Does SGMC Berrien Campus have an emergency room?

Yes. Medicare (CMS) data lists emergency services at SGMC Berrien Campus. In a medical emergency, call 911.

Where is SGMC Berrien Campus?

1221 E McPherson Avenue, Nashville, GA 31639, in Berrien County, Georgia.

What is the phone number of SGMC Berrien Campus?

(229) 543-7100, as listed by Medicare (CMS).

What is the Medicare star rating of SGMC Berrien Campus?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Does Medicare reduce its payments to SGMC Berrien Campus for hospital-acquired conditions?

No. For fiscal year 2026, CMS lists no Medicare payment reduction for SGMC Berrien Campus under the Hospital-Acquired Condition Reduction Program. It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

SGMC Berrien Campus — Phone, Address & ER

Quick answers

Does SGMC Berrien Campus have an emergency room?: Yes. Medicare (CMS) data lists emergency services at SGMC Berrien Campus. In a medical emergency, call 911.
Where is SGMC Berrien Campus?: 1221 E McPherson Avenue, Nashville, GA 31639, in Berrien County, Georgia.
What is the phone number of SGMC Berrien Campus?: (229) 543-7100, as listed by Medicare (CMS).
What is the Medicare star rating of SGMC Berrien Campus?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Does Medicare reduce its payments to SGMC Berrien Campus for hospital-acquired conditions?: No. For fiscal year 2026, CMS lists no Medicare payment reduction for SGMC Berrien Campus under the Hospital-Acquired Condition Reduction Program. It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas^[5][6][7][8]

Emergency medicine
Geriatric psychiatry / senior behavioral health
Cardiopulmonary services
Medical imaging
Laboratory services
Hospital-based rehabilitation
Pulmonary rehabilitation
Substance abuse treatment
Inpatient and outpatient care

Conditions treated^[6][8]

Alzheimer's disease / dementia
Memory issues
Depression
Anxiety
Paranoia
Bipolar disorder
Schizophrenia
Psychosis
Hallucinations
Delusions
Chronic respiratory conditions
Lung cancer (screening)
Breast cancer (screening)

Treatments^[5][6][7][8]

Emergency care
Inpatient geriatric psychiatric care
Individual and group therapy
Activity therapy groups
Medication management and education
Substance abuse treatment
Pulmonary rehabilitation
Hospital-based rehabilitation

Procedures^[5][6]

Programs and centers^[5][6][8]

Dogwood Senior Behavioral Health Center
Substance Abuse Treatment Center
Pulmonary Rehabilitation
Low-Dose CT Lung Cancer Screening

Emergency care (hospital website)^[4]

Emergency room	Yes

Visiting and practical information

Patient portal	MyChart

Doctors and clinicians (81)

81 doctors and other clinicians list SGMC Berrien Campus as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 57 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

SGMC Health Lanier14 mi · Lakeland, GA · Critical Access Hospital
Tift Regional Medical Center24 mi · Tifton, GA · Acute Care Hospital
SGMC Health24 mi · Valdosta, GA · Acute Care Hospital
Irwin County Hospital28 mi · Ocilla, GA · Rural Emergency Hospital
Coffee Regional Medical Center, Inc31 mi · Douglas, GA · Acute Care Hospital

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Nashville

Southwell Medical, a Campus of TRMC13 mi · Adel, GA · Acute Care Hospital
Greenleaf Center23 mi · Valdosta, GA · Psychiatric Hospital

Hospitals in Berrien County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Berrien Oaks OpCo LLC0.0 mi · Nashville, GA · 1 of 5 stars
Southwell Health and Rehabilitation13 mi · Adel, GA · 5 of 5 stars
SGMC Health Villa14 mi · Lakeland, GA · 4 of 5 stars

All nursing homes in the state →

Hospice providers

Empyrean Hospice of Georgia, Llc-(Adel)13 mi · Adel, GA
Hospice of Tift Area21 mi · Tifton, GA · 5 of 5 stars
Affinity Hospice24 mi · Valdosta, GA · 4 of 5 stars

All hospice providers in the state →

Home health agencies

Crescent Home Health13 mi · Adel, GA · 3.5 of 5 stars
Amedisys Home Health21 mi · Tifton, GA · 4 of 5 stars
Adoration Home Health24 mi · Valdosta, GA

