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HOSPITALVoluntary non-profit - Other

BLUE RIDGE MEDICAL CENTER

Blue Ridge, GA

2855 OLD HIGHWAY 5 NORTH, Blue Ridge, GA 30513(706) 632-3711

Not rated by CMS

CMS star rating

25

Beds

121

Inpatient discharges a year

$13.5M

Net patient revenue a year

29

In-network payers

About this hospital

BLUE RIDGE MEDICAL CENTER is a 25-bed voluntary non-profit - other hospital in Blue Ridge, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 217 disclosed rate categories.

  • 340B participant
CCN
111338
NPI
1851362263
County
Fannin County
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
2025
Last CMS survey
2023

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

Aetna

Outpatient

CPT Surgery

Range: 10004 - 69990

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

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)
Alliant Health PlansAmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner Health

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
76-0350464Blue Ridge Medical Center50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 45 more1851362263 Blue Ridge Georgia Hospital Company LLC1144298548 Fannin Regional Hospital Inc1386616555 Blue Ridge Georgia Hospital Company LLCand 1 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

2855 OLD HIGHWAY 5 NORTH, Blue Ridge, GA 30513

(706) 632-3711

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Frequently asked questions

About BLUE RIDGE MEDICAL CENTER's rates and hospital price transparency.

How many patients does BLUE RIDGE MEDICAL CENTER admit?

BLUE RIDGE MEDICAL CENTER reported 121 inpatient discharges and 580 inpatient days from Jun 16, 2025 to Dec 31, 2025.

How many employees does BLUE RIDGE MEDICAL CENTER have?

BLUE RIDGE MEDICAL CENTER reported 233 full-time-equivalent employees on payroll from Jun 16, 2025 to Dec 31, 2025.

How much revenue does BLUE RIDGE MEDICAL CENTER make?

BLUE RIDGE MEDICAL CENTER reported $13.5M in net patient revenue on $84.9M of gross charges for Jun 16, 2025 to Dec 31, 2025, an operating margin of -52.8%, and net income of -$2.9M.

How much charity and uncompensated care does BLUE RIDGE MEDICAL CENTER provide?

BLUE RIDGE MEDICAL CENTER reported $3.2M of unreimbursed and uncompensated care for Jun 16, 2025 to Dec 31, 2025, including $439,790 of charity care at cost.

Who is the CEO of BLUE RIDGE MEDICAL CENTER?

BLUE RIDGE MEDICAL CENTER's Medicare enrollment lists Gary R Poquette as CEO Reports To The Board since 2024.

What is BLUE RIDGE MEDICAL CENTER's tax ID (EIN)?

Insurers' price transparency files list BLUE RIDGE MEDICAL CENTER under employer identification number 76-0350464 (Blue Ridge Medical Center). 50 health plans and networks list 76-0350464 for it.

Does BLUE RIDGE MEDICAL CENTER participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists BLUE RIDGE MEDICAL CENTER (340B ID CAH111338-00) as a participating critical access hospital since 2026.

How many doctors are affiliated with BLUE RIDGE MEDICAL CENTER?

102 clinicians who bill Medicare list BLUE RIDGE MEDICAL CENTER as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (14), family medicine physician (13), internal medicine physician (12).

Is BLUE RIDGE MEDICAL CENTER accredited?

Yes. CMS's Provider of Services file lists DNV as the accrediting organization for BLUE RIDGE MEDICAL CENTER, effective 2025.

Who owns BLUE RIDGE MEDICAL CENTER?

In its Medicare enrollment, BLUE RIDGE MEDICAL CENTER reports Blue Ridge Georgia Hospital Company LLC as 5% or greater direct ownership interest (100%).

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
      }
    ]
  }]
}
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  • 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.

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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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