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HOSPITAL

HOSPITAL AUTHORITY OF BEN HILL

Fitzgerald, GA

200 PERRY HOUSE RD, Fitzgerald, GA 3175088572294247100

27

In-network payers

About this hospital

HOSPITAL AUTHORITY OF BEN HILL is a hospital in Fitzgerald, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 316 disclosed rate categories.

  • 340B participant
CCN
111339
NPI
1245248624
County
Ben Hill County
Metro area
Fitzgerald, GA MicroSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10211)
In Medicare since
2026
Last CMS survey
2026

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 III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

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

-

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 HOSPITAL AUTHORITY OF BEN HILL in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-1157005Dorminy Medical Center52Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 47 more1245248624 Hospital Authority Of Ben Hill1659806297 Hospital Authority Of Ben Hill1518718832 Hospital Authority Of Ben Hilland 5 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

200 PERRY HOUSE RD, Fitzgerald, GA 317508857

2294247100

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Frequently asked questions

About HOSPITAL AUTHORITY OF BEN HILL's rates and hospital price transparency.

What is HOSPITAL AUTHORITY OF BEN HILL's tax ID (EIN)?

Insurers' price transparency files list HOSPITAL AUTHORITY OF BEN HILL under employer identification number 58-1157005 (Dorminy Medical Center). 52 health plans and networks list 58-1157005 for it.

Does HOSPITAL AUTHORITY OF BEN HILL participate in the 340B drug pricing program?

Yes. HRSA's 340B database lists HOSPITAL AUTHORITY OF BEN HILL (340B ID CAH111339-00) as a participating critical access hospital since 2026.

How many doctors are affiliated with HOSPITAL AUTHORITY OF BEN HILL?

44 clinicians who bill Medicare list HOSPITAL AUTHORITY OF BEN HILL as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (9), family nurse practitioner (8), internal medicine physician (7).

Is HOSPITAL AUTHORITY OF BEN HILL accredited?

CMS's Provider of Services file lists no accrediting organization for HOSPITAL AUTHORITY OF BEN HILL; it is certified for Medicare through state survey.

Where is HOSPITAL AUTHORITY OF BEN HILL and what is its phone number?

HOSPITAL AUTHORITY OF BEN HILL is located at 200 PERRY HOUSE RD, Fitzgerald, GA 317508857. Its main phone number is 2294247100.

What is HOSPITAL AUTHORITY OF BEN HILL's CCN (Medicare provider number)?

HOSPITAL AUTHORITY OF BEN HILL's CMS Certification Number (CCN), also called its Medicare provider number, is 111339.

What is HOSPITAL AUTHORITY OF BEN HILL's NPI number?

The National Provider Identifier (NPI) on file for HOSPITAL AUTHORITY OF BEN HILL is 1245248624.

Which insurance plans are in network at HOSPITAL AUTHORITY OF BEN HILL?

HOSPITAL AUTHORITY OF BEN HILL lists 27 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.

What price transparency data is available for HOSPITAL AUTHORITY OF BEN HILL?

316 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.

What is a hospital price transparency MRF?

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.

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
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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
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