Effingham Health System is a nonprofit critical access hospital in Springfield, Georgia. Its CMS Certification Number (CCN) is 111306 and its NPI is 1811962756.
CMS Certification Number
National Provider Identifier
Billing entity in payer files
Springfield, GA
Negotiated rates
In-network rates for clinicians billing at this hospital, from each insurer's price transparency files. Median rate, with the range when more than one contract applies.
| Service | Code | Physician rate | vs. Georgia hospitals |
|---|---|---|---|
| Emergency room visit, high severity | 99285 | $220$194–$241 · 3 rates | 61st percentile · state median $205, mean $234 |
| CT scan, abdomen and pelvis, with contrast | 74177 | $460$347–$489 · 7 rates | 61st percentile · state median $456, mean $510 |
| MRI, brain, with and without contrast | 70553 | $594$421–$1,023 · 7 rates | 36th percentile · state median $747, mean $842 |
| Colonoscopy, diagnostic | 45378 | $355$215–$630 · 7 rates | 22nd percentile · state median $515, mean $553 |
See UnitedHealthcare rates for every billing code at Effingham Health System
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Every billing code
CPT, HCPCS, MS-DRG and revenue codes, not just the four shown here.
Institutional rates
What each insurer pays the hospital itself, its facility fees.
Professional rates
What insurers pay physicians and clinicians billing here.
Inpatient and outpatient
Per-stay rates for admissions and per-visit rates for outpatient care.
The table above shows physician rates: what the insurer pays clinicians for the service. Facility rates are in the full data. Source: insurer Transparency in Coverage files.
From the hospital's Medicare enrollment record.
From CMS Care Compare. Each measure is compared with the national rate.
CMS overall rating
Not rated. CMS only stars hospitals that report enough measures; most critical access and specialty hospitals are not rated.
0 better1 no different0 worsethan national
1 better5 no different0 worsethan national
Units Medicare certifies separately, each with its own CCN.
Swing-bed unit
Effingham Health System
CCN 11Z306
Compare negotiated rates from UHC, Aetna, Cigna and BCBS with the rest of the market, down to the TIN.
Quick answers about Effingham Health System.
Effingham Health System's CMS Certification Number (CCN) is 111306. Medicare uses the CCN to identify the hospital in cost reports, quality reporting and claims.
Effingham Health System bills under National Provider Identifier (NPI) 1811962756.
Effingham Health System bills insurers under tax ID (EIN) 47-4393589, held by EFFINGHAM HOSPITAL INC. Insurers publish negotiated rates by tax ID, so this is the number to look up in price transparency files.
Effingham Health System is enrolled in Medicare as a critical access hospital with nonprofit ownership. Its legal business name is Effingham Hospital Inc.
Effingham Health System is at 459 Hwy 119 S, Springfield, GA 31329.
Yes. Effingham Health System reports emergency services to CMS.
Yes. Effingham Health System has 1 Medicare-certified unit: swing-bed unit.
Enrollment records show how a hospital is registered with Medicare; confirm services and coverage with the hospital directly.