▸ Hospital · GA · CCN 110092
Dodge County Hospital
901 GRIFFIN AVENUE, EASTMAN, GA, 110092
Compliance grade
A
93/100
Procedures tracked
109
of 209 target codes
Payers
6
with negotiated rates
Rates published
11,364
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychotherapy 45 minutes | CPT | 90834 | 6 | $337.05 | — | $1 | $139.88 | $303.35 |
| Psychotherapy 60 minutes | CPT | 90837 | 6 | $337.05 | — | $1 | $139.88 | $303.35 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $514.07 | — | $1 | $75.48 | $462.66 |
| ED visit level 2 | CPT | 99282 | 6 | $624.1 | — | $1 | $134.52 | $574 |
| ED visit level 3 | CPT | 99283 | 6 | $770.98 | — | $1 | $238.05 | $1,620 |
| ED visit level 4 | CPT | 99284 | 6 | $1,136.77 | — | $1 | $372.27 | $1,620 |
| ED visit level 5 | CPT | 99285 | 6 | $1,287.58 | — | $1 | $526.76 | $2,158 |
| Critical care, first hour | CPT | 99291 | 6 | $2,465.49 | — | $1 | $720.31 | $2,218.94 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 6 | $1,074.15 | — | $1 | $190.88 | $966.74 |
| CT head with contrast | CPT | 70460 | 6 | $2,691.83 | — | $1 | $418.31 | $2,422.65 |
| CT head with and without contrast | CPT | 70470 | 6 | $4,334.87 | — | $1 | $673.64 | $3,901.38 |
| CT neck with contrast | CPT | 70491 | 6 | $2,693.11 | — | $1 | $418.51 | $2,423.8 |
| MRI brain without contrast | CPT | 70551 | 6 | $2,584.31 | — | $1 | $401.6 | $2,325.88 |
| MRI brain with contrast | CPT | 70552 | 6 | $2,777.91 | — | $1 | $431.69 | $2,500.12 |
| MRI brain with and without contrast | CPT | 70553 | 6 | $3,376.66 | — | $1 | $524.73 | $3,038.99 |
| Chest X-ray single view | CPT | 71045 | 6 | $110.36 | — | $1 | $45.8 | $99.32 |
| Chest X-ray 2 views | CPT | 71046 | 6 | $564.94 | — | $1 | $104.78 | $1,366.93 |
| Chest X-ray 3 views | CPT | 71047 | 6 | $306.92 | — | $1 | $75.89 | $276.23 |
| CT chest without contrast | CPT | 71250 | 6 | $1,223.86 | — | $1 | $190.19 | $1,101.47 |
| CT chest with contrast | CPT | 71260 | 6 | $3,907.59 | — | $1 | $607.24 | $3,516.83 |
| CT chest with and without contrast | CPT | 71270 | 6 | $4,234.82 | — | $1 | $658.09 | $3,811.34 |
| MRI chest without contrast | CPT | 71550 | 6 | $2,694.74 | — | $1 | $418.76 | $2,425.27 |
| MRI chest with contrast | CPT | 71551 | 6 | $3,376.66 | — | $1 | $683.59 | $3,038.99 |
| MRI chest with and without contrast | CPT | 71552 | 6 | $3,432.91 | — | $1 | $533.47 | $3,089.62 |
| Lumbosacral spine X-ray | CPT | 72100 | 6 | $841.4 | — | $1 | $130.75 | $757.26 |
| CT cervical spine without contrast | CPT | 72125 | 6 | $1,223.86 | — | $1 | $190.19 | $1,101.47 |
| CT thoracic spine without contrast | CPT | 72128 | 6 | $2,100.25 | — | $1 | $326.38 | $1,890.23 |
| CT lumbar spine without contrast | CPT | 72131 | 6 | $1,223.86 | — | $1 | $190.19 | $1,101.47 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $2,509.04 | — | $1 | $389.9 | $2,258.14 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $2,694.74 | — | $1 | $418.76 | $2,425.27 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $3,889.01 | — | $1 | $604.35 | $3,500.11 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 6 | $2,897.89 | — | $1 | $450.33 | $2,608.1 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $3,376.66 | — | $1 | $524.73 | $3,038.99 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $3,376.66 | — | $1 | $524.73 | $3,038.99 |
| CT pelvis without contrast | CPT | 72192 | 6 | $2,100.25 | — | $1 | $326.38 | $1,890.23 |
| CT pelvis with contrast | CPT | 72193 | 6 | $2,693.11 | — | $1 | $418.51 | $2,423.8 |
