Does ST. MARYS SACRED HEART HOSPITAL publish its standard charges and chargemaster?

Yes. ST. MARYS SACRED HEART HOSPITAL publishes a machine-readable file with 18,469 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does ST. MARYS SACRED HEART HOSPITAL charge for procedures?

ST. MARYS SACRED HEART HOSPITAL (Lavonia, GA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · GA · CCN 110027

ST. MARYS SACRED HEART HOSPITAL

Lavonia, GA, 30553

56 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

18,469

last crawl 2026-05-23

Procedures tracked

169

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All GA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/fl-csv/590634434_sacred-heart-health-system-inc_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	17	—	—	$3,046.63	$10,470	0.82×	$19,711
Psychiatric diagnostic evaluation	CPT	90791	13	—	—	$65	$164.51	0.93×	$362.88
Psychiatric eval with medical services	CPT	90792	13	—	—	$65	$164.51	0.95×	$362.88
Psychotherapy 30 minutes	CPT	90832	13	—	—	$35	$164.51	1.1×	$362.88
Psychotherapy 45 minutes	CPT	90834	13	—	—	$63	$164.51	1.0×	$362.88
Psychotherapy 60 minutes	CPT	90837	13	—	—	$68	$164.51	0.86×	$362.88
Crisis psychotherapy 60 minutes	CPT	90839	13	—	—	$161.28	$166.12	1.0×	$362.88
emergency
ED visit level 1	CPT	99281	14	$612	$244.8	$88.38	$123.73	0.88×	$968
ED visit level 2	CPT	99282	14	$802	$320.8	$158.96	$222.54	0.94×	$1,520
ED visit level 3	CPT	99283	14	$2,032	$812.8	$277.94	$389.12	0.96×	$2,345
ED visit level 4	CPT	99284	14	$3,406	$1,362.4	$427.43	$598.4	0.90×	$4,146
ED visit level 5	CPT	99285	14	$11,795	$4,718	$615.42	$861.59	0.83×	$5,318
Critical care, first hour	CPT	99291	14	$11,833	$4,733.2	$845.8	$1,184.12	1.1×	$7,186
imaging
CT head without contrast	CPT	70450	13	$2,139	$855.6	$106.74	$109.94	0.53×	$1,359
CT head with contrast	CPT	70460	13	$2,758	$1,103.2	$178.69	$184.05	0.79×	$1,406.58
CT head with and without contrast	CPT	70470	13	$2,982	$1,192.8	$178.69	$184.05	0.69×	$1,520.82
CT neck with contrast	CPT	70491	13	$3,241	$1,296.4	$178.69	$184.05	0.67×	$1,652.91
MRI brain without contrast	CPT	70551	13	$2,700	$1,080	$242.63	$249.91	0.62×	$1,645
MRI brain with contrast	CPT	70552	13	$3,486	$1,394.4	$358.48	$369.23	0.77×	$1,777.86
MRI brain with and without contrast	CPT	70553	13	$4,079	$1,631.6	$358.48	$369.23	0.63×	$2,080.29
Chest X-ray single view	CPT	71045	13	$563	$225.2	$51.26	$91.03	0.96×	$287.13
Chest X-ray 2 views	CPT	71046	13	$649	$259.6	$67.8	$91.03	0.93×	$330.99
Chest X-ray 3 views	CPT	71047	13	$1,108	$443.2	$85.43	$91.03	0.95×	$565.08
CT chest without contrast	CPT	71250	13	$3,104	$1,241.6	$106.74	$109.94	0.51×	$1,583.04
CT chest with contrast	CPT	71260	13	$3,500	$1,400	$178.69	$184.05	0.65×	$1,785
CT chest with and without contrast	CPT	71270	13	$4,386	$1,754.4	$178.69	$184.05	0.63×	$2,236.86
MRI chest without contrast	CPT	71550	13	$4,032	$1,612.8	$242.63	$249.91	0.58×	$2,056.32
MRI chest with contrast	CPT	71551	13	$4,032	$1,612.8	$793.05	$816.84	1.0×	$2,056.32
MRI chest with and without contrast	CPT	71552	13	$4,032	$1,612.8	$358.48	$369.23	0.61×	$2,056.32