All home health agencies in the state →

Dialysis facilities

USRC Adel13 mi · Adel, GA · 2 of 5 stars
DaVita Tifton Dialysis21 mi · Tifton, GA · 1 of 5 stars
Tift Regional Medical Center Dialysis Center21 mi · Tifton, GA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Urological Clinic of Valdosta Asc, Inc19 mi · Valdosta, GA
Surgery Center at Cypress Pointe, LLC21 mi · Tifton, GA
Urosurg, LLC21 mi · Tifton, GA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Betty Dupree Health Care Center0.8 mi · Nashville, GA · Community health center
Colquitt Co. BOH - Ellenton Farmworker Clinic Mobile Clinic21 mi · Norman Park, GA · Community health center
Colquitt County Board of Health, Ellenton Clinic21 mi · Norman Park, GA · Community health center

Clinics and urgent care

Magnolia Urgent Care & Wellness Center LLC2.9 mi · Nashville, GA · Urgent care center
Southwell Medical2.9 mi · Nashville, GA · Rural health clinic
Southwell Medical Adel Primary Care13 mi · Adel, GA · Rural health clinic

Pharmacies

Berrien Health Center, Inc2.9 mi · Nashville, GA · Community/retail pharmacy
Dogwood Pharmacy LLC2.9 mi · Nashville, GA · Community/retail pharmacy
Hometown Pharmacy2.9 mi · Nashville, GA · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What SGMC Berrien Campus reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	16.2%
Not reported to Medicare	Readmitted within 30 days: heart attack; Readmitted within 30 days: coronary bypass surgery
Too few cases to report	Readmitted within 30 days: heart failure; Readmitted within 30 days: pneumonia; Readmitted within 30 days: COPD; Readmitted within 30 days: hip or knee replacement

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	101 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Too few cases to report	Sepsis patients who got all the recommended early care (SEP-1)

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: the patient survey, infections caught in the hospital, complications and deaths. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for SGMC Berrien Campus, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026	NoCMS lists no payment reduction for this hospital.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

No result for this hospital: Hospital Readmissions Reduction Program; Hospital Value-Based Purchasing Program; Medicare spending per patient. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Georgia Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 57 common services exactly as SGMC Berrien Campus lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Show the prices of 57 common services

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN	$297	$222.75	$71.13 – $106.70
New patient office visit (about 30–44 minutes): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $85.36 South Georgia Purchasing Alliance, Inc. — Commercial: $106.70 Wellcare — Medicare Advantage: $71.13 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN	$542	$406.50	$116.06 – $174.09
New patient office visit (about 45–59 minutes): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $139.27 South Georgia Purchasing Alliance, Inc. — Commercial: $174.09 Wellcare — Medicare Advantage: $116.06 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN	$1,405	$1,053.75	$159.24 – $238.86
New patient office visit (about 60–74 minutes): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $191.09 South Georgia Purchasing Alliance, Inc. — Commercial: $238.86 Wellcare — Medicare Advantage: $159.24 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN	$616	$462	$56.84 – $85.26
Established patient office visit (about 20–29 minutes): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $68.21 South Georgia Purchasing Alliance, Inc. — Commercial: $85.26 Wellcare — Medicare Advantage: $56.84 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30 MIN	$603	$452.25	$83.71 – $125.56
Established patient office visit (about 30–39 minutes): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $100.45 South Georgia Purchasing Alliance, Inc. — Commercial: $125.56 Wellcare — Medicare Advantage: $83.71 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$896	$672	$238.05 – $357.08
Emergency room visit (moderate): 10 of 17 insurance plan rates Amerigroup Community Care — Managed Medicaid: $250 PruittHealth — Medicare Advantage: $285.66 South Georgia Purchasing Alliance, Inc. — Commercial: $357.08 Wellcare — Medicare Advantage: $238.05 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$896	$672	$238.05 – $357.08
Emergency room visit (moderate): 10 of 17 insurance plan rates Amerigroup Community Care — Managed Medicaid: $250 PruittHealth — Medicare Advantage: $285.66 South Georgia Purchasing Alliance, Inc. — Commercial: $357.08 Wellcare — Medicare Advantage: $238.05 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT MOD MDM	$1,411	$1,058.25	$363.86 – $545.79
Emergency room visit (moderately high): 10 of 17 insurance plan rates Amerigroup Community Care — Managed Medicaid: $375 PruittHealth — Medicare Advantage: $436.63 South Georgia Purchasing Alliance, Inc. — Commercial: $545.79 Wellcare — Medicare Advantage: $363.86 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount)
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$1,411	$1,058.25	$363.86 – $545.79
Emergency room visit (moderately high): 10 of 17 insurance plan rates Amerigroup Community Care — Managed Medicaid: $375 PruittHealth — Medicare Advantage: $436.63 South Georgia Purchasing Alliance, Inc. — Commercial: $545.79 Wellcare — Medicare Advantage: $363.86 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount)
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EMERGENCY DEPT VISIT HI MDM	$9,536	$7,152	$375 – $778.96
Emergency room visit (high): 10 of 17 insurance plan rates Amerigroup Community Care — Managed Medicaid: $375 PruittHealth — Medicare Advantage: $623.17 South Georgia Purchasing Alliance, Inc. — Commercial: $778.96 Wellcare — Medicare Advantage: $519.31 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount)

