 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)

Public IRS & CMS ownership records classify Optim Medical Center - Screven 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

Safety Composite85/100
Median ER Wait87 min
Left ER Before Seen1%

Source: CMS Hospital Care Compare. 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

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Optim Medical Center - Screven.

Price Index: 0.87× regional baseline
Quality: 56/100 CMS composite
Median Household Income$53,017U.S. Census ACS
Local Uninsured Share11.5%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 111312

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 111312) ↗ CMS HCRIS Cost Reports ↗
Published MRF Filemrf
Publication / Vintage2/25/2026 · 19.30 MB
Validated Rate Rows570 (CMS v3.0.0)
File Integrity Digest11e06e66db86667c05d6…

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