How many shoppable procedure prices are published for Washington County Regional Medical Center?

Washington County Regional Medical Center in Sandersville, GA currently has 95 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Washington County Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Washington County Regional Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 49 Beds · rural Updated: 5/5/2026

Washington County Regional Medical Center

610 Sparta Road, Sandersville, GA 31082 · 95 Priced Procedures · 60% Patient Recommendation

CMS Overall Rating No CMS Rating

Near Fair BaseRate Benchmark

1.05×vs. Fair Market Price

Typical commercial prices here are +5% above the fair benchmark (1.05×) even after accounting for local nurse/doctor wages and patient complexity.

76/100 · Corroborated

76/100Self-Pay Cash Beats Insurance 67% of the Time

File Completeness61

Price Logic78

Peer Alignment72

Clean Billing73

Real Cash Discount100

High-Markup Tier

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

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Washington County Regional Medical Center maintains elevated commercial insurance contracts (1.05× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 67% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#42 of 100 in GA · 41st State Percentile#1,507 of 3,385 in U.S. · 44th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 67% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 60% 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)

Even at low-cost facilities (1.05× 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.
Commercial insurance median sits at 0.99× Fair BaseRate (1.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.20×) jump +21% above the median procedure ratio (Q50 0.99×)
Unnegotiated chargemaster list prices average 5.8× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER0.85× Divergence

1.1× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 0.91× · Q50 0.99× · Q75 1.20×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.0× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.7× MedicareGood

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

67% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Washington County Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 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`	$11,000	$4,382	$6,109	0.7×
Inguinal hernia repair CPT Code: `49505`	$7,058	$3,503	$3,629	1.0×
Breast lump removal CPT Code: `19120`	$6,550	$3,431	$3,875	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,783	$3,297	$3,372	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$2,684	$2,684	$2,680	1.0×
Bunion correction surgery CPT Code: `28296`	$1,585	$1,585	$3,446	0.5×
Colonoscopy with biopsy CPT Code: `45380`	$2,278	$1,206	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,363	$937	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$2,363	$914	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,416	$865	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$1,385	$711	$855	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,231	$600	$511	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$1,873	$600	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,124	$600	$369	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,388	$479	$583	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,583	$400	$303	1.3×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$4,131	$400	$448	0.9×
Blood transfusion CPT Code: `36430`	$447	$405	$498	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$222	$400	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$449	$400	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$470	$400	$258	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,425	$400	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$431	$400	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$431	$400	$168	unverified
CT scan, pelvis CPT Code: `72192`	$202	$400	$163	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$252	$295	$272	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$111	$221	$86	2.6×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$215	$234	$148	unverified
CT scan, sinuses CPT Code: `70486`	$192	$192	$166	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$194	$161	$134	1.2×
Ultrasound, pelvis CPT Code: `76856`	$301	$148	$130	1.1×
MRI, brain (no contrast) CPT Code: `70551`	$161	$161	$343	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$230	$173	$132	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$291	$122	$126	1.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$100	$100	$123	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$94	$94	$123	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$93	$93	$201	0.5×
New patient office visit (30-44 min) CPT Code: `99203`	$103	$103	$110	unverified
Typhoid vaccine HCPCS Code: `90675`	$551	$324	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$101	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$149	$137	$140	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$186	$49	$35	1.4×
Prosthetic fitting and training CPT Code: `97761`	$42	$44	$45	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$114	$38	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$69	$36	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$100	$59	$64	0.9×
X-ray, hip CPT Code: `73502`	$185	$58	$93	0.6×
X-ray, lower back CPT Code: `72110`	$386	$64	$112	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$70	$70	$87	unverified
Blood test, vitamin D CPT Code: `82306`	$33	$33	$31	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$40	$35	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$46	$32	$35	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$67	$40	$56	0.7×
X-ray, hand CPT Code: `73130`	$216	$45	$93	0.5×
X-ray, ankle CPT Code: `73610`	$244	$44	$93	0.5×
X-ray, neck (cervical spine) CPT Code: `72040`	$322	$43	$93	0.5×
X-ray, foot CPT Code: `73630`	$244	$41	$92	0.4×
X-ray, shoulder CPT Code: `73030`	$244	$39	$92	0.4×
Speech therapy (language evaluation) CPT Code: `92507`	$36	$36	$86	0.4×
X-ray, pelvis CPT Code: `72170`	$73	$45	$110	0.4×
X-ray, chest (two views) CPT Code: `71046`	$225	$38	$93	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$8	$4	$3	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$17	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$33	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$70	$10	$8	1.3×
Blood test, calcium CPT Code: `82310`	$19	$6	$5	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$21	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$20	$12	$10	1.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$41	$37	$38	1.0×
Blood test, potassium CPT Code: `84132`	$22	$6	$5	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$21	$7	$6	1.2×
Blood test, amylase CPT Code: `82150`	$25	$8	$7	1.1×
Blood test, lipase CPT Code: `83690`	$46	$8	$7	1.1×
Blood test, magnesium CPT Code: `83735`	$14	$8	$7	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$34	$10	$9	1.1×
Culture, bacterial CPT Code: `87070`	$30	$10	$9	1.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$62	$22	$20	1.1×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$90	$12	$11	1.1×
Culture, blood CPT Code: `87040`	$26	$12	$11	1.1×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$42	$15	$14	1.1×
Blood test, ferritin (iron stores) CPT Code: `82728`	$28	$15	$14	1.1×
Blood test, vitamin B12 CPT Code: `82607`	$31	$17	$16	1.1×
Blood test, thyroid (TSH) CPT Code: `84443`	$39	$19	$18	1.1×
Blood test, liver function panel CPT Code: `80076`	$17	$9	$9	1.0×
Physical therapy (gait training) CPT Code: `97116`	$32	$32	$33	1.0×
Orthotic fitting and training CPT Code: `97760`	$47	$49	$51	1.0×
Blood test, sodium CPT Code: `84295`	$33	$5	$5	1.0×
Blood test, hemoglobin CPT Code: `85018`	$8	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$8	$5	$5	1.0×
Speech therapy (group session) CPT Code: `92508`	$29	$26	$27	1.0×
Hepatitis C antibody test CPT Code: `86803`	$36	$14	$15	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$86	$30	$34	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$9	$9	$19	0.5×
Blood antibody screen CPT Code: `86850`	$30	$13	$46	0.3×
X-ray, chest (single view) CPT Code: `71045`	$43	$21	$92	0.2×