| Shoulder X-ray | CPT | 73030 | 6 | $440.82 | — | $1 | $75.89 | $396.74 |
| Humerus X-ray | CPT | 73060 | 6 | $359.95 | — | $1 | $63.96 | $323.96 |
| Hand X-ray 3 views | CPT | 73130 | 6 | $449.11 | — | $1 | $107.83 | $404.2 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $4,263.51 | — | $1 | $710.09 | $3,837.16 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 6 | $5,510.03 | — | $1 | $798.18 | $4,959.03 |
| Knee X-ray 1-2 views | CPT | 73560 | 6 | $397.34 | — | $1 | $75.89 | $357.61 |
| Ankle X-ray 3 views | CPT | 73610 | 6 | $449.11 | — | $1 | $133.19 | $404.2 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $3,720.98 | — | $1 | $661.22 | $3,348.88 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $5,354.98 | — | $1 | $786.13 | $4,819.48 |
| CT abdomen without contrast | CPT | 74150 | 6 | $2,100.25 | — | $1 | $326.38 | $1,890.23 |
| CT abdomen with contrast | CPT | 74160 | 6 | $2,693.11 | — | $1 | $418.51 | $2,423.8 |
| CT abdomen with and without contrast | CPT | 74170 | 6 | $3,989.07 | — | $1 | $619.9 | $3,590.16 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 6 | $4,342.5 | — | $1 | $674.82 | $3,908.25 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 6 | $5,407.9 | — | $1 | $821.88 | $4,867.11 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 6 | $6,077.97 | — | $1 | $944.52 | $5,470.17 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $3,154.97 | — | $1 | $1,174.96 | $2,839.47 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $3,920.66 | — | $1 | $609.27 | $3,528.59 |
| Abdominal ultrasound complete | CPT | 76700 | 6 | $1,586.64 | — | $1 | $216.34 | $1,427.98 |
| Abdominal ultrasound limited | CPT | 76705 | 6 | $597.02 | — | $1 | $124.71 | $537.32 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 6 | $597.02 | — | $1 | $92.78 | $537.32 |
| Obstetric ultrasound first trimester | CPT | 76801 | 6 | $597.89 | — | $1 | $92.91 | $538.1 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 6 | $583.41 | — | $1 | $91.17 | $525.07 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 6 | $752.95 | — | $1 | $208.07 | $677.66 |
| Transvaginal ultrasound | CPT | 76830 | 6 | $753.54 | — | $1 | $117.1 | $678.19 |
| Pelvic ultrasound complete | CPT | 76856 | 6 | $441.97 | — | $1 | $91.17 | $397.77 |
| Scrotal ultrasound | CPT | 76870 | 6 | $823.38 | — | $1 | $127.95 | $741.04 |
| Diagnostic mammography unilateral | CPT | 77065 | 6 | $270.97 | — | $1 | $100 | $838.1 |
| Diagnostic mammography bilateral | CPT | 77066 | 5 | $347.2 | — | $1 | $89.04 | $451.36 |
| Screening mammography bilateral | CPT | 77067 | 6 | $667.66 | — | $1 | $152.76 | $867.96 |
| EKG tracing only | CPT | 93005 | 6 | $383.72 | — | $1 | $51.45 | $727 |
| EKG interpretation only | CPT | 93010 | 5 | $58.26 | — | $1 | $18.28 | $52.43 |
| Transthoracic echocardiogram complete | CPT | 93306 | 6 | $807.53 | — | $1 | $335.13 | $726.78 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 5 | $264.44 | — | $1 | $88.64 | $238 |
| Initial hospital care, moderate complexity | CPT | 99222 | 5 | $355.13 | — | $1 | $119.04 | $319.62 |
| Initial hospital care, high complexity | CPT | 99223 | 5 | $521.23 | — | $1 | $174.72 | $469.11 |
| Hospital discharge, <30 min | CPT | 99238 | 5 | $187.94 | — | $1 | $63 | $169.15 |
| Hospital discharge, >30 min | CPT | 99239 | 5 | $274.28 | — | $1 | $91.94 | $246.85 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 5 | $331.19 | — | $1 | $42.17 | $298.07 |
