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HOSPITALGovernment - Hospital District or Authority

Elbert Memorial Hospital

Elberton, GA

4 Medical Drive, Elberton, GA 30635(706) 283-3151

Not rated by CMS

CMS star rating

25

Beds

141

Inpatient discharges a year

$16M

Net patient revenue a year

32

In-network payers

About this hospital

Elbert Memorial Hospital is a 25-bed government - hospital district or authority hospital in Elberton, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 305 disclosed rate categories.

  • 340B participant
CCN
111337
NPI
1669488250
County
Elbert County
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
2020
Last CMS survey
2020

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 Anesthesia

Range: 00100 - 01999

Negotiated

Very High

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

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 Multianalyte Assay

Range: 0002M - 0018M

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Elbert Memorial 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
58-6002491Elbert Memorial Hospital52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 47 more1669488250 Elbert Memorial Hospital1124488291 Elbert Memorial Hospital1134839343 Elbert Memorial Hospitaland 2 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

4 Medical Drive, Elberton, GA 30635

(706) 283-3151

Get directions

Frequently asked questions

About Elbert Memorial Hospital's rates and hospital price transparency.

How many patients does Elbert Memorial Hospital admit?

Elbert Memorial Hospital reported 141 inpatient discharges and 3,014 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Elbert Memorial Hospital have?

Elbert Memorial Hospital reported 143 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Elbert Memorial Hospital make?

Elbert Memorial Hospital reported $16M in net patient revenue on $36.1M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -30.4%, and net income of -$1.6M.

How much charity and uncompensated care does Elbert Memorial Hospital provide?

Elbert Memorial Hospital reported $1.3M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $379,391 of charity care at cost.

Who is the CEO of Elbert Memorial Hospital?

Elbert Memorial Hospital's Medicare enrollment lists John Taylor as Chief Executive Officer since 2023.

What is Elbert Memorial Hospital's tax ID (EIN)?

Insurers' price transparency files list Elbert Memorial Hospital under employer identification number 58-6002491 (Elbert Memorial Hospital). 52 health plans and networks list 58-6002491 for it.

Does Elbert Memorial Hospital participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists Elbert Memorial Hospital (340B ID CAH111337-00) as a participating critical access hospital since 2023, with 23 active contract pharmacies.

How many doctors are affiliated with Elbert Memorial Hospital?

64 clinicians who bill Medicare list Elbert Memorial Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (14), internal medicine physician (9), family nurse practitioner (5).

Is Elbert Memorial Hospital accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Elbert Memorial Hospital, effective 2023.

Where do Elbert Memorial Hospital's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Elbert Memorial Hospital came from ZIP codes 30635 (88).

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.

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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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  • Missing, duplicate and outdated charge lines identified
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  • 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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