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: METABOLIC PANEL TOTAL CA	$63	$47.25	$8.46 – $12.69
Basic metabolic panel (blood test): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $10.15 South Georgia Purchasing Alliance, Inc. — Commercial: $12.69 Wellcare — Medicare Advantage: $8.46 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$55	$41.25	$8.46 – $12.69
Basic metabolic panel (blood test): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $10.15 South Georgia Purchasing Alliance, Inc. — Commercial: $12.69 Wellcare — Medicare Advantage: $8.46 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL	$87	$65.25	$10.56 – $15.84
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $12.67 South Georgia Purchasing Alliance, Inc. — Commercial: $15.84 Wellcare — Medicare Advantage: $10.56 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$76	$57	$10.56 – $15.84
Comprehensive metabolic panel (blood test): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $12.67 South Georgia Purchasing Alliance, Inc. — Commercial: $15.84 Wellcare — Medicare Advantage: $10.56 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LIPID PANEL	$81	$60.75	$13.39 – $20.08
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $16.07 South Georgia Purchasing Alliance, Inc. — Commercial: $20.08 Wellcare — Medicare Advantage: $13.39 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GZ In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$70	$52.50	$13.39 – $20.08
Cholesterol panel (lipid panel): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $16.07 South Georgia Purchasing Alliance, Inc. — Commercial: $20.08 Wellcare — Medicare Advantage: $13.39 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL	$307	$230.25	$8.68 – $13.02
Kidney function panel: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $10.42 South Georgia Purchasing Alliance, Inc. — Commercial: $13.02 Wellcare — Medicare Advantage: $8.68 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HEPATIC FUNCTION PANEL	$180	$135	$8.17 – $12.26
Liver function panel: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $9.80 South Georgia Purchasing Alliance, Inc. — Commercial: $12.26 Wellcare — Medicare Advantage: $8.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE	$55	$41.25	$3.17 – $4.75
Urine test (automated, with microscope): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $3.80 South Georgia Purchasing Alliance, Inc. — Commercial: $4.75 Wellcare — Medicare Advantage: $3.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS NONAUTO W/O SCOPE	$6	$4.50	$3.48 – $5.22
Urine test (manual, without microscope): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $4.18 South Georgia Purchasing Alliance, Inc. — Commercial: $5.22 Wellcare — Medicare Advantage: $3.48 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AUTOMATED URINALYSIS TEST	$162	$121.50	$2.25 – $3.37
Urine test (automated, without microscope): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $2.70 South Georgia Purchasing Alliance, Inc. — Commercial: $3.37 Wellcare — Medicare Advantage: $2.25 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL	$228	$171	$18.39 – $27.58
PSA (prostate specific antigen) blood test: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $22.07 South Georgia Purchasing Alliance, Inc. — Commercial: $27.58 Wellcare — Medicare Advantage: $18.39 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY THYROID STIM HORMONE	$209	$156.75	$16.80 – $25.20
Thyroid stimulating hormone (TSH) test: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $20.16 South Georgia Purchasing Alliance, Inc. — Commercial: $25.20 Wellcare — Medicare Advantage: $16.80 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC W/AUTO DIFF WBC	$8	$6	$7.77 – $11.66
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $9.32 South Georgia Purchasing Alliance, Inc. — Commercial: $11.66 Wellcare — Medicare Advantage: $7.77 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$7	$5.25	$7.77 – $11.65
Complete blood count (CBC) with differential: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $9.32 South Georgia Purchasing Alliance, Inc. — Commercial: $11.65 Wellcare — Medicare Advantage: $7.77 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPLETE CBC AUTOMATED	$55	$41.25	$6.47 – $9.70
Complete blood count (CBC), automated: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $7.76 South Georgia Purchasing Alliance, Inc. — Commercial: $9.70 Wellcare — Medicare Advantage: $6.47 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PROTHROMBIN TIME	$38	$28.50	$4.29 – $6.43
