How many shoppable procedure prices are published for Wellstar Douglas Medical Center?

Wellstar Douglas Medical Center in Douglasville, GA currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Wellstar Douglas Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Wellstar Douglas Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Wellstar Douglas Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Wellstar Douglas Medical Center 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 Voluntary non-profit - Private 112 Beds · urban Updated: 2026-04-01

Wellstar Douglas Medical Center

8954 Hospital Drive, Douglasville, GA 30134 · 122 Priced Procedures · 69% 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.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 24% of the Time

File Completeness66

Price Logic93

Peer Alignment65

Clean Billing86

Real Cash Discount100

High-Markup · Check Safety

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

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Wellstar Douglas Medical Center prices shoppable and inpatient services (1.5× to 1.7× Medicare, divergence 1.13×) in alignment with regional hospital peers (1.42× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#76 of 100 in GA · 75th State Percentile#2,503 of 3,385 in U.S. · 73rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.10× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 24% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (63/100 safety score) with 69% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (13.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.42× 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.
Captive ER (4.5×) & laboratory (3.1×) services average 1.13× higher multiples than routine shoppable care (1.5×)
Even at low-cost facilities (1.42× 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 14.5× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.13× Divergence

1.7× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 1.10× · Q50 1.63× · Q75 1.73×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

4.5× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

3.1× MedicareFair

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

0.6× MedicareGood

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

24% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 63/100Elevated

Procedure Prices at Wellstar Douglas Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,495	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,966	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$19,855	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,499	$17,936	1.0×
Total hip replacement CPT Code: `27130`	—	$16,710	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,710	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,459	$8,223	1.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,735	$6,109	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$6,343	$3,629	1.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,797	$3,372	1.7×
Bunion correction surgery CPT Code: `28296`	—	$5,797	$3,446	1.7×
Breast lump removal CPT Code: `19120`	—	$5,809	$3,875	1.5×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,063	$2,680	1.9×
C-section delivery (full package) CPT Code: `59510`	—	$5,063	$2,975	1.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,298	$2,540	1.7×
Trauma team activation HCPCS Code: `G0390`	$4,152	$4,152	$1,453	2.9×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,228	$1,256	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,732	$981	1.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,406	$1,694	$987	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,068	$1,521	$1,021	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$1,895	$1,314	$855	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,835	$968	$583	1.7×
Blood transfusion CPT Code: `36430`	$1,278	$846	$498	1.7×
Psychological testing by technician CPT Code: `96138`	$372	$791	$395	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,393	$611	$511	1.2×
Rabies immune globulin HCPCS Code: `90375`	—	$549	$322	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$205	$527	$448	1.2×
Neurobehavioral status check CPT Code: `96116`	$556	$383	$231	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$541	$399	$272	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$203	$392	$343	1.1×
MRI, lower back (no contrast) CPT Code: `72148`	$1,776	$383	$338	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$203	$405	$369	1.1×
Group therapy session CPT Code: `90853`	$367	$367	$100	3.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$388	$201	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,881	$302	$258	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$536	$314	$185	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$389	$314	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$759	$314	$181	unverified
Family therapy session CPT Code: `90847`	$205	$314	$173	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$263	$151	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,588	$277	$242	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,224	$286	$303	0.9×
Psychological testing evaluation CPT Code: `96136`	$286	$236	$128	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$556	$205	$132	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$732	$190	$134	1.4×
Ultrasound, pelvis CPT Code: `76856`	$98	$176	$130	1.4×
CT scan, pelvis CPT Code: `72192`	$1,310	$200	$163	1.2×
CT scan, sinuses CPT Code: `70486`	$1,319	$200	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$107	$200	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,611	$200	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$107	$200	$169	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$168	$168	$123	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,419	$177	$160	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$547	$144	$126	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$70	$157	$148	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$306	$105	$64	1.6×
X-ray, hip CPT Code: `73502`	$189	$106	$93	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$332	$130	$123	1.1×
X-ray, hand CPT Code: `73130`	$264	$94	$93	1.0×
X-ray, ankle CPT Code: `73610`	$261	$94	$93	1.0×
X-ray, pelvis CPT Code: `72170`	$243	$111	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$253	$92	$92	1.0×
X-ray, foot CPT Code: `73630`	$261	$92	$92	1.0×
X-ray, lower back CPT Code: `72110`	$506	$111	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$294	$92	$93	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$82	$86	1.0×
Typhoid vaccine HCPCS Code: `90675`	—	$615	$347	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$391	$203	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$408	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$197	$111	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$101	$56	1.8×
Drug screening test HCPCS Code: `G0480`	$119	$119	$116	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	$92	$37	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	$42	$25	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$61	$39	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$63	$83	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$83	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$63	$83	$49	unverified
Blood test, vitamin D CPT Code: `82306`	$303	$53	$31	1.7×
Blood antibody screen CPT Code: `86850`	$247	$55	$46	1.2×
Orthotic fitting and training CPT Code: `97760`	$60	$50	$51	1.0×
Culture, bacterial CPT Code: `87070`	$18	$16	$9	1.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$213	$14	$14	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$50	$37	$38	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$78	$38	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$88	$35	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$83	$35	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$99	$41	$45	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$8	$5	1.6×
Physical therapy (gait training) CPT Code: `97116`	$83	$30	$33	0.9×
Speech therapy (group session) CPT Code: `92508`	$109	$24	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$98	$30	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$30	$35	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$66	$24	$35	0.7×
X-ray, shoulder CPT Code: `73030`	$25	$25	$92	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$25	$25	$93	0.3×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$15	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$138	$19	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$167	$25	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$104	$15	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$9	$6	$3	unverified
Blood test, amylase CPT Code: `82150`	$13	$12	$7	unverified
Blood test, calcium CPT Code: `82310`	$62	$9	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$9	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$262	$27	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$212	$25	$14	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$60	$7	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$122	$17	$10	unverified
Blood test, lipase CPT Code: `83690`	$143	$12	$7	unverified
Blood test, magnesium CPT Code: `83735`	$84	$12	$7	unverified
Blood test, potassium CPT Code: `84132`	$75	$8	$5	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$206	$33	$19	unverified
Blood test, sodium CPT Code: `84295`	$68	$8	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$171	$30	$18	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$163	$35	$20	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$2	$2	$86	0.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$7	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$21	$4	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$14	$8	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$12	$11	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$140	$26	$15	unverified
Culture, blood CPT Code: `87040`	$21	$19	$11	unverified

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 13.2%

Audit a Bill or Quote at Wellstar Douglas Medical Center (Zero PHI Required)

CMS CCN: 110184

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,495

1. Amount on Your Bill or Quote ($) Pre-filled with Wellstar Douglas 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 501(r) AGB Cap: $9,653 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $9,653

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (13.2% of gross = $9,653).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Wellstar Douglas Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$42,413 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($73,188) is $42,413 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (13.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

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 Composite63/100

Would Recommend69%

Rated 9 or 10 (HCAHPS)67%

Median ER Wait186 min

Left ER Before Seen2%

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)

Central-Line Bloodstream Infectionworse

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (541 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 Quality & Price Benchmark

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

Price Index: 0.97× regional baseline

Quality: 53/100 CMS composite

Median Household Income$80,764U.S. Census ACS

Local Uninsured Share12.0%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 82/100 · Corroborated CMS CCN 110184

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 110184) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,302 (CMS v3.0.0)

File Integrity DigestVerified · CCN 110184

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