Springfield, GA
29
In-network payers
224
Disclosed rate categories
25
Beds
Effingham Hospital is a 25-bed government - hospital district or authority hospital in Springfield, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 224 disclosed rate categories.
CCN (Medicare provider number)
111306
NPI
1811962756
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Effingham 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.
CT imaging
CPT 74177
$981 - $5,179
from 4 insurers · median $4,526
Typical for a hospital with this service line
CT imaging
CPT 70450
$553 - $2,099
from 3 insurers · median $2,069
Typical for a hospital with this service line
CT imaging
CPT 74176
$648 - $3,505
from 4 insurers · median $2,673
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,098 - $5,231
from 4 insurers · median $5,094
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,034 - $6,478
from 4 insurers · median $5,068
Typical for a hospital with this service line
MRI imaging
CPT 70553
$2,002 - $5,056
from 4 insurers · median $4,912
Typical for a hospital with this service line
Mammography
CPT 77067
$440 - $638
from 4 insurers · median $583
Typical for a hospital with this service line
CT imaging
CPT 71260
$772 - $2,689
from 4 insurers · median $2,184
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$926 - $1,446
from 3 insurers · median $1,376
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,328 - $3,337
from 4 insurers · median $2,854
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$62 - $553
from 4 insurers · median $352
Typical for a hospital with this service line
MRI imaging
CPT 72148
$981 - $4,351
from 4 insurers · median $3,060
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,807 - $5,282
from 4 insurers · median $5,105
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$359 - $1,821
from 4 insurers · median $1,371
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,098 - $3,722
from 4 insurers · median $2,771
Typical for a hospital with this service line
MRI imaging
CPT 70551
$451 - $2,549
from 4 insurers · median $1,783
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$2,987 - $13,400
from 4 insurers · median $11,709
Typical for a hospital with this service line
Ultrasound
CPT 76642
$172 - $796
from 4 insurers · median $720
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$2,336 - $6,700
from 4 insurers · median $5,855
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$4,108 - $6,962
from 2 insurers · median $5,535
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$98 - $695
from 4 insurers · median $607
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,506 - $4,536
from 4 insurers · median $3,291
Typical for a hospital with this service line
Mammography
CPT 77065
$297 - $963
from 4 insurers · median $666
Typical for a hospital with this service line
X-ray and bone density
CPT 73562
$131 - $628
from 4 insurers · median $601
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 698% | 17 | 1 |
| Insurer B* | 22 | 696% | 19 | 0 |
| Insurer C* | 23 | 666% | 0 | 0 |
| Insurer D* | 23 | 226% | 7 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Effingham Hospital.
459 Highway 119 South, Springfield, GA 31329
(912) 754-0160
The nearest hospitals of similar type and size. Their rates are compared with Effingham Hospital for the same insurers and services above.
Optim Medical Center - Screven
â–¼ Rates typically 71% lower than Effingham Hospital (24 services)
Allendale County Hospital
â–¼ Rates typically 60% lower than Effingham Hospital (20 services)
Liberty Regional Medical Center
â–¼ Rates typically 26% lower than Effingham Hospital (24 services)
Candler County Hospital
â–¼ Rates typically 91% lower than Effingham Hospital (17 services)
Jenkins County Hospital
â–¼ Rates typically 75% lower than Effingham Hospital (21 services)
Optim Medical Center - Tattnall
â–¼ Rates typically 73% lower than Effingham Hospital (24 services)
Warm Springs Medical Center
Early Medical Center
Miller County Hospital
About Effingham Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Effingham Hospital range from $2,002 to $5,056 across 4 insurers. UnitedHealthcare's rate is $5,034. The median at nearby comparable hospitals is $683. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Effingham Hospital range from $981 to $5,179 across 4 insurers. Aetna's rate is $5,179. The median at nearby comparable hospitals is $859. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Effingham Hospital range from $2,034 to $6,478 across 4 insurers. Blue Cross Blue Shield's rate is $2,034. The median at nearby comparable hospitals is $1,269. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Effingham Hospital range from $440 to $638 across 4 insurers. UnitedHealthcare's rate is $597. The median at nearby comparable hospitals is $167. What a patient pays depends on their plan's deductible, coinsurance and network status.
Effingham Hospital has 25 beds. Facility type: Critical Access Hospital.
Effingham Hospital is located at 459 Highway 119 South, Springfield, GA 31329. Its main phone number is (912) 754-0160.
Effingham Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 111306.
The National Provider Identifier (NPI) on file for Effingham Hospital is 1811962756.
Effingham Hospital lists 29 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
224 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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