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ATRIUM HEALTH NAVICENT THE MEDICAL CENTER

MACON, GA 31201 · Acute Care Hospitals

116 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 29, 2026 · Methodology

Procedures Analyzed

116

With CMS pricing data

Avg Charge-to-Medicare Ratio

6.2x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Government - Hospital District or Authority

Above 90th Percentile

0%

Compared to GA hospitals

Median 6.2x5.7x7.7x
6.2x
Medicare markup ratio
GA lowestATRIUM HEALTH NAVICENT...GA highest

Understanding Your Costs

When you receive a bill from ATRIUM HEALTH NAVICENT THE MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ATRIUM HEALTH NAVICENT THE MEDICAL CENTER lists chargemaster rates that average 6.2x the corresponding Medicare reimbursement amount across 116 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in GA has a chargemaster-to-Medicare ratio of 5.2x, with ratios across the state ranging from 1.2x to 12.4x. At 6.2x, this facility’s average ratio is above the state median. 87 hospitals in GA report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at ATRIUM HEALTH NAVICENT THE MEDICAL CENTER is Pleural Effusion with Major Complications or Comorbidities (DRG 186). The listed chargemaster rate is $98,879, while Medicare reimburses $9,449 for the same procedure — a ratio of 10.5x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

ATRIUM HEALTH NAVICENT THE MEDICAL CENTER is a government - hospital district or authority acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
Pleural Effusion with Major Complications or Comorbidities186$98,879$9,44910.5x
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Other Respiratory System Operating Room Procedures with Complications167$102,410$10,2999.9x
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Circulatory Disorders Except Ami, with Cardiac Catheterization without Major Complications287$71,196$7,5089.5x
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Percutaneous Cardiovascular Procedures with Intraluminal Device without Major Complications322$105,390$11,3399.3x
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Other Multiple Significant Trauma with Complications964$84,040$9,6758.7x
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Other Vascular Procedures with Complications253$147,598$17,0978.6x
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Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization219$388,369$45,6988.5x
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Seizures without Major Complications101$53,200$6,8607.8x
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Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications269$225,174$29,0517.8x
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Malignancy of Hepatobiliary System or Pancreas with Major Complications or Comorbidities435$100,365$12,9867.7x
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Hip and Femur Procedures Except Major Joint with Major Complications or Comorbidities480$166,961$21,7247.7x
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Acute Myocardial Infarction, Discharged Alive with Complications281$54,148$7,2097.5x
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Pulmonary Edema and Respiratory Failure189$65,790$8,7857.5x
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Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications872$62,996$8,4857.4x
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Percutaneous Cardiovascular Procedures with Drug-Eluting Stent without Major Complications247$104,440$14,1947.4x
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Transient Ischemia without Thrombolytic069$41,655$5,7297.3x
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Nonspecific Cerebrovascular Disorders with Major Complications or Comorbidities070$82,608$11,4147.2x
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Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh without Major Complications563$44,393$6,2817.1x
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Percutaneous Cardiovascular Procedures with Drug-Eluting Stent with Major Complications or Comorbidities or 4 or More Arteries O246$156,902$22,2607.0x
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Syncope and Collapse312$49,372$7,0337.0x
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Intracranial Hemorrhage or Cerebral Infarction with Major Complications or Comorbidities064$98,406$14,0127.0x
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Spinal Fusion Except Cervical without Major Complications460$175,890$25,1517.0x
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Pneumothorax with Complications200$50,871$7,4326.8x
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Hip and Femur Procedures Except Major Joint with Complications481$101,473$14,8156.8x
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Intracranial Hemorrhage or Cerebral Infarction with Complications or Tpa in 24 Hours065$47,638$7,0006.8x
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Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Major Complications or Comorbidities981$261,179$38,3376.8x
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Traumatic Stupor and Coma >1 Hour without Complications084$43,803$6,4296.8x
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Percutaneous and Other Intracardiac Procedures without Major Complications274$158,482$23,5756.7x
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Major Small and Large Bowel Procedures without Complications331$55,835$8,3316.7x
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Major Small and Large Bowel Procedures with Complications330$103,472$15,4886.7x
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Acute Myocardial Infarction, Discharged Alive with Major Complications or Comorbidities280$73,957$11,0956.7x
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Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with Major Complications or Comorbidities391$66,151$9,9736.6x
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Simple Pneumonia and Pleurisy with Major Complications or Comorbidities193$64,840$9,8596.6x
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Permanent Cardiac Pacemaker Implant with Complications243$101,247$15,4466.5x
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Other Major Cardiovascular Procedures with Complications271$159,332$24,3636.5x
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Fractures of Hip and Pelvis without Major Complications536$36,064$5,5176.5x
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Gastrointestinal Hemorrhage with Major Complications or Comorbidities377$84,333$12,9086.5x
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Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications493$107,916$16,5586.5x
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Percutaneous and Other Intracardiac Procedures with Major Complications or Comorbidities273$186,663$28,8996.5x
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Pulmonary Embolism with Major Complications or Comorbidities or Acute Cor Pulmonale175$70,943$11,0406.4x
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Traumatic Stupor and Coma >1 Hour with Complications083$60,678$9,4686.4x
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Trauma to the Skin, Subcutaneous Tissue and Breast without Major Complications605$45,815$7,1616.4x
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Diabetes with Complications638$39,951$6,2566.4x
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Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma956$198,392$31,0326.4x
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Medical Back Problems without Major Complications552$44,834$7,0186.4x
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Simple Pneumonia and Pleurisy with Complications194$39,271$6,1656.4x
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Pulmonary Embolism without Major Complications176$36,782$5,7856.4x
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Renal Failure with Complications683$43,674$6,8846.3x
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Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities308$59,969$9,4736.3x
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Other Disorders of Nervous System with Complications092$47,522$7,5356.3x
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Showing 50 of 116 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across GA hospitals

1.2x
Median: 5.2x
12.4x
6.2x

87 hospitals in GA report pricing data to CMS. This facility's average ratio of 6.2x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

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Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

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Frequently Asked Questions About ATRIUM HEALTH NAVICENT THE MEDICAL CENTER

How much does ATRIUM HEALTH NAVICENT THE MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, ATRIUM HEALTH NAVICENT THE MEDICAL CENTER's listed chargemaster rates average 6.2x the Medicare reimbursement amount across 116 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at ATRIUM HEALTH NAVICENT THE MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at ATRIUM HEALTH NAVICENT THE MEDICAL CENTER is Pleural Effusion with Major Complications or Comorbidities (DRG 186), with a listed charge of $98,879 compared to Medicare reimbursement of $9,449 — a ratio of 10.5x. Source: CMS IPPS Provider Summary.

Is ATRIUM HEALTH NAVICENT THE MEDICAL CENTER expensive compared to other GA hospitals?

ATRIUM HEALTH NAVICENT THE MEDICAL CENTER's average chargemaster-to-Medicare ratio is 6.2x. Ratios vary significantly across GA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for ATRIUM HEALTH NAVICENT THE MEDICAL CENTER come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from ATRIUM HEALTH NAVICENT THE MEDICAL CENTER is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does ATRIUM HEALTH NAVICENT THE MEDICAL CENTER in MACON, GA accept Medicare?

ATRIUM HEALTH NAVICENT THE MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ATRIUM HEALTH NAVICENT THE MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.