Showing top 25 high-impact procedures of 95 total

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

Audit a Bill or Quote at Washington County Regional Medical Center (Zero PHI Required)

CMS CCN: 110086

CPT 47562

Select Procedure to Audit:

Fair BaseRate™ $6,109

Medicare Rate $6,176

Self-Pay Cash $11,000

Insurer Median $4,382

1. Amount on Your Bill or Quote ($) Pre-filled with Washington County Regional 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 $11,000 Paying Cash

Self-Pay Cash Rate ($11,000) Beats Your Bill

Washington County Regional Medical Center's published 45 CFR § 180 self-pay cash rate is $11,000 (vs. $4,382 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$15,891 Above Fair BaseRate

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

Your bill ($22,000) is $15,891 above the denoised Fair BaseRate ($6,109) and 3.6× 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 Washington County Regional 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 Composite67/100

Would Recommend60%

Rated 9 or 10 (HCAHPS)78%

Median ER Wait124 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

CMS Price Transparency Administrative Enforcement Log

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

2026-03-12·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (36 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

Above-Benchmark Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Washington County Regional Medical Center.

Price Index: 1.42× regional baseline

Quality: 53/100 CMS composite

Median Household Income$44,009U.S. Census ACS

Local Uninsured Share13.5%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 76/100 · Corroborated CMS CCN 110086

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 110086) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage5/5/2026

Validated Rate Rows2,886 (CMS v3.0.0)

File Integrity DigestVerified · CCN 110086

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