Lumbosacral spine X-ray	CPT	72100	13	$958	$383.2	$83.24	$109.94	1.1×	$488.58
CT cervical spine without contrast	CPT	72125	13	$2,193	$877.2	$106.74	$109.94	0.55×	$1,359
CT thoracic spine without contrast	CPT	72128	13	$2,210	$884	$106.74	$109.94	0.55×	$1,359
CT lumbar spine without contrast	CPT	72131	13	$2,207	$882.8	$106.74	$109.94	0.54×	$1,359
MRI cervical spine without contrast	CPT	72141	13	$3,721	$1,488.4	$242.63	$249.91	0.63×	$1,897.71
MRI thoracic spine without contrast	CPT	72146	13	$3,882	$1,552.8	$242.63	$249.91	0.67×	$1,979.82
MRI lumbar spine without contrast	CPT	72148	13	$3,748	$1,499.2	$242.63	$249.91	0.66×	$1,911.48
MRI lumbar spine with and without contrast	CPT	72149	13	$3,730	$1,492	$358.48	$369.23	0.81×	$1,902.3
MRI cervical spine with and without contrast	CPT	72156	13	$4,079	$1,631.6	$358.48	$369.23	0.68×	$2,080.29
MRI lumbar spine with contrast	CPT	72158	13	$4,079	$1,631.6	$358.48	$369.23	0.67×	$2,080.29
CT pelvis without contrast	CPT	72192	13	$2,435	$974	$106.74	$109.94	0.55×	$1,359
CT pelvis with contrast	CPT	72193	13	$3,338	$1,335.2	$178.69	$184.05	0.65×	$1,702.38
Shoulder X-ray	CPT	73030	13	$1,076	$430.4	$73.32	$91.03	0.98×	$548.76
Humerus X-ray	CPT	73060	13	$629	$251.6	$71.09	$91.03	1.0×	$320.79
Hand X-ray 3 views	CPT	73130	13	$2,015	$806	$81.04	$91.03	0.98×	$1,027.65
MRI upper extremity joint without contrast	CPT	73221	13	$3,669	$1,467.6	$242.63	$249.91	0.60×	$1,871.19
MRI upper extremity joint with and without contrast	CPT	73223	13	$4,079	$1,631.6	$358.48	$369.23	0.60×	$2,080.29
Knee X-ray 1-2 views	CPT	73560	13	$978	$391.2	$77.72	$91.03	0.98×	$498.78
Ankle X-ray 3 views	CPT	73610	13	$2,110	$844	$81.04	$91.03	0.99×	$1,076.1
MRI lower extremity joint without contrast	CPT	73721	13	$3,513	$1,405.2	$242.63	$249.91	0.53×	$1,791.63
MRI lower extremity joint with and without contrast	CPT	73723	13	$4,079	$1,631.6	$358.48	$369.23	0.58×	$2,080.29
CT abdomen without contrast	CPT	74150	13	$2,954	$1,181.6	$106.74	$109.94	0.58×	$1,506.54
CT abdomen with contrast	CPT	74160	13	$4,195	$1,678	$178.69	$184.05	0.64×	$2,139.45
CT abdomen with and without contrast	CPT	74170	13	$4,199	$1,679.6	$178.69	$184.05	0.55×	$2,141.49
CT abdomen and pelvis without contrast	CPT	74176	13	$4,451	$1,780.4	$242.63	$249.91	0.69×	$2,270.01
CT abdomen and pelvis with contrast	CPT	74177	13	$4,451	$1,780.4	$358.48	$369.23	0.67×	$2,270.01
CT abdomen and pelvis with and without contrast	CPT	74178	13	$4,451	$1,780.4	$358.48	$369.23	0.64×	$2,270.01
MRI abdomen without contrast	CPT	74181	13	$3,721	$1,488.4	$242.63	$249.91	0.64×	$1,897.71
MRI abdomen with and without contrast	CPT	74183	13	$3,711	$1,484.4	$358.48	$369.23	0.65×	$1,892.61
Abdominal ultrasound complete	CPT	76700	13	$4,345	$1,738	$106.74	$109.94	0.74×	$2,215.95
Abdominal ultrasound limited	CPT	76705	13	$2,324	$929.6	$106.74	$109.94	0.75×	$1,185.24
Retroperitoneal ultrasound complete	CPT	76770	13	$2,316	$926.4	$106.74	$109.94	0.77×	$1,181.16
Obstetric ultrasound first trimester	CPT	76801	13	$1,242	$496.8	$106.74	$109.94	0.78×	$633.42
