How many shoppable procedure prices are published for Wayne Memorial Hospital?

Wayne Memorial Hospital in Jesup, GA currently has 87 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Wayne Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Wayne Memorial Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Wayne Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Wayne Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 88 Beds · rural Updated: 2025-01-16

Wayne Memorial Hospital

865 South First Street, Jesup, GA 31545 · 87 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.42×vs. Fair Market Price

Typical commercial prices here are +42% above the fair benchmark (1.42×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 42% of the Time

File Completeness66

Price Logic85

Peer Alignment74

Clean Billing71

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.42× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 10,000), Wayne Memorial Hospital commands a 1.42× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#75 of 100 in GA · 74th State Percentile#2,502 of 3,385 in U.S. · 73rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.31× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 42% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (67/100 safety score) with 68% 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 2.2× markup over Medicare rates
Commercial insurance median sits at 1.35× Fair BaseRate (1.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.57×) jump +16% above the median procedure ratio (Q50 1.35×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.8× Medicare

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

Back-Door Captive & ER0.78× Divergence

1.4× Medicare

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

Quantile Tail Spread+16% Upper Tail

Q25 1.31× · Q50 1.35× · Q75 1.57×

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

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.2× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

3.4× MedicareElevated

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

1.4× MedicareGood

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

42% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 67/100Fair

Procedure Prices at Wayne Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 87 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$1,085	$1,085	$1,453	0.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,019	$1,017	$583	unverified
Blood transfusion CPT Code: `36430`	$425	$811	$498	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,764	$804	$511	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,239	$659	$448	1.5×
Rabies immune globulin HCPCS Code: `90375`	$2,272	$520	$322	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	$1,315	$544	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$1,226	$544	$343	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$1,264	$544	$369	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,132	$544	$303	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$264	$448	$272	1.6×
CT scan, head (with contrast) CPT Code: `70460`	$930	$401	$242	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,056	$401	$258	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$212	$377	$201	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$222	$274	$148	1.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$321	$271	$151	1.8×
Screening mammogram (both breasts) CPT Code: `77067`	$180	$226	$123	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$792	$239	$160	1.5×
CT scan, pelvis CPT Code: `72192`	$835	$239	$163	1.5×
CT scan, sinuses CPT Code: `70486`	$797	$239	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$795	$239	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$970	$239	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$862	$239	$169	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$130	$200	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$130	$187	$134	1.4×
X-ray, pelvis CPT Code: `72170`	$130	$149	$110	1.4×
Ultrasound, pelvis CPT Code: `76856`	$130	$172	$130	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	$130	$150	$126	1.2×
X-ray, chest (single view) CPT Code: `71045`	$71	$124	$92	1.3×
X-ray, shoulder CPT Code: `73030`	$71	$124	$92	1.3×
X-ray, foot CPT Code: `73630`	$71	$124	$92	1.3×
X-ray, chest (two views) CPT Code: `71046`	$71	$124	$93	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$71	$124	$93	1.3×
X-ray, hand CPT Code: `73130`	$71	$124	$93	1.3×
X-ray, hip CPT Code: `73502`	$71	$124	$93	1.3×
X-ray, ankle CPT Code: `73610`	$71	$124	$93	1.3×
X-ray, lower back CPT Code: `72110`	$130	$149	$112	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$105	$105	$86	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$101	$101	$123	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$64	$110	$64	unverified
Typhoid vaccine HCPCS Code: `90675`	$599	$608	$347	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$210	$210	$111	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	$125	$125	$140	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$65	$65	$38	1.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$71	$71	$87	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$71	$71	$110	0.6×
Blood antibody screen CPT Code: `86850`	$47	$81	$46	unverified
Flu vaccine injection HCPCS Code: `G0008`	$44	$86	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$43	$86	$49	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	$74	$57	$35	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$41	$19	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$73	$40	$31	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$18	$18	$14	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$56	$25	$20	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$42	$42	$34	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$43	$43	$35	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$43	$43	$38	1.1×
Physical therapy (gait training) CPT Code: `97116`	$37	$37	$33	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$40	$40	$40	1.0×
Prosthetic fitting and training CPT Code: `97761`	$37	$37	$45	0.8×
Blood test, calcium CPT Code: `82310`	$17	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$40	$7	$5	1.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$23	$11	$8	1.4×
Blood test, basic metabolic panel CPT Code: `80048`	$34	$12	$9	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$30	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$46	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$58	$12	$9	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$56	$25	$19	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$34	$21	$16	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$39	$13	$10	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$63	$18	$14	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$36	$36	$38	0.9×
Orthotic fitting and training CPT Code: `97760`	$41	$41	$51	0.8×
Blood test, amylase CPT Code: `82150`	$45	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$32	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$37	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$43	$23	$18	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$45	$14	$11	1.3×
Culture, blood CPT Code: `87040`	$71	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$73	$19	$15	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$16	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$24	$5	$4	1.3×
Blood test, liver function panel CPT Code: `80076`	$126	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	$25	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$10	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$28	$5	$5	1.0×

Showing top 25 high-impact procedures of 87 total

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

Audit a Bill or Quote at Wayne Memorial Hospital (Zero PHI Required)

CMS CCN: 110124

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $1,085

Insurer Median $1,085

1. Amount on Your Bill or Quote ($) Pre-filled with Wayne Memorial Hospital’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 $1,085 Paying Cash

Self-Pay Cash Rate ($1,085) Beats Your Bill

Wayne Memorial Hospital's published 45 CFR § 180 self-pay cash rate is $1,085 (vs. $1,085 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$717 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($2,170) is $717 above the denoised Fair BaseRate ($1,453) and 1.6× the $1,362 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 Wayne Memorial 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 Overall3/5 Stars (3/5)

Safety Composite67/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait181 min

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 Infectionbetter

Source: CMS Hospital Care Compare (174 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

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Wayne Memorial Hospital.

Price Index: 1.00× regional baseline

Quality: 59/100 CMS composite

Median Household Income$49,562U.S. Census ACS

Local Uninsured Share18.8%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 79/100 · Corroborated CMS CCN 110124

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 110124) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-01-16

Validated Rate Rows403 (CMS v2)

File Integrity DigestVerified · CCN 110124

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