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Hospital Profile Critical Access Hospital Proprietary 25 Beds · rural Updated: 2025-01-01

St Marys Good Samaritan Hospital

5401 Lake Oconee Parkway, Greensboro, GA 30642 · 78 Priced Procedures · 87% Patient Recommendation

CMS Overall Rating 4 / 5 Stars
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
1.00×vs. Fair Market Price
Position vs. 1.00× Fair PriceRight at U.S. Average (0%) 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 match the fair market benchmark (1.00×) 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).24/100 · Quarantined
24/100Self-Pay Cash Beats Insurance 0% of the Time
File Completeness30Provenance (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 Logic0Coherence (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 Alignment0Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing0Regularity (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 Rating5/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score82/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait124 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

5-Star CMS clinical quality rating paired with 1.00× fair market pricing.

Behavioral Pricing FingerprintHigh Infusion / OR Multiples

Specialty Drug & Surgical Margin Engine

St Marys Good Samaritan Hospital concentrates commercial margin in outpatient surgical suites (7.2× Medicare) and specialty drug infusions (2.7× Medicare) relative to routine diagnostics (6.2×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.

Regional Benchmark in GAU.S. National Reference Pool
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
  • 4-Star CMS clinical rating with 87% patient recommendation (82/100 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 7.2× markup over Medicare rates
  • Commercial insurance median sits at 1.00× Fair BaseRate (5.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
  • Unnegotiated chargemaster list prices average 7.8× Medicare (14¢ true HCRIS cost per $1 gross)
Front-Door ShoppableElective / Imaging
5.8× Medicare

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

Back-Door Captive & ER0.93× Divergence
5.4× Medicare

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

Quantile Tail Spread+28% Upper Tail
Q25 0.78× · Q50 1.00× · Q75 1.28×

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
5.8× MedicareWatchout
Outpatient Surgery & ORBack-Door Captive
7.2× MedicareWatchout
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
6.2× MedicareWatchout
Back-Door Captive ER VisitsBack-Door Captive
8.4× MedicareWatchout
Inpatient Lab & PathologyBack-Door Captive
8.5× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
2.7× MedicareFair
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
4 CMS · 82/100Good

Procedure Prices at St Marys Good Samaritan Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 78 published procedures.

Sort:
Procedure & Billing Code This Hospital vs. Fair
MRI, brain (with and without contrast)
CPT Code: 70553
$2,226 4.4×
Rabies immune globulin
HCPCS Code: 90375
$2,048 6.4×
MRI, knee or other leg joint
CPT Code: 73721
$1,911 5.2×
MRI, brain (no contrast)
CPT Code: 70551
$1,824 5.3×
MRI, lower back (no contrast)
CPT Code: 72148
$1,608 4.8×
CT scan, head (with and without contrast)
CPT Code: 70470
$1,446 unverified
CT scan, pelvis
CPT Code: 72192
$1,300 unverified
CT scan, chest (no contrast)
CPT Code: 71250
$1,225 unverified
CT scan, sinuses
CPT Code: 70486
$1,185 unverified
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
$1,199 unverified
Echocardiogram (heart ultrasound)
CPT Code: 93306
$1,138 2.0×
CT scan, head (no contrast)
CPT Code: 70450
$1,129 unverified
CT scan, lower back (lumbar spine)
CPT Code: 72131
$1,152 unverified
CT scan, neck (cervical spine)
CPT Code: 72125
$1,087 unverified
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
$1,090 unverified
Ultrasound, abdomen (complete)
CPT Code: 76700
$809 unverified
Ultrasound, leg veins (duplex)
CPT Code: 93970
$662 unverified
Ultrasound, pelvis
CPT Code: 76856
$498 unverified
Blood transfusion
CPT Code: 36430
$436 0.9×
Ultrasound, thyroid and neck
CPT Code: 76536
$451 unverified
CT scan, head (with contrast)
CPT Code: 70460
$362 unverified
Diagnostic mammogram (both breasts)
CPT Code: 77066
$385 unverified
Ultrasound, abdomen (limited)
CPT Code: 76705
$339 unverified
X-ray, lower back
CPT Code: 72110
$296 unverified
X-ray, neck (cervical spine)
CPT Code: 72040
$219 unverified
Showing top 25 high-impact procedures of 78 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at St Marys Good Samaritan Hospital (Zero PHI Required)

CMS CCN: 111329
CPT 70553
Fair BaseRate™ $511
Medicare Rate $356
Self-Pay Cash $2,226
Insurer Median $2,226
Pre-filled with St Marys Good Samaritan 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 $1,198 Paying Cash

Self-Pay Cash Rate ($2,226) Beats Your Bill

St Marys Good Samaritan Hospital's published 45 CFR § 180 self-pay cash rate is $2,226 (vs. $2,226 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,913 Above Fair BaseRate

Negotiate Toward $511 Fair BaseRate ($356 Medicare)

Your bill ($3,424) is $2,913 above the denoised Fair BaseRate ($511) and 9.6× 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)

EIN: 261720984
Filing Period: 194603

Public IRS & CMS ownership records classify St Marys Good Samaritan 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 ↑
CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall5/5 Stars (5/5)
Safety Composite82/100
Would Recommend87%
Rated 9 or 10 (HCAHPS)87%
Median ER Wait124 min
Left ER Before Seen1%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (187 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 St Marys Good Samaritan Hospital.

Price Index: 1.22× regional baseline
Quality: 83/100 CMS composite
Median Household Income$84,530U.S. Census ACS
Local Uninsured Share15.4%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 24/100 · Quarantined CMS CCN 111329 EIN 261720984

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

Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2025-01-01
Validated Rate Rows0 (CMS v2.0.0)
File Integrity DigestVerified · CCN 111329

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.