Obstetric ultrasound after first trimester	CPT	76805	13	$847	$338.8	$106.74	$109.94	0.72×	$431.97
Obstetric ultrasound with fetal anatomy	CPT	76811	13	$3,248	$1,299.2	$242.63	$249.91	1.1×	$1,656.48
Transvaginal ultrasound	CPT	76830	13	$2,670	$1,068	$106.74	$109.94	0.74×	$1,361.7
Pelvic ultrasound complete	CPT	76856	13	$3,348	$1,339.2	$106.74	$109.94	0.77×	$1,707.48
Scrotal ultrasound	CPT	76870	13	$2,316	$926.4	$106.74	$109.94	0.84×	$1,181.16
Diagnostic mammography unilateral	CPT	77065	13	$1,004	$401.6	$80.31	$82.72	0.55×	$512.04
Diagnostic mammography bilateral	CPT	77066	13	$1,517	$606.8	$102.2	$105.27	0.55×	$773.67
Screening mammography bilateral	CPT	77067	13	$1,236	$494.4	$84.39	$86.92	0.55×	$630.36
EKG complete	CPT	93000	1	—	—	$1,617	$1,617	66.1×	$1,617
EKG tracing only	CPT	93005	12	—	—	$59.62	$61.41	0.52×	$1,617
EKG interpretation only	CPT	93010	1	—	—	$1,617	$1,617	89.3×	$1,617
Transthoracic echocardiogram complete	CPT	93306	12	$4,463	$1,785.2	$550.37	$566.88	0.95×	$1,617
Transthoracic echocardiogram	CPT	93307	12	$1,827	$730.8	$242.63	$249.91	1.0×	$1,617
Stress echocardiogram	CPT	93350	12	—	—	$550.37	$566.88	1.1×	$1,617
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$7,300	$11,701	0.76×	$22,052
COPD w MCC	MS-DRG	190	17	—	—	$6,947.15	$10,172	0.91×	$19,155
COPD w CC	MS-DRG	191	17	—	—	$5,206.87	$8,723.6	0.99×	$19,155
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$4,026.42	$7,300	1.0×	$19,155
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$5,054.35	$8,339.68	0.98×	$19,155
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	—	$3,761.78	$7,300	1.1×	$19,155
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$7,300	$10,747	0.69×	$22,636
AMI discharged alive w CC	MS-DRG	281	17	—	—	$5,764.31	$9,511.11	0.98×	$19,155
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$4,535.06	$7,482.85	0.96×	$19,155
Heart failure & shock w MCC	MS-DRG	291	17	—	—	$7,300	$10,470	0.82×	$19,155
Heart failure & shock w CC	MS-DRG	292	17	—	—	$5,324.66	$8,785.69	0.98×	$19,155
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	—	$3,549.78	$7,300	1.2×	$19,155
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$5,976.23	$10,470	0.87×	$19,155
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$4,029.12	$7,613.23	0.98×	$19,155
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$2,915.43	$7,300	1.2×	$19,155
GI hemorrhage w CC	MS-DRG	378	17	—	—	$5,359.02	$10,149	1.0×	$19,155
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	—	$3,673.08	$7,300	1.1×	$19,155
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	—	$4,366.06	$8,067.53	1.0×	$19,155
Fractures of femur w/o MCC	MS-DRG	533	17	—	—	$7,300	$10,470	0.69×	$22,122
Kidney/UTI w MCC	MS-DRG	689	17	—	—	$6,164.72	$10,188	0.88×	$19,155
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$4,263.81	$8,376.93	1.0×	$19,155
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	—	$7,300	$12,305	0.66×	$27,411
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	17	—	—	$5,205.02	$10,172	0.98×	$19,155
Initial hospital care, low complexity	CPT	99221	1	—	—	$67.81	$67.81	0.73×	$67.81