Blood clotting time test (prothrombin time, PT): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $5.15 South Georgia Purchasing Alliance, Inc. — Commercial: $6.43 Wellcare — Medicare Advantage: $4.29 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THROMBOPLASTIN TIME PARTIAL	$54	$40.50	$6.01 – $9.02
Blood clotting test (partial thromboplastin time, PTT): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $7.21 South Georgia Purchasing Alliance, Inc. — Commercial: $9.02 Wellcare — Medicare Advantage: $6.01 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	$1,601	$1,200.75	$91.17 – $136.76
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $109.40 South Georgia Purchasing Alliance, Inc. — Commercial: $136.76 Wellcare — Medicare Advantage: $91.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$1,392	$1,044	$91.17 – $136.76
CT scan of the head or brain, without contrast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $109.40 South Georgia Purchasing Alliance, Inc. — Commercial: $136.76 Wellcare — Medicare Advantage: $91.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI BRAIN STEM W/O & W/DYE	$6,983	$5,237.25	$304.22 – $456.33
MRI of the brain, before and after contrast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $365.06 South Georgia Purchasing Alliance, Inc. — Commercial: $456.33 Wellcare — Medicare Advantage: $304.22 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY EXAM CHEST 2 VIEWS	$164	$123	$75.89 – $113.84
Chest X-ray, 2 views: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $91.07 South Georgia Purchasing Alliance, Inc. — Commercial: $113.84 Wellcare — Medicare Advantage: $75.89 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF CHEST; 2 VIEWS	$143	$107.25	$75.89 – $113.84
Chest X-ray, 2 views: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $91.07 South Georgia Purchasing Alliance, Inc. — Commercial: $113.84 Wellcare — Medicare Advantage: $75.89 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$992	$744	$91.17 – $136.76
X-ray of the lower spine, at least 4 views: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $109.40 South Georgia Purchasing Alliance, Inc. — Commercial: $136.76 Wellcare — Medicare Advantage: $91.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI LUMBAR SPINE W/O DYE	$1,027	$770.25	$208.07 – $312.10
MRI of the lower back (lumbar spine), without contrast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $249.68 South Georgia Purchasing Alliance, Inc. — Commercial: $312.10 Wellcare — Medicare Advantage: $208.07 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT PELVIS W/DYE	$4,614	$3,460.50	$152.96 – $229.44
CT scan of the pelvis, with contrast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $183.55 South Georgia Purchasing Alliance, Inc. — Commercial: $229.44 Wellcare — Medicare Advantage: $152.96 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI JNT OF LWR EXTRE W/O DYE	$1,579	$1,184.25	$208.07 – $312.10
MRI of a leg joint (such as the knee), without contrast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $249.68 South Georgia Purchasing Alliance, Inc. — Commercial: $312.10 Wellcare — Medicare Advantage: $208.07 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT ABD & PELVIS W/CONTRAST	$8,754	$6,565.50	$304.22 – $456.33
CT scan of the abdomen and pelvis, with contrast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $365.06 South Georgia Purchasing Alliance, Inc. — Commercial: $456.33 Wellcare — Medicare Advantage: $304.22 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: US EXAM ABDOM COMPLETE	$1,830	$1,372.50	$91.17 – $136.76
Ultrasound of the abdomen, complete: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $109.40 South Georgia Purchasing Alliance, Inc. — Commercial: $136.76 Wellcare — Medicare Advantage: $91.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OB US >= 14 WKS SNGL FETUS	$1,530	$1,147.50	$91.17 – $136.76
Pregnancy ultrasound (after the first trimester): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $109.40 South Georgia Purchasing Alliance, Inc. — Commercial: $136.76 Wellcare — Medicare Advantage: $91.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TRANSVAGINAL US NON-OB	$1,307	$980.25	$91.17 – $136.76
