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

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

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

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

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

CMS Care Compare assigns Wellstar Spalding Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 170 Beds · urban Updated: 2026-04-01

Wellstar Spalding Medical Center

601 South 8Th Street, Griffin, GA 30223 · 122 Priced Procedures · 57% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 22% of the Time

File Completeness66

Price Logic93

Peer Alignment66

Clean Billing88

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.41× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Wellstar Spalding Medical Center prices shoppable and inpatient services (1.6× to 1.7× Medicare, divergence 1.06×) in alignment with regional hospital peers (1.41× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#65 of 100 in GA · 64th State Percentile#2,467 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.20× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 22% of shoppable procedures (99/100 Cash Honesty)
2-Star CMS clinical rating with 57% patient recommendation (57/100 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)

Even at low-cost facilities (1.41× 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 (5.0×) & laboratory (3.3×) services average 1.06× higher multiples than routine shoppable care (1.6×)
Even at low-cost facilities (1.41× 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 14.6× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.06× Divergence

1.7× Medicare

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

Quantile Tail Spread+6% Upper Tail

Q25 1.20× · Q50 1.61× · Q75 1.70×

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

1.6× 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

5.0× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

3.3× MedicareElevated

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

0.6× MedicareGood

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

22% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 57/100Elevated

Procedure Prices at Wellstar Spalding 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`	—	$38,413	$30,775	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$24,630	$19,087	1.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$24,484	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$22,709	$17,936	1.3×
Total hip replacement CPT Code: `27130`	—	$19,301	$13,413	1.4×
Total knee replacement CPT Code: `27447`	—	$19,301	$13,523	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,184	$8,223	1.5×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,308	$6,109	1.7×
Inguinal hernia repair CPT Code: `49505`	—	$6,213	$3,629	1.7×
Breast lump removal CPT Code: `19120`	—	$5,994	$3,875	1.5×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,678	$3,372	1.7×
Bunion correction surgery CPT Code: `28296`	—	$5,678	$3,446	1.6×
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`	—	$4,178	$2,540	1.6×
Trauma team activation HCPCS Code: `G0390`	$4,152	$2,313	$1,453	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,166	$1,256	1.7×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,710	$981	1.7×
Upper endoscopy with biopsy CPT Code: `43239`	$1,406	$1,689	$987	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,068	$1,490	$1,021	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$1,895	$1,309	$855	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,835	$948	$583	1.6×
Blood transfusion CPT Code: `36430`	$1,278	$819	$498	1.6×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,393	$604	$511	1.2×
Rabies immune globulin HCPCS Code: `90375`	—	$533	$322	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$541	$407	$272	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$1,776	$407	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$203	$407	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$203	$407	$369	1.1×
Group therapy session CPT Code: `90853`	$367	$367	$100	3.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$380	$201	1.9×
Neurobehavioral status check CPT Code: `96116`	$556	$375	$231	1.6×
Psychological testing by technician CPT Code: `96138`	$372	$372	$395	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$389	$308	$166	1.9×
Family therapy session CPT Code: `90847`	$205	$308	$173	1.8×
Psychotherapy session (60 minutes) CPT Code: `90837`	$759	$308	$181	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,588	$299	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,881	$299	$258	1.2×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,224	$311	$303	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$536	$308	$185	unverified
Psychological testing evaluation CPT Code: `96136`	$286	$231	$128	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$256	$151	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$556	$200	$132	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$732	$187	$134	1.4×
Office visit, established patient (30-39 min) CPT Code: `99214`	$168	$168	$123	1.4×
Ultrasound, pelvis CPT Code: `76856`	$98	$177	$130	1.4×
CT scan, pelvis CPT Code: `72192`	$1,310	$194	$163	1.2×
CT scan, sinuses CPT Code: `70486`	$1,319	$194	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$107	$194	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,611	$194	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$107	$194	$169	1.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$205	$205	$448	0.5×
