Warm Springs, GA
28
In-network payers
267
Disclosed rate categories
25
Beds
Warm Springs Medical Center is a 25-bed voluntary non-profit - other hospital in Warm Springs, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 28 in-network payers and 267 disclosed rate categories.
CCN (Medicare provider number)
111316
NPI
1972731800
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Other
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 Warm Springs Medical Center 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
$330 - $2,266
from 4 insurers · median $1,918
Typical for a hospital with this service line
CT imaging
CPT 70450
$126 - $1,067
from 4 insurers · median $904
Typical for a hospital with this service line
CT imaging
CPT 74176
$220 - $1,994
from 4 insurers · median $1,688
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 788
$3,701
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
Mammography
CPT 77067
$254 - $294
from 2 insurers · median $274
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$646 - $1,072
from 4 insurers · median $907
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$1,062 - $1,571
from 4 insurers · median $1,330
Typical for a hospital with this service line
CT imaging
CPT 71260
$244 - $707
from 2 insurers · median $475
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$58 - $124
from 2 insurers · median $91
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$14 - $110
from 4 insurers · median $93
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$1,127
negotiated rate
Typical for a hospital with this service line
Ultrasound
CPT 76705
$111 - $309
from 2 insurers · median $210
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$1,127
negotiated rate
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$1,665 - $2,631
from 4 insurers · median $1,870
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$1,425 - $2,148
from 4 insurers · median $1,819
Typical for a hospital with this service line
Mammography
CPT 77065
$242 - $278
from 2 insurers · median $260
Typical for a hospital with this service line
Mammography
CPT 77066
$300 - $356
from 2 insurers · median $328
Typical for a hospital with this service line
Lung function and sleep
CPT 95811
$1,450 - $2,514
from 4 insurers · median $2,128
Typical for a hospital with this service line
Ultrasound
CPT 76536
$125 - $308
from 4 insurers · median $260
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,437
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$116 - $283
from 2 insurers · median $199
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,127
negotiated rate
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$50 - $228
from 2 insurers · median $139
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$10 - $53
from 4 insurers · median $35
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* | 11 | 288% | 6 | 2 |
| Insurer B* | 19 | 267% | 11 | 7 |
| Insurer C* | 12 | 249% | 4 | 3 |
| Insurer D* | 23 | 117% | 4 | 19 |
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 Warm Springs Medical Center.
5995 Spring Street, Warm Springs, GA 31830
(706) 655-9351
The nearest hospitals of similar type and size. Their rates are compared with Warm Springs Medical Center for the same insurers and services above.
Monroe County Hospital
â–¼ Rates typically 7% lower than Warm Springs Medical Center (21 services)
Sylvan Grove Hospital
â–² Rates typically 48% higher than Warm Springs Medical Center (23 services)
Tanner Primary Care Of Wedowee Inc
Rates about the same as Warm Springs Medical Center (23 services)
Medical Center Of Peach County
â–² Rates typically 15% higher than Warm Springs Medical Center (22 services)
Higgins General Hospital
â–² Rates typically 176% higher than Warm Springs Medical Center (18 services)
Jasper Memorial Hospital
â–¼ Rates typically 51% lower than Warm Springs Medical Center (22 services)
Optim Medical Center - Tattnall
Effingham Hospital
Bacon County Hospital
Bleckley Memorial Hospital
About Warm Springs Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Warm Springs Medical Center range from $330 to $2,266 across 4 insurers. Aetna's rate is $1,880. The median at nearby comparable hospitals is $1,322. 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 Warm Springs Medical Center range from $1,062 to $1,571 across 4 insurers. Blue Cross Blue Shield's rate is $1,062. The median at nearby comparable hospitals is $2,401. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Cesarean delivery, hospital stay (MS-DRG 788), published negotiated rates at Warm Springs Medical Center range from $3,701 to $3,701 across 1 insurers. UnitedHealthcare's rate is $3,701. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Warm Springs Medical Center range from $254 to $294 across 2 insurers. Aetna's rate is $254. The median at nearby comparable hospitals is $182. What a patient pays depends on their plan's deductible, coinsurance and network status.
Warm Springs Medical Center has 25 beds. Facility type: Critical Access Hospital.
Warm Springs Medical Center is located at 5995 Spring Street, Warm Springs, GA 31830. Its main phone number is (706) 655-9351.
Warm Springs Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 111316.
The National Provider Identifier (NPI) on file for Warm Springs Medical Center is 1972731800.
Warm Springs Medical Center lists 28 in-network payers, including Aetna, Ambetter, Ameri Health, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
267 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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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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{
"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