Transvaginal ultrasound: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $109.40 South Georgia Purchasing Alliance, Inc. — Commercial: $136.76 Wellcare — Medicare Advantage: $91.17 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD UNI	$720	$540	$37.02 – $55.53
Diagnostic mammogram, one breast: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $44.42 South Georgia Purchasing Alliance, Inc. — Commercial: $55.53 Wellcare — Medicare Advantage: $37.02 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DX MAMMO INCL CAD BI	$915	$686.25	$45.55 – $68.32
Diagnostic mammogram, both breasts: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $54.66 South Georgia Purchasing Alliance, Inc. — Commercial: $68.32 Wellcare — Medicare Advantage: $45.55 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SCREENING MAMMOGRAPHY	$649	$486.75	$34.35 – $51.52
Screening mammogram, both breasts: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $41.22 South Georgia Purchasing Alliance, Inc. — Commercial: $51.52 Wellcare — Medicare Advantage: $34.35 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHENSIVE EP EVALUATION	$15,340	$11,505	$6,801.50 – $10,202.25
Heart rhythm study (electrophysiology evaluation): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $8,161.80 South Georgia Purchasing Alliance, Inc. — Commercial: $10,202.25 Wellcare — Medicare Advantage: $6,801.50 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	$41,413	$31,059.75	$22,792.85 – $34,189.28
Heart rhythm study with ablation for atrial fibrillation: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $27,351.42 South Georgia Purchasing Alliance, Inc. — Commercial: $34,189.28 Wellcare — Medicare Advantage: $22,792.85 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: POLYSOM 6/> YRS 4/> PARAM	$7,465	$5,598.75	$748.84 – $1,123.26
Sleep study (overnight, in a sleep lab): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $898.61 South Georgia Purchasing Alliance, Inc. — Commercial: $1,123.26 Wellcare — Medicare Advantage: $748.84 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: THERAPEUTIC EXERCISES	$180	$135	$27.64 – $41.46
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $33.17 South Georgia Purchasing Alliance, Inc. — Commercial: $41.46 Wellcare — Medicare Advantage: $27.64 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL LOW COMPLEX 20 MIN	$387	$290.25	$92.95 – $139.43
Physical therapy evaluation (low complexity): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $111.54 South Georgia Purchasing Alliance, Inc. — Commercial: $139.43 Wellcare — Medicare Advantage: $92.95 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL MOD COMPLEX 30 MIN	$361	$270.75	$92.95 – $139.43
Physical therapy evaluation (moderate complexity): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $111.54 South Georgia Purchasing Alliance, Inc. — Commercial: $139.43 Wellcare — Medicare Advantage: $92.95 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PT EVAL HIGH COMPLEX 45 MIN	$681	$510.75	$92.95 – $139.43
Physical therapy evaluation (high complexity): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $111.54 South Georgia Purchasing Alliance, Inc. — Commercial: $139.43 Wellcare — Medicare Advantage: $92.95 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	$2,065	$1,548.75	$790.92 – $1,186.38
Upper GI endoscopy (diagnostic): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $949.10 South Georgia Purchasing Alliance, Inc. — Commercial: $1,186.38 Wellcare — Medicare Advantage: $790.92 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	$5,256	$3,942	$790.92 – $1,186.38
Upper GI endoscopy with biopsy: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $949.10 South Georgia Purchasing Alliance, Inc. — Commercial: $1,186.38 Wellcare — Medicare Advantage: $790.92 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	$5,291	$3,968.25	$810.95 – $1,216.42
Colonoscopy (diagnostic): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $973.14 South Georgia Purchasing Alliance, Inc. — Commercial: $1,216.42 Wellcare — Medicare Advantage: $810.95 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	$5,304	$3,978	$1,043.50 – $1,565.25
Colonoscopy with biopsy: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $1,252.20 South Georgia Purchasing Alliance, Inc. — Commercial: $1,565.25 Wellcare — Medicare Advantage: $1,043.50 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	$5,284	$3,963	$1,043.50 – $1,565.25