CT scan, head (no contrast) CPT Code: `70450`	$1,419	$178	$160	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$547	$152	$126	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$70	$163	$148	1.1×
X-ray, hip CPT Code: `73502`	$189	$121	$93	1.3×
Screening mammogram (both breasts) CPT Code: `77067`	$332	$144	$123	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$306	$102	$64	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$106	$86	1.2×
X-ray, ankle CPT Code: `73610`	$261	$107	$93	1.2×
X-ray, hand CPT Code: `73130`	$264	$104	$93	1.1×
X-ray, chest (single view) CPT Code: `71045`	$253	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$261	$93	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$243	$111	$110	1.0×
X-ray, chest (two views) CPT Code: `71046`	$294	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$506	$111	$112	1.0×
Typhoid vaccine HCPCS Code: `90675`	—	$598	$347	1.7×
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
Flu vaccine injection HCPCS Code: `G0008`	$63	$81	$48	1.7×
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$81	$49	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	$63	$81	$49	1.7×
Hepatitis B vaccine HCPCS Code: `90744`	—	$92	$37	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$61	$39	1.6×
Orthotic fitting and training CPT Code: `97760`	$60	$65	$51	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$50	$47	$38	1.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$78	$49	$40	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$88	$46	$38	1.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$12	$11	$6	1.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$206	$33	$19	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$42	$25	1.7×
Blood antibody screen CPT Code: `86850`	$247	$55	$46	1.2×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$7	$4	1.8×
Blood test, lipase CPT Code: `83690`	$143	$12	$7	1.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$171	$30	$18	1.7×
Hepatitis C antibody test CPT Code: `86803`	$140	$25	$15	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$83	$45	$38	1.2×
Prosthetic fitting and training CPT Code: `97761`	$99	$53	$45	1.2×
Blood test, vitamin D CPT Code: `82306`	$303	$53	$31	unverified
Blood test, calcium CPT Code: `82310`	$62	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$9	$5	1.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$138	$19	$11	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$167	$24	$14	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$122	$17	$10	1.7×
Blood test, vitamin B12 CPT Code: `82607`	$262	$27	$16	1.7×
Blood test, liver function panel CPT Code: `80076`	$104	$15	$9	1.7×
Culture, bacterial CPT Code: `87070`	$18	$15	$9	1.7×
Physical therapy (gait training) CPT Code: `97116`	$83	$38	$33	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$98	$39	$34	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$38	$35	1.1×
Blood test, potassium CPT Code: `84132`	$75	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$68	$8	$5	1.6×
Blood test, amylase CPT Code: `82150`	$13	$11	$7	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$213	$18	$14	1.3×
Speech therapy (group session) CPT Code: `92508`	$109	$31	$27	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	$66	$23	$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×
Hospital observation (per hour) HCPCS Code: `G0378`	$2	$2	$86	0.0×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$15	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$9	$6	$3	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$212	$24	$14	unverified
Blood test, magnesium CPT Code: `83735`	$84	$12	$7	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 (PT/INR) CPT Code: `85610`	$38	$7	$5	unverified
Culture, blood CPT Code: `87040`	$21	$18	$11	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$163	$34	$20	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$60	$7	$4	unverified

Showing top 25 high-impact procedures of 122 total

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

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

CMS CCN: 110031

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $38,413

1. Amount on Your Bill or Quote ($) Pre-filled with Wellstar Spalding 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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Wellstar Spalding 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 +$61,416 Above Fair BaseRate

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

Your bill ($92,191) is $61,416 above the denoised Fair BaseRate ($30,775) and 3.9× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Wellstar Spalding 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

CMS Overall2/5 Stars (2/5)

Safety Composite57/100

Would Recommend57%

Rated 9 or 10 (HCAHPS)62%

Median ER Wait192 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)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (449 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 Spalding Medical Center.

Price Index: 0.95× regional baseline

Quality: 47/100 CMS composite

Median Household Income$60,217U.S. Census ACS

Local Uninsured Share13.3%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 110031

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 110031) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,380 (CMS v3.0.0)

File Integrity DigestVerified · CCN 110031

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