How many shoppable procedure prices are published for Optim Medical Center - Tattnall?

Optim Medical Center - Tattnall in Reidsville, GA currently has 99 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Optim Medical Center - Tattnall's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Optim Medical Center - Tattnall's median negotiated commercial rate is 1.8× the regionally adjusted fair BaseRate benchmark.

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

Optim Medical Center - Tattnall

247 S Main Street, Reidsville, GA 30453 · 99 Priced Procedures · 86% Patient Recommendation

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

1.82×vs. Fair Market Price

Typical commercial prices here are +82% above the fair benchmark (1.82×) even after accounting for local nurse/doctor wages and patient complexity.

56/100 · Caution

56/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness61

Price Logic88

Peer Alignment74

Clean Billing27

Real Cash Discount12

High-Markup · Check Safety

5-Star CMS clinical quality rating paired with 1.82× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Optim Medical Center - Tattnall prices shoppable and inpatient services (2.3× to 1.6× Medicare, divergence 0.70×) in alignment with regional hospital peers (1.82× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#91 of 100 in GA · 90th State Percentile#2,968 of 3,385 in U.S. · 87th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.19× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
5-Star CMS clinical rating with 86% patient recommendation (81/100 safety score)
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 2.0× markup over Medicare rates
Commercial insurance median sits at 1.93× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.82× 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.
Unnegotiated chargemaster list prices average 7.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.3× Medicare

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

Back-Door Captive & ER0.70× Divergence

1.6× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 1.19× · Q50 1.93× · Q75 2.04×

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

2.3× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.4× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

