Quorum Health · Blue Ridge, GA
50
Beds
210
Inpatient discharges a year
$12.5M
Net patient revenue a year
29
In-network payers
Fannin Regional Hospital is a 50-bed proprietary hospital in Blue Ridge, GA, affiliated with Quorum Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 217 disclosed rate categories.
The 24 services Fannin 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
MS-DRG 807
$5,832
negotiated rate
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 obstetrics / child birth services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,543
negotiated rate
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 obstetrics / child birth services to CMS
Digestive procedures
CPT 43239
$1,662 - $4,783
from 2 insurers · median $3,222
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,649 - $4,783
from 2 insurers · median $3,216
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,741 - $4,783
from 2 insurers · median $3,262
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$5,747 - $23,350
from 2 insurers · median $14,548
Typical for a hospital with this service line
Gynecology
CPT 58571
$5,327 - $23,350
from 2 insurers · median $14,339
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,834 - $4,783
from 2 insurers · median $3,308
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$669 - $10,625
from 3 insurers · median $5,473
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,932 - $23,350
from 2 insurers · median $13,641
Typical for a hospital with this service line
Gynecology
CPT 58558
$3,442 - $10,625
from 2 insurers · median $7,033
Typical for a hospital with this service line
Gynecology
CPT 58662
$3,397 - $23,350
from 2 insurers · median $13,374
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$3,087 - $10,625
from 2 insurers · median $6,856
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$3,667 - $13,806
from 2 insurers · median $8,737
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$3,074 - $4,783
from 2 insurers · median $3,929
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$5,073 - $28,629
from 2 insurers · median $16,851
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$5,832
negotiated rate
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports obstetrics / child birth services to CMS
Orthopedics and pain
CPT 29888
$3,750 - $23,350
from 2 insurers · median $13,550
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$4,419 - $23,350
from 2 insurers · median $13,885
Typical for a hospital with this service line
Ear, nose and throat
CPT 30520
$3,667 - $10,625
from 2 insurers · median $7,146
Typical for a hospital with this service line
CT imaging
CPT 74177
$248
negotiated rate
Typical for a hospital with this service line
CT imaging
CPT 70450
$244
negotiated rate
Typical for a hospital with this service line
Ear, nose and throat
CPT 42830
$3,667 - $10,625
from 2 insurers · median $7,146
Typical for a hospital with this service line
CT imaging
CPT 71275
$526
negotiated rate
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* | 21 | 350% | 18 | 0 |
| Insurer B* | 4 | 149% | 0 | 4 |
| Insurer C* | 18 | 106% | 4 | 11 |
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 Fannin Regional Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
19 services
See doctors and servicesFinances
$12.5M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Fannin Regional Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 76-0350464Blue Ridge Medical Center | 50Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 45 more | 1851362263 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.
2855 Old Highway 5, Blue Ridge, GA 30513
(706) 632-3711
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Fannin Regional Hospital reported to Medicare in its latest cost report, covering Jan 1, 2023 to Jun 30, 2023.
210
Inpatient discharges
Medicare 37%, Medicaid 6%
609
Inpatient days
7% of available bed days used
61
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 827753). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Fannin Regional Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 206 | 28 | 375 | 609 |
| Discharges | 77 | 13 | 120 | 210 |
| Average length of stay | 2.7 days | 2.2 days | 3.1 days | 2.9 days |
| Average daily census | 1.1 | 0.2 | 2.1 | 3.4 |
7
Medicaid managed care days
528
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 45 | 546 | 180 | 7% |
| Intensive care unit | 5 | 63 | 26 | 7% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827753, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Revenue, expenses and income Fannin Regional Hospital reported to Medicare for Jan 1, 2023 to Jun 30, 2023. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $87.4M | 696.1% |
| Inpatient | $11.6M | 92.1% |
| Outpatient | $75.8M | 604.0% |
| Contractual allowances and discounts | -$74.8M | -596.1% |
| Net patient revenue | $12.5M | 100.0% |
| Operating expenses | -$15.8M | -125.7% |
| Operating income from patient care | -$3.2M | -25.7% |
| Other income | $255,010 | 2.0% |
| Other expenses | -$15 | -0.0% |
| Net income | -$3M | -23.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $21.6M | 24.7% |
| Medicaid (including managed care) | $10.3M | 11.8% |
| Other payers and self-pay | $55.4M | 63.5% |
| Total charges | $87.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827753, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Fannin Regional Hospital's latest cost report, which covers 181 days; income and expense figures are scaled to a year.
