Healthcare Pricing Data: MACON, GA
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
6.7x
Across all procedures
vs National Average
-3%
Chargemaster rates
About This Data
MACON, GA has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.7x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in MACON is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $290,333 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $93,166 | 3 | 6.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $76,409 | 3 | 5.8x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $59,122 | 3 | 4.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $53,590 | 3 | 7.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $53,284 | 3 | 6.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $52,654 | 3 | 5.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $42,908 | 3 | 7.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,662 | 3 | 6.6x |
| RENAL FAILURE WITH CC | 683 | $35,785 | 3 | 6.0x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $290,333 | 2 | 5.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $198,091 | 2 | 6.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $196,617 | 2 | 6.1x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $178,468 | 2 | 7.2x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $157,994 | 2 | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $146,041 | 2 | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $116,745 | 2 | 8.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $113,302 | 2 | 7.0x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $108,871 | 2 | 6.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $104,094 | 2 | 7.0x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $93,709 | 2 | 6.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $91,868 | 2 | 6.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $90,226 | 2 | 8.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $90,141 | 2 | 6.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $79,106 | 2 | 5.9x |
| DIABETES WITH MCC | 637 | $77,290 | 2 | 8.0x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $74,730 | 2 | 6.6x |
| RENAL FAILURE WITH MCC | 682 | $70,951 | 2 | 6.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $69,846 | 2 | 4.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $69,816 | 2 | 6.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $68,351 | 2 | 7.2x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in MACON With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
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