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$112.11	$112.11	0.66×	$112.11
Initial hospital care, high complexity	CPT	99223	1	—	—	$156.04	$156.04	0.69×	$156.04
Hospital discharge, <30 min	CPT	99238	1	—	—	$70.03	$70.03	0.82×	$70.03
Hospital discharge, >30 min	CPT	99239	1	—	—	$100	$100	0.82×	$100
lab
Basic metabolic panel (BMP)	CPT	80048	13	$105.4	$42.16	$8.46	$8.67	0.27×	$31.88
General health panel	CPT	80050	2	$349.9	$139.96	$47.28	$47.28	0.44×	$152.92
Electrolyte panel	CPT	80051	13	$51.5	$20.6	$7.01	$7.19	0.30×	$26.76
Comprehensive metabolic panel	CPT	80053	13	$138	$55.2	$10.56	$10.83	0.24×	$39.52
Lipid panel	CPT	80061	13	$93	$37.2	$13.39	$13.73	0.36×	$50.96
Renal function panel	CPT	80069	13	$78.7	$31.48	$8.68	$8.9	0.33×	$33.16
Hepatic function panel	CPT	80076	13	$61.9	$24.76	$8.17	$8.38	0.31×	$30.6
Urinalysis non-automated	CPT	81002	13	$20.5	$8.2	$3.48	$3.57	0.51×	$12.76
Urinalysis automated	CPT	81003	13	$36.4	$14.56	$2.25	$2.31	0.17×	$8.92
Glucose quantitative	CPT	82947	13	$42.4	$16.96	$3.93	$4.03	0.23×	$15.32
Hemoglobin A1c	CPT	83036	13	$64.2	$25.68	$9.71	$9.95	0.37×	$36.96
Thyroid stimulating hormone (TSH)	CPT	84443	13	$147.6	$59.04	$16.8	$17.22	0.36×	$63.72
Complete blood count with automated differential	CPT	85025	13	$193	$77.2	$7.77	$7.97	0.30×	$29.32
Complete blood count without differential	CPT	85027	13	$51	$20.4	$6.47	$6.63	0.31×	$24.24
Urine culture bacterial	CPT	87086	13	$45.4	$18.16	$8.07	$8.27	0.35×	$30.6
Urine culture identification	CPT	87088	13	$70.9	$28.36	$8.09	$8.29	0.37×	$30.6
Tissue exam by pathologist level IV	CPT	88305	13	$387	$154.8	$49.47	$54.97	0.54×	$133.2
maternity
Fetal non-stress test	CPT	59025	12	—	—	$201.93	$206.98	1.1×	$454.34
office
Office visit, new patient, 15-29 min	CPT	99202	1	$432	$172.8	$63.72	$63.72	0.74×	$63.72
Office visit, new patient, 30-44 minutes	CPT	99203	1	$732	$292.8	$95.12	$95.12	0.78×	$95.12
Office visit, new patient, 45-59 min	CPT	99204	1	$707	$282.8	$134.67	$134.67	0.77×	$134.67
Office visit, new patient, 60-74 min	CPT	99205	1	$1,083	$433.2	$171.42	$171.42	0.78×	$171.42
Office visit, established patient, 5 min	CPT	99211	1	$432	$172.8	$20.73	$20.73	0.32×	$20.73
Office visit, established patient, 10-19 min	CPT	99212	1	$395	$158	$37.61	$37.61	0.47×	$37.61
Office visit, established patient, 20-29 minutes	CPT	99213	1	$593	$237.2	$51.26	$51.26	0.45×	$51.26
Office visit, established patient, 30-39 minutes	CPT	99214	1	$729	$291.6	$80.56	$80.56	0.53×	$80.56
Office visit, established patient, 40-54 min	CPT	99215	1	$1,067	$426.8	$117.66	$117.66	0.62×	$117.66
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	—	—	$941.1	$969.33	1.1×	$11,584
Upper GI endoscopy with biopsy	CPT	43239	12	—	—	$941.1	$969.33	1.0×	$11,584
Sigmoidoscopy diagnostic	CPT	45330	12	—	—	$915.16	$942.61	1.1×	$11,584
Sigmoidoscopy with biopsy	CPT	45331	12	—	—	$915.16	$942.61	1.1×	$11,584
Colonoscopy diagnostic	CPT	45378	12	—	—	$915.16	$942.61	1.1×	$11,584
Colonoscopy with biopsy	CPT	45380	1	—	—	$5,792	$8,688	7.2×	$11,584
Colonoscopy with polyp removal	CPT	45385	1	—	—	$5,792	$8,688	7.2×	$11,584
surgery