-25.7%
Operating margin
Operating income from patient care / net patient revenue
-23.2%
Total margin
Net income / net patient revenue plus other income
-18.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
36% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$37.02
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-151.7%
Return on assets
Net income for a year / total assets
0.26
Current ratio
Current assets / current liabilities
218 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
6.55
Asset turnover
Total revenue for a year / total assets
Source: CMS cost report (HCRIS, Form 2552-10), report 827753, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
What Fannin Regional Hospital owned and owed at the end of its reporting period (Jun 2023), across all fund types: $3.9M in total assets and a -$14.4M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Total current assets | $4.8M | 120.6% |
| Investments and other assets | -$813,796 | -20.6% |
| Total assets | $3.9M | 100.0% |
| Current liabilities | $18.3M | 464.4% |
| Total liabilities | $18.3M | 464.4% |
| Fund balance (net assets) | -$14.4M | -364.4% |
Source: CMS cost report (HCRIS, Form 2552-10), report 827753, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Care Fannin Regional Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.1M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.3M
Bad debt
Patient bills written off as uncollectible, at charges
$698,547
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.7M
Total unreimbursed and uncompensated care
10.5% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 827753, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Fannin Regional Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2019 | Dec 2020 | Dec 2021 | Dec 2022 |
|---|---|---|---|---|
| Net patient revenue | $29.5M | $27.3M | $31M | $28M |
| Operating expenses | $30.9M | $31.5M | $34.7M | $35.4M |
| Operating margin | -4.9% | -15.3% | -11.9% | -26.5% |
| Net income | -$1.3M | -$1.5M | -$3.1M | -$6.5M |
| Total assets | $20.1M | $15.2M | $18.8M | $14.7M |
| Discharges | 904 | 792 | 671 | 628 |
| Inpatient days | 2,491 | 2,578 | 3,294 | 2,508 |
| Medicare Advantage days | 534 | 494 | 657 | 173 |
| Beds | 50 | 50 | 50 | 50 |
| Employees (FTE) | 183 | 145 | 143 | 132 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827753, settled without audit. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Fannin Regional Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $555,764 | $2.5M | $24.3M | 0.10 | 2,987 |
| Radiology-diagnostic | $450,152 | $2.3M | $15.8M | 0.15 | 7,500 |
| Emergency | $582,146 | $1.8M | $11.3M | 0.16 | 1,696 |
| Laboratory | $392,666 | $1.6M | $13.9M | 0.11 | 1,154 |
| Observation beds (non-distinct part | $1M | $701,113 | 1.44 | ||
| Drugs charged to patients | $995,286 | $11.6M | 0.09 | ||
| Physical therapy | $268,132 | $825,700 | $1.8M | 0.45 | 4,804 |
| Impl. dev. charged to patients | $711,689 | $812,357 | 0.88 | ||
| Respiratory therapy | $158,310 | $493,679 | $849,503 | 0.58 | 576 |
| Electrocardiology | $178,061 | $386,449 | $2.7M | 0.14 | 1,348 |
| Sleep lab | $115,270 | $328,653 | $959,828 | 0.34 | 1,450 |
| Medical supplies charged to patient | $247,719 | $1.1M | 0.22 | ||
| Radioisotope | $55,144 | $181,908 | $477,237 | 0.38 | 1,063 |
| Clinic | $86,152 | $25,026 | 3.44 | 1,847 | |
| Speech pathology | $20,724 | $36,870 | $74,808 | 0.49 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $336,464 | $2.1M | $711,669 | 2.88 | 18,826 |
| Intensive care unit | $108,463 | $585,849 | $126,067 | 4.65 | 2,420 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $474,127 | $5.1M | 13,013 | $34.75 | 9,258 |
| Cap rel costs-mvble equip | $588,347 | ||||
| Operation of plant | $111,509 | $557,279 | 4,123 | $27.05 | 7,561 |
| Employee benefits department | $22,306 | $463,278 | 669 | $33.34 | |
| Nursing administration | $405,087 | $457,931 | 8,705 | $46.53 | 450 |
| Dietary | $376,637 | 2,238 | |||
| Pharmacy | $232,831 | $267,884 | 4,912 | $47.40 | 936 |
| Housekeeping | $159,427 | 294 | |||
| Central services & supply | $67,142 | $119,689 | 3,342 | $20.09 | 1,333 |
| Cap rel costs-bldg & fixt | $81,946 | 70,181 | |||
| Laundry & linen service | $74,473 | 339 | |||
| Medical records & library | $43,328 | 1,591 | |||
| Cafeteria | $12,132 |
Source: CMS cost report (HCRIS, Form 2552-10), report 827753, settled without audit. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Fannin regional swing bed
CCN 11U189, certified 1998, Medicare prospective payment
Source: Worksheet S-2 Part I of Fannin Regional Hospital's latest Medicare cost report (HCRIS).
About Fannin Regional Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fannin Regional Hospital range from $248 to $248 across 1 insurers. Aetna's rate is $248. The median at nearby comparable hospitals is $920. 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 Fannin Regional Hospital range from $1,649 to $4,783 across 2 insurers. UnitedHealthcare's rate is $4,783. The median at nearby comparable hospitals is $2,153. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Fannin Regional Hospital range from $5,832 to $5,832 across 1 insurers. UnitedHealthcare's rate is $5,832. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fannin Regional Hospital reported 210 inpatient discharges and 609 inpatient days from Jan 1, 2023 to Jun 30, 2023.
Fannin Regional Hospital reported 61 full-time-equivalent employees on payroll from Jan 1, 2023 to Jun 30, 2023.
Fannin Regional Hospital reported $12.5M in net patient revenue on $87.4M of gross charges for Jan 1, 2023 to Jun 30, 2023, an operating margin of -25.7%, and net income of -$3M.
Fannin Regional Hospital reported $1.7M of unreimbursed and uncompensated care for Jan 1, 2023 to Jun 30, 2023, including $1.1M of charity care at cost.
Insurers' price transparency files list Fannin Regional Hospital under employer identification number 76-0350464 (Blue Ridge Medical Center). 50 health plans and networks list 76-0350464 for it.
CMS lists 19 services at Fannin Regional Hospital, including Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care, Emergency Department.
Fannin Regional Hospital has 50 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Fannin Regional Hospital is located at 2855 Old Highway 5, Blue Ridge, GA 30513. Its main phone number is (706) 632-3711.
Fannin Regional Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110189.
The National Provider Identifier (NPI) on file for Fannin Regional Hospital is 1851362263.
Fannin Regional Hospital is affiliated with Quorum Health.
Fannin Regional Hospital lists 29 in-network payers, including Aetna, Alliant Health Plans, Ambetter, Ameri Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
217 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.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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