How many shoppable procedure prices are published for Warm Springs Medical Center?

Warm Springs Medical Center in Warm Springs, GA currently has 49 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

Hospital Profile Critical Access Hospital Voluntary non-profit - Other 25 Beds · rural Updated: 2026-03-30

Warm Springs Medical Center

5995 Spring Street, Warm Springs, GA 31830 · 49 Priced Procedures

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.00×vs. Fair Market Price

Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 83% of the Time

File Completeness60

Price Logic80

Peer Alignment57

Clean Billing88

Real Cash Discount89

Regional Value Leader

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Warm Springs Medical Center prices shoppable and inpatient services (6.0× to 4.5× Medicare, divergence 0.75×) in alignment with regional hospital peers (1.00× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

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 83% of shoppable procedures (89/100 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 2.0× markup over Medicare rates
Commercial insurance median sits at 1.00× Fair BaseRate (6.0× 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 6.7× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

6.0× Medicare

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

Back-Door Captive & ER0.75× Divergence

4.5× 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

6.0× MedicareWatchout

Outpatient Surgery & ORBack-Door Captive

2.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.0× MedicareGood

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

1.9× MedicareGood

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

83% Cash Edge · 89/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 85/100Good

Procedure Prices at Warm Springs Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 49 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,288	$1,288	$448	2.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,221	$1,221	$1,021	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,133	$1,133	$303	3.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$1,141	$1,141	$6,109	0.2×
CT scan, head (no contrast) CPT Code: `70450`	$607	$607	$160	3.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$609	$609	$583	1.0×
Blood transfusion CPT Code: `36430`	$434	$434	$498	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$131	$131	$64	2.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$105	$105	$201	0.5×
Typhoid vaccine HCPCS Code: `90675`	$1,059	$1,059	$347	3.1×
Pneumococcal vaccine HCPCS Code: `90732`	$341	$341	$140	2.4×
Blood test, vitamin D CPT Code: `82306`	$127	$127	$31	4.1×
Culture, blood CPT Code: `87040`	$82	$82	$11	7.5×
Culture, bacterial CPT Code: `87070`	$60	$60	$9	6.7×
Blood test, liver function panel CPT Code: `80076`	$57	$57	$9	6.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$38	$6	6.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$63	$63	$11	5.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$27	$27	$4	6.8×
Blood test, basic metabolic panel CPT Code: `80048`	$49	$49	$9	5.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$46	$46	$10	4.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$64	$64	$14	4.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$60	$60	$18	3.3×
Physical therapy (manual therapy) CPT Code: `97140`	$41	$41	$34	1.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$60	$60	$56	1.1×
Blood test, sodium CPT Code: `84295`	$26	$26	$5	5.2×
Blood test, vitamin B12 CPT Code: `82607`	$51	$51	$16	3.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$53	$53	$19	2.8×
Blood antibody screen CPT Code: `86850`	$55	$55	$46	1.2×
X-ray, chest (single view) CPT Code: `71045`	$65	$65	$92	0.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$21	$21	$3	7.0×
Blood test, potassium CPT Code: `84132`	$27	$27	$5	5.4×
Blood test, calcium CPT Code: `82310`	$25	$25	$5	5.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$18	$4	4.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$22	$22	$5	4.4×
Blood test, amylase CPT Code: `82150`	$28	$28	$7	4.0×
Blood test, lipase CPT Code: `83690`	$26	$26	$7	3.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$46	$46	$14	3.3×
Blood test, hemoglobin CPT Code: `85018`	$10	$10	$3	3.3×
Blood test, magnesium CPT Code: `83735`	$22	$22	$7	3.1×
Hepatitis C antibody test CPT Code: `86803`	$41	$41	$15	2.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$21	$21	$8	2.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$23	$23	$35	0.7×
Physical therapy (gait training) CPT Code: `97116`	$21	$21	$33	0.6×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$21	$21	$38	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$43	$43	$86	0.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Orthotic fitting and training CPT Code: `97760`	$24	$24	$51	0.5×
Occupational therapy (self-care training) CPT Code: `97535`	$16	$16	$38	0.4×
Prosthetic fitting and training CPT Code: `97761`	$15	$15	$45	0.3×

Showing top 25 high-impact procedures of 49 total

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

Audit a Bill or Quote at Warm Springs Medical Center (Zero PHI Required)

CMS CCN: 111316

CPT 74177

Select Procedure to Audit:

Fair BaseRate™ $448

Medicare Rate $356

Self-Pay Cash $1,288

Insurer Median $1,288

1. Amount on Your Bill or Quote ($) Pre-filled with Warm Springs Medical Center’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 Save $1,287 Paying Cash

Self-Pay Cash Rate ($1,288) Beats Your Bill

Warm Springs Medical Center's published 45 CFR § 180 self-pay cash rate is $1,288 (vs. $1,288 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$2,127 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($2,575) is $2,127 above the denoised Fair BaseRate ($448) and 7.2× 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: 870764535

Public IRS & CMS ownership records classify Warm Springs Medical Center 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 Wait79 min

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 Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Warm Springs Medical Center.

Price Index: 1.17× regional baseline

Quality: 54/100 CMS composite

Median Household Income$56,458U.S. Census ACS

Local Uninsured Share14.2%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 74/100 · Corroborated CMS CCN 111316 EIN 870764535

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 111316) ↗ Verify IRS Form 990 (EIN 870764535) ↗ CMS HCRIS Cost Reports ↗

Published MRF File870764535_Warm-Springs-Medical-Center_StandardCharges2026.csv

Publication / Vintage2026-03-30 · 11.20 MB

Validated Rate Rows2,014 (CMS v3.0.0)

File Integrity DigestVerified · CCN 111316

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