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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Appling General Hospital

Baxley, GA

163 East Tollison Street, Baxley, GA 31513

Not rated by CMS

CMS star rating

165

Beds

218

Inpatient discharges a year

$31.5M

Net patient revenue a year

32

In-network payers

About this hospital

Appling General Hospital is a 165-bed government - hospital district or authority hospital in Baxley, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 286 disclosed rate categories.

  • Sole community hospital
  • Helipad
CCN
110071
NPI
1861615304
Website
ahcs.org
Teaching
No Medicare-funded residents
County
Appling County
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2024

Prices for common services

The 24 services Appling General Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$354 - $6,363

from 2 insurers · median $3,358

Aetna$354
Insurer A*$6,363
Medicare $335Nearby hospitals $1,484126% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT angiography of chest blood vessels

CPT 71275

$292 - $2,886

from 4 insurers · median $2,508

Aetna$292
Insurer A*$2,174
Insurer B*$2,842
Insurer C*$2,886
Medicare $169Nearby hospitals $1,36883% above nearby hospitals

Common here, based on CMS Medicare volume

MRI imaging

MRI brain before and after contrast

CPT 70553

$475 - $4,931

from 4 insurers · median $4,285

Blue Cross$3,714
Insurer A*$475
Insurer B*$4,856
Insurer C*$4,931
Medicare $335Nearby hospitals $2,21494% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$460 - $1,269

from 4 insurers · median $1,104

Blue Cross$956
Insurer A*$460
Insurer B*$1,251
Insurer C*$1,269
Medicare $525Nearby hospitals $1,30515% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Appling General Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
697%
154
Insurer B*20
686%
153
Insurer C*22
533%
144
Insurer D*24
113%
814

How we chose these services: 0 appear in this hospital's own Medicare claims, 24 are common here based on CMS Medicare volume, and 0 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Appling General Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    Not rated by CMS

    • 106 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.04%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 29 services
    • 59 affiliated clinicians
    See doctors and services
  • Finances

    $31.5M net patient revenue

    • Operating margin on patient care -12.1%
    • $2.6M unreimbursed and uncompensated care
    • $1.6M net income
    See finances
  • Ownership and leadership

    Owned by The Baxley And Appling County Hospital Authority

    • Hospital district or authority
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Appling General Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-6002659Appling Hospital49Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 44 more1255570321 The Baxley & Appling County Hospital Authority1861615304 The Baxley And Appling County Hospital Authority1518967116 The Baxley And Appling County Hospital Authorityand 13 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

163 East Tollison Street, Baxley, GA 31513

Get directions

Frequently asked questions

About Appling General Hospital's rates and hospital price transparency.

How much does an MRI cost at Appling General Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Appling General Hospital range from $475 to $4,931 across 4 insurers. Blue Cross Blue Shield's rate is $3,714. The median at nearby comparable hospitals is $2,214. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Appling General Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Appling General Hospital range from $354 to $6,363 across 2 insurers. Aetna's rate is $354. The median at nearby comparable hospitals is $1,484. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Appling General Hospital?

For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Appling General Hospital range from $688 to $5,119 across 4 insurers. Aetna's rate is $688. The median at nearby comparable hospitals is $928. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Appling General Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Appling General Hospital range from $97 to $314 across 4 insurers. UnitedHealthcare's rate is $306. The median at nearby comparable hospitals is $271. What a patient pays depends on their plan's deductible, coinsurance and network status.

Is Appling General Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Appling General Hospital for fiscal year 2027.

Does Medicare penalize Appling General Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Appling General Hospital's base inpatient payments by an estimated 0.04% in fiscal year 2027 for more readmissions than expected.

What is Appling General Hospital's case mix index?

Appling General Hospital's Medicare case mix index is 1.09 for fiscal year 2027, higher than 3% of hospitals paid under the inpatient prospective payment system.

How many patients does Appling General Hospital admit?

Appling General Hospital reported 218 inpatient discharges and 775 inpatient days from Sep 1, 2024 to Aug 31, 2025.

How many employees does Appling General Hospital have?

Appling General Hospital reported 123 full-time-equivalent employees on payroll from Sep 1, 2024 to Aug 31, 2025.

How much revenue does Appling General Hospital make?

Appling General Hospital reported $31.5M in net patient revenue on $64.3M of gross charges for Sep 1, 2024 to Aug 31, 2025, an operating margin of -12.1%, and net income of $1.6M.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
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