| Electrolyte panel | CPT | 80051 | 5 | $317.06 | — | $1 | $11.77 | $285.35 |
| Comprehensive metabolic panel | CPT | 80053 | 5 | $385.46 | — | $1 | $67.44 | $346.91 |
| Lipid panel | CPT | 80061 | 5 | $244.03 | — | $1 | $30.06 | $219.63 |
| Hepatic function panel | CPT | 80076 | 5 | $243.68 | — | $1 | $26.79 | $219.31 |
| Urinalysis non-automated | CPT | 81002 | 5 | $108.96 | — | $1 | $19.36 | $98.06 |
| Urinalysis automated | CPT | 81003 | 5 | $88.11 | — | $1 | $3.78 | $79.3 |
| Hemoglobin A1c | CPT | 83036 | 5 | $125.78 | — | $1 | $19.82 | $113.2 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 5 | $159.97 | — | $1 | $21.97 | $143.97 |
| Complete blood count with automated differential | CPT | 85025 | 5 | $137.37 | — | $1 | $24.41 | $123.63 |
| Complete blood count without differential | CPT | 85027 | 5 | $24.04 | — | $1 | $7.31 | $21.64 |
| Urine culture bacterial | CPT | 87086 | 5 | $49.17 | — | $1 | $9.45 | $44.25 |
| Tissue exam by pathologist level IV | CPT | 88305 | 6 | $251.57 | — | $1 | $44.7 | $226.41 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 6 | $406.61 | — | $1 | $176.3 | $2,800 |
| Vaginal delivery only | CPT | 59409 | 6 | $6,466.05 | — | $1 | $2,683.41 | $5,819.45 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 5 | $593.28 | — | $1 | $100.95 | $533.95 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 5 | $889.92 | — | $1 | $153.54 | $800.93 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 5 | $1,334.88 | — | $1 | $87.27 | $1,201.39 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 5 | $1,779.84 | — | $1 | $117.06 | $1,601.86 |
| Office visit, established patient, 5 min | CPT | 99211 | 5 | $529.49 | — | $1 | $100.43 | $2,800 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 5 | $642.82 | — | $1 | $118.19 | $2,800 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 5 | $794.11 | — | $1 | $184.66 | $2,800 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 5 | $1,170.87 | — | $1 | $120.24 | $2,800 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 5 | $1,263.05 | — | $1 | $191.48 | $2,800 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 6 | $1,582.27 | — | $1 | $790.92 | $1,700 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 6 | $1,582.27 | — | $1 | $790.92 | $1,700 |
| Colonoscopy diagnostic | CPT | 45378 | 6 | $1,551.8 | — | $1 | $810.95 | $1,700 |
| Colonoscopy with biopsy | CPT | 45380 | 6 | $2,027.75 | — | $1 | $1,036 | $1,824.98 |
| Colonoscopy with polyp removal | CPT | 45385 | 6 | $2,027.75 | — | $1 | $1,036 | $1,824.98 |
| surgery | ||||||||
| Knee arthroscopy with meniscectomy | CPT | 29881 | 6 | $5,537.8 | — | $1 | $1,700 | $4,984.02 |
| ACL reconstruction | CPT | 29888 | 6 | $13,980 | — | $1 | $2,725 | $12,582 |
| Laparoscopic appendectomy | CPT | 44970 | 6 | $11,292 | — | $1 | $2,725 | $10,163 |
| Laparoscopic cholecystectomy | CPT | 47562 | 6 | $9,894.44 | — | $1 | $2,725 | $8,905 |
| Open umbilical hernia repair | CPT | 49560 | 5 | $1,418.36 | — | $1 | $236.23 | $1,700 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 5 | $7,100.54 | — | $1 | $1,182.6 | $6,390.49 |
| Cataract surgery with lens implant | CPT | 66984 | 6 | $4,880.84 | — | $1 | $1,700 | $4,392.76 |
Payer mix (top 6)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 109 | $298.01 |
| Blue Cross Blue Shield | 109 | $191.48 |
| Cigna | 109 | $148.16 |
| Medicaid | 109 | $95.34 |
| UnitedHealthcare | 109 | $1 |
| Humana | 79 | $192.19 |