Total hip replacement	CPT	27130	2	—	—	$8,720	$20,977	4.8×	$33,233
Total knee replacement	CPT	27447	2	—	—	$8,720	$20,714	5.0×	$32,708
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$19,776	$19,776	60.5×	$19,776
Shoulder arthroscopy with rotator cuff repair	CPT	29827	1	—	—	$19,776	$19,776	6.0×	$19,776
Knee arthroscopy with meniscectomy	CPT	29881	1	—	—	$19,776	$19,776	9.7×	$19,776
ACL reconstruction	CPT	29888	1	—	—	$19,776	$19,776	5.9×	$19,776
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	—	$7,300	$28,828	0.67×	$64,863
Major small/large bowel procedures w CC	MS-DRG	330	17	—	—	$7,300	$15,035	0.65×	$33,828
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	—	$7,300	$11,153	0.68×	$23,748
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	—	$7,300	$10,927	0.66×	$23,871
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	—	$7,300	$10,470	0.77×	$19,273
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$7,300	$21,368	0.66×	$48,079
Open appendectomy	CPT	44950	1	—	—	$5,792	$8,688	7.6×	$11,584
Major joint replacement w MCC	MS-DRG	469	17	—	—	$7,300	$19,023	0.64×	$44,380
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$7,300	$12,429	0.66×	$44,380
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$7,300	$18,265	0.65×	$41,096
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	—	$7,300	$13,530	0.67×	$39,104
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$7,300	$10,536	0.66×	$39,104
Lap inguinal hernia repair	CPT	49650	1	—	—	$9,500	$9,500	8.4×	$9,500
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$7,300	$18,180	0.67×	$40,745
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$7,300	$12,024	0.74×	$30,965
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$7,300	$11,133	0.73×	$30,965
Intravitreal injection	CPT	67028	12	—	—	$332.94	$341.27	1.00×	$749.12
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	17	—	—	$6,978.43	$10,470	0.85×	$19,155
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	17	—	—	$7,300	$12,980	0.68×	$28,915
PCI single major coronary artery	CPT	92920	3	$30,446	$12,178	$10,790	$19,483	3.4×	$34,355
PCI with drug-eluting stent	CPT	92928	3	—	—	$18,946	$22,049	2.2×	$34,355
PCI bypass graft	CPT	92937	3	—	—	$18,946	$22,049	2.0×	$34,355
Left heart catheterization	CPT	93452	1	—	—	$16,775	$16,775	5.4×	$16,775
Coronary angiography with cath	CPT	93455	1	—	—	$16,775	$16,775	5.4×	$16,775
Coronary angiography with bypass cath	CPT	93458	1	—	—	$16,775	$16,775	5.4×	$16,775

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 18)

Payer	Codes covered	Median rate
Aetna	146	$369.23
UnitedHealthcare	140	$362.06
blue mcr replacement	136	$178.69
WellCare	136	$178.69
Ambetter	136	$294.84
healthspring mcr replacement	136	$182.26
Humana	136	$184.05
Medicare Advantage	136	$178.69
occunet	136	$402.05
Oscar Health	136	$285.9
smarthealth	136	$250.17
facility billing - op	136	$178.69
Cigna	130	$2,018.07
Blue Cross Blue Shield	49	$12,024
TRICARE	40	$7,477.06
First Health	40	$7,300
pcc employee	40	$10,815
evernorth behavioral health	20	$69.02

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