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Healthcare Pricing Data: ROME, GA

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

8.5x

Across all procedures

vs National Average

+29%

Chargemaster rates

About This Data

ROME, GA has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 8.5x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in ROME is SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS (DRG 870), with an average chargemaster rate of $279,641 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

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$279,64126.1x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$255,08227.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$204,57229.6x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$155,958211.9x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$155,86327.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$148,568212.5x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$140,08929.7x
SEIZURES WITH MCC100$136,82728.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$136,47229.7x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$104,58527.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$101,68427.7x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$97,23028.2x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$92,99226.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$87,78227.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$82,84826.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$82,17227.6x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$81,07427.9x
RED BLOOD CELL DISORDERS WITH MCC811$77,24028.0x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$75,00228.5x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$74,71627.1x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$72,391211.0x
DIABETES WITH MCC637$71,81427.8x
RENAL FAILURE WITH MCC682$69,16627.0x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$66,069210.4x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$64,64127.2x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$63,87528.7x
HEART FAILURE AND SHOCK WITH MCC291$63,21927.2x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$61,894211.5x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$61,66827.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$60,280210.1x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error