3.3× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

3.2× MedicareElevated

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

0.8× MedicareGood

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 81/100Good

Procedure Prices at Optim Medical Center - Tattnall

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 99 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Gallbladder removal (laparoscopic) CPT Code: `47562`	$23,258	$23,258	$6,109	3.8×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,800	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,640	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,969	$17,936	1.2×
Total knee replacement CPT Code: `27447`	$104,659	$13,349	$13,523	1.0×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,034	$8,223	1.1×
Injection procedure for pain management HCPCS Code: `G0260`	$6,067	$6,067	$855	7.1×
Cataract surgery with lens implant CPT Code: `66984`	$5,834	$4,994	$2,540	2.0×
Total hip replacement CPT Code: `27130`	$104,659	$4,995	$13,413	0.4×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$23,258	$3,790	$3,372	1.1×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,000	$3,000	$1,021	2.9×
Bunion correction surgery CPT Code: `28296`	$23,258	$2,515	$3,446	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$11,629	$2,106	$981	2.1×
Upper endoscopy with biopsy CPT Code: `43239`	$11,629	$2,106	$987	2.1×
Colonoscopy with biopsy CPT Code: `45380`	$11,629	$2,106	$1,256	1.7×
Rabies immune globulin HCPCS Code: `90375`	$1,420	$1,420	$322	4.4×
Inguinal hernia repair CPT Code: `49505`	$17,443	$1,330	$3,629	0.4×
Breast lump removal CPT Code: `19120`	$11,629	$1,259	$3,875	0.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,200	$1,200	$86	14.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,058	$1,058	$272	3.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,048	$1,048	$583	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,879	$859	$511	1.7×
Blood transfusion CPT Code: `36430`	$793	$793	$498	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$756	$756	$201	3.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,948	$700	$338	2.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,785	$700	$343	2.0×
MRI, knee or other leg joint CPT Code: `73721`	$1,354	$700	$369	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,504	$480	$303	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,244	$480	$448	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,073	$450	$160	2.8×
CT scan, pelvis CPT Code: `72192`	$1,135	$450	$163	2.8×
CT scan, sinuses CPT Code: `70486`	$1,482	$450	$166	2.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,364	$450	$167	2.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,361	$450	$168	2.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,395	$450	$169	2.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,407	$450	$242	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,426	$450	$258	1.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$307	$307	$35	8.8×
X-ray, pelvis CPT Code: `72170`	$452	$252	$110	2.3×
X-ray, lower back CPT Code: `72110`	$629	$252	$112	2.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$606	$252	$126	2.0×
Ultrasound, pelvis CPT Code: `76856`	$698	$252	$130	1.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$685	$252	$132	1.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$789	$252	$134	1.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$264	$264	$151	1.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$173	$173	$25	6.9×
Occupational therapy (self-care training) CPT Code: `97535`	$169	$169	$38	4.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$192	$192	$87	2.2×
X-ray, chest (single view) CPT Code: `71045`	$520	$180	$92	2.0×
X-ray, shoulder CPT Code: `73030`	$520	$180	$92	2.0×
X-ray, foot CPT Code: `73630`	$722	$180	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$427	$180	$93	1.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$342	$180	$93	1.9×
X-ray, hand CPT Code: `73130`	$520	$180	$93	1.9×
X-ray, hip CPT Code: `73502`	$520	$180	$93	1.9×
X-ray, ankle CPT Code: `73610`	$336	$180	$93	1.9×
Orthotic fitting and training CPT Code: `97760`	$182	$182	$51	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$149	$149	$34	4.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$165	$165	$38	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$215	$119	$64	1.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$130	$130	$38	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$145	$145	$40	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	$110	$110	$14	7.9×
Prosthetic fitting and training CPT Code: `97761`	$123	$123	$45	unverified
Physical therapy (gait training) CPT Code: `97116`	$80	$80	$33	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,105	$1,105	$347	3.2×
Blood test, vitamin D CPT Code: `82306`	$284	$284	$31	9.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$202	$202	$19	10.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$202	$202	$20	10.1×
Drug screening test HCPCS Code: `G0480`	$203	$203	$116	1.8×
Hepatitis C antibody test CPT Code: `86803`	$161	$161	$15	10.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$150	$150	$14	10.7×
Blood test, vitamin B12 CPT Code: `82607`	$166	$166	$16	10.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$185	$185	$18	10.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$181	$181	$56	3.2×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$147	$147	$14	10.5×
Blood antibody screen CPT Code: `86850`	$140	$140	$46	3.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$86	$86	$8	10.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$107	$107	$10	10.7×
Culture, bacterial CPT Code: `87070`	$95	$95	$9	10.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$116	$116	$11	10.5×
Culture, blood CPT Code: `87040`	$114	$114	$11	10.4×
Blood test, basic metabolic panel CPT Code: `80048`	$93	$93	$9	10.3×
Blood test, amylase CPT Code: `82150`	$71	$71	$7	10.1×
Blood test, liver function panel CPT Code: `80076`	$90	$90	$9	10.0×
Blood test, hemoglobin CPT Code: `85018`	$41	$41	$3	13.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$35	$35	$3	11.7×
Blood test, calcium CPT Code: `82310`	$57	$57	$5	11.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$56	$56	$5	11.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$66	$66	$6	11.0×
Blood test, lipase CPT Code: `83690`	$76	$76	$7	10.9×
Blood test, sodium CPT Code: `84295`	$53	$53	$5	10.6×
Blood test, magnesium CPT Code: `83735`	$73	$73	$7	10.4×
Blood test, glucose (blood sugar) CPT Code: `82947`	$43	$43	$4	10.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$43	$43	$4	10.8×
Blood test, potassium CPT Code: `84132`	$51	$51	$5	10.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$44	$44	$5	8.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$55	$55	$49	1.1×
Flu vaccine injection HCPCS Code: `G0008`	$17	$17	$48	0.4×

Showing top 25 high-impact procedures of 99 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

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

CMS CCN: 111323

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $23,258

Insurer Median $23,258

1. Amount on Your Bill or Quote ($) Pre-filled with Optim Medical Center - Tattnall’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 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: $23,258

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Optim Medical Center - Tattnall's published 45 CFR § 180 self-pay cash rate is $23,258 (vs. $23,258 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$17,149 Above Fair BaseRate

Negotiate Toward $6,109 Fair BaseRate ($6,176 Medicare)

Your bill ($23,258) is $17,149 above the denoised Fair BaseRate ($6,109) and 3.8× the $6,176 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 - Tattnall 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

CMS Overall5/5 Stars (5/5)

Safety Composite81/100

Would Recommend86%

Rated 9 or 10 (HCAHPS)84%

Median ER Wait68 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Optim Medical Center - Tattnall. Prior administrative notices do not necessarily reflect current compliance status.

2023-11-30·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (166 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

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

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

Price Index: 1.06× regional baseline

Quality: 82/100 CMS composite

Median Household Income$52,351U.S. Census ACS

Local Uninsured Share13.7%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 56/100 · Caution CMS CCN 111323

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 111323) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2/25/2026

Validated Rate Rows110 (CMS v3.0.0)

File Integrity DigestVerified · CCN 111323

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