PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Crisp Regional Hospital

Cordele, GA

902 North Seventh Street, Cordele, GA 31015(229) 276-3100

2 of 5

CMS star rating

211

Beds

2,502

Inpatient discharges a year

$133.3M

Net patient revenue a year

21

In-network payers

About this hospital

Crisp Regional Hospital is a 211-bed government - hospital district or authority hospital in Cordele, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 21 in-network payers and 421 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
110104
NPI
1700851649
Teaching
No Medicare-funded residents
County
Crisp County
Metro area
Cordele, GA MicroSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Crisp Regional 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$4,736 - $9,285

from 2 insurers · median $7,010

UnitedHealthcare$4,736
Insurer A*$9,285

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,543 - $13,181

from 2 insurers · median $9,862

UnitedHealthcare$6,543
Insurer A*$13,181

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$275 - $4,249

from 4 insurers · median $3,678

Aetna$275
Insurer A*est.$3,381
Insurer B*est.$3,975
Insurer C*est.$4,249
Medicare $322Nearby hospitals $877319% above nearby hospitals

Common here, based on CMS Medicare volume

CT imaging

CT head or brain without contrast

CPT 70450

$162 - $1,634

from 4 insurers · median $1,415

Aetna$162
Insurer A*est.$1,300
Insurer B*est.$1,529
Insurer C*est.$1,634
Medicare $97Nearby hospitals $446217% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Crisp Regional 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
644%
100
Insurer B*20
602%
172
Insurer C*24
520%
162
Insurer D*24
98%
119

How we chose these services: 0 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 5 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 Crisp Regional 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)
AmbetterAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central WisconsinHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    2 of 5 stars

    • 194 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.77%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

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

    $133.3M net patient revenue

    • Operating margin on patient care -4.5%
    • $8M unreimbursed and uncompensated care
    • $5.1M net income
    See finances
  • Ownership and leadership

    Owned by Crisp Regional Hospital Inc

    • Private (for profit)
    • Steven L. Gautney, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Crisp Regional 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
58-2175978Crisp Regional Hospital48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 43 more1962478511 Crisp County Emergency Medical Services1700851649 Crisp Regional Hospital Inc1699740498 Crisp Regional Hospital Incand 16 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

902 North Seventh Street, Cordele, GA 31015

(229) 276-3100

Get directions

Frequently asked questions

About Crisp Regional Hospital's rates and hospital price transparency.

How much does an MRI cost at Crisp Regional Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Crisp Regional Hospital range from $425 to $3,771 across 4 insurers. Aetna's rate is $425. The median at nearby comparable hospitals is $1,325. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Crisp Regional Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Crisp Regional Hospital range from $275 to $4,249 across 4 insurers. Aetna's rate is $275. The median at nearby comparable hospitals is $877. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Crisp Regional Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Crisp Regional Hospital range from $4,736 to $9,285 across 2 insurers. UnitedHealthcare's rate is $4,736. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Crisp Regional Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Crisp Regional Hospital range from $120 to $265 across 4 insurers. Blue Cross Blue Shield's rate is $248. The median at nearby comparable hospitals is $267. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Crisp Regional Hospital's CMS star rating?

Crisp Regional Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Crisp Regional Hospital a teaching hospital?

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

Does Medicare penalize Crisp Regional Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Crisp Regional Hospital's base inpatient payments by an estimated 0.77% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Crisp Regional Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (44 discharges), heart failure and shock with mcc (29 discharges), respiratory infections and inflammations with mcc (13 discharges).

What is Crisp Regional Hospital's case mix index?

Crisp Regional Hospital's Medicare case mix index is 1.74 for fiscal year 2027, higher than 56% of hospitals paid under the inpatient prospective payment system.

How many patients does Crisp Regional Hospital admit?

Crisp Regional Hospital reported 2,502 inpatient discharges and 10,688 inpatient days from Jul 1, 2024 to Jun 30, 2025.

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
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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
Talk to us about your chargemaster