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $1,252.20 South Georgia Purchasing Alliance, Inc. — Commercial: $1,565.25 Wellcare — Medicare Advantage: $1,043.50 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	$2,862	$2,146.50	$1,043.50 – $1,565.25
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $1,252.20 South Georgia Purchasing Alliance, Inc. — Commercial: $1,565.25 Wellcare — Medicare Advantage: $1,043.50 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLON CA SCRN NOT HI RSK IND	$2,310	$1,732.50	$810.95 – $1,216.43
Screening colonoscopy (not high risk): 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $973.14 South Georgia Purchasing Alliance, Inc. — Commercial: $1,216.43 Wellcare — Medicare Advantage: $810.95 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	$2,082	$1,561.50	$615.55 – $923.32
Spinal injection, lower back (epidural), with imaging guidance: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $738.66 South Georgia Purchasing Alliance, Inc. — Commercial: $923.32 Wellcare — Medicare Advantage: $615.55 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1	$1,039	$779.25	$771.28 – $1,156.92
Nerve root injection, lower back, with imaging guidance: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $925.54 South Georgia Purchasing Alliance, Inc. — Commercial: $1,156.92 Wellcare — Medicare Advantage: $771.28 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	$7,297	$5,472.75	$1,702.83 – $2,554.24
Carpal tunnel release: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $2,043.40 South Georgia Purchasing Alliance, Inc. — Commercial: $2,554.24 Wellcare — Medicare Advantage: $1,702.83 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$73,495.61 – $110,243.42
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $88,194.73 South Georgia Purchasing Alliance, Inc. — Commercial: $110,243.42 Wellcare — Medicare Advantage: $73,495.61 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$23,480.23 – $35,220.34
Hip or knee replacement (major joint of the leg), without major complications: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $28,176.28 South Georgia Purchasing Alliance, Inc. — Commercial: $35,220.34 Wellcare — Medicare Advantage: $23,480.23 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$26,743.31 – $40,114.96
Neck (cervical) spinal fusion, without complications: 10 of 16 insurance plan rates PruittHealth — Medicare Advantage: $32,091.97 South Georgia Purchasing Alliance, Inc. — Commercial: $40,114.96 Wellcare — Medicare Advantage: $26,743.31 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount) Coventry HMO — Commercial: 80% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$13,000 – $28,646.44
Uterus and ovary surgery (not for cancer), without complications: 10 of 16 insurance plan rates Coventry HMO — Commercial: $13,000 PruittHealth — Medicare Advantage: $22,917.16 South Georgia Purchasing Alliance, Inc. — Commercial: $28,646.44 Wellcare — Medicare Advantage: $19,097.63 Aetna All Plans — Commercial: 90% (a percentage in the contract, not a dollar amount) Beech Street Corp — Commercial: 88% (a percentage in the contract, not a dollar amount) Blue Cross Blue Shield of GA — Commercial: 84% (a percentage in the contract, not a dollar amount) Chaprall Boats Inc — Commercial: 40% (a percentage in the contract, not a dollar amount) Cigna — Commercial: 88% (a percentage in the contract, not a dollar amount) Coventry — Work Comp: 97% (a percentage in the contract, not a dollar amount)

Source: SGMC Berrien Campus’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 25, 2026; retrieved November 5, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	1221 E McPherson Avenue, Nashville, GA 31639
County	Berrien County
State	Georgia
Phone	(229) 543‑7100
Emergency services	Yes
Ownership	Voluntary non-profit - Other
Medicare overall rating	Not rated by CMS
CMS Certification Number	110234
Name in Medicare records	SGMC BERRIEN CAMPUS
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(229) 433‑8600^[4]
Name on the hospital’s website	SGMC Health Berrien
Official website	sgmc.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-11-02.

SGMC Health | Remarkable People. Extraordinary Care. Human Kindness — sgmc.org
SGMC Berrien Campus - SGMC Health — sgmc.org
SGMC Health Berrien Expansion — health.sgmc.org
SGMC Emergency Departments — sgmc.org
SGMC Dogwood Senior Health Center — sgmc.org

SGMC Berrien Campus

Summary

Profile from official sources

At a glance