Atrium Health Navicent the Medical Center
ATRIUM HEALTH NAVICENT THE MEDICAL CENTER in Macon, GA charges 6.2x the Medicare reimbursement rate across 116 analyzed procedures, reflecting this government-owned hospital's pricing structure.
Macon, GA 31201 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
D
High
Avg markup vs Medicare
6.17x
Charge / Medicare rate
Max markup
10.46x
Worst procedure
Procedures analyzed
116
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PLEURAL EFFUSION WITH MCC | 186 | $98,879 | $49,440 | — | 10.5x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | 167 | $102,410 | $51,205 | — | 9.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $71,196 | $35,598 | — | 9.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $105,390 | $52,695 | — | 9.3x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $84,040 | $42,020 | — | 8.7x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $147,598 | $73,799 | — | 8.6x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 219 | $388,369 | $194,185 | — | 8.5x |
| SEIZURES WITHOUT MCC | 101 | $53,200 | $26,600 | — | 7.8x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $225,174 | $112,587 | — | 7.8x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $100,365 | $50,183 | — | 7.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $166,961 | $83,481 | — | 7.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $54,148 | $27,074 | — | 7.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $65,790 | $32,895 | — | 7.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $62,996 | $31,498 | — | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $104,440 | $52,220 | — | 7.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,655 | $20,827 | — | 7.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $82,608 | $41,304 | — | 7.2x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $44,393 | $22,196 | — | 7.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $156,902 | $78,451 | — | 7.1x |
| SYNCOPE AND COLLAPSE | 312 | $49,372 | $24,686 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $98,406 | $49,203 | — | 7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $175,890 | $87,945 | — | 7x |
| PNEUMOTHORAX WITH CC | 200 | $50,871 | $25,436 | — | 6.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $101,473 | $50,736 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $47,638 | $23,819 | — | 6.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $261,179 | $130,590 | — | 6.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | 084 | $43,803 | $21,902 | — | 6.8x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $158,482 | $79,241 | — | 6.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $55,835 | $27,917 | — | 6.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $103,472 | $51,736 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $73,957 | $36,979 | — | 6.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $66,151 | $33,076 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $64,840 | $32,420 | — | 6.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $101,247 | $50,624 | — | 6.6x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $159,332 | $79,666 | — | 6.5x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $36,064 | $18,032 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $84,333 | $42,166 | — | 6.5x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $107,916 | $53,958 | — | 6.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $186,663 | $93,332 | — | 6.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $70,943 | $35,471 | — | 6.4x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $60,678 | $30,339 | — | 6.4x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $45,815 | $22,907 | — | 6.4x |
| DIABETES WITH CC | 638 | $39,951 | $19,976 | — | 6.4x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $198,392 | $99,196 | — | 6.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $44,834 | $22,417 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $39,271 | $19,636 | — | 6.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $36,782 | $18,391 | — | 6.4x |
| RENAL FAILURE WITH CC | 683 | $43,674 | $21,837 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $59,969 | $29,984 | — | 6.3x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $47,522 | $23,761 | — | 6.3x |
Showing 50 of 116 procedures
How ATRIUM HEALTH NAVICENT THE MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use