Doctors Hospital
DOCTORS HOSPITAL in Augusta, GA charges 11.7x the Medicare reimbursement rate across 64 analyzed procedures, with 34% showing significant pricing variations compared to other facilities.
Augusta, GA 30909 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Billing patterns — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
F
Very high
Avg markup vs Medicare
11.74x
Charge / Medicare rate
Max markup
22.64x
Worst procedure
Procedures analyzed
64
With pricing data
Outlier procedures
34.4%
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $265,855 | $132,927 | — | 22.6x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $162,289 | $81,144 | — | 22.3x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $268,400 | $134,200 | — | 20x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $194,677 | $97,339 | — | 19.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $358,777 | $179,389 | — | 18.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $138,131 | $69,065 | — | 18.4x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $203,490 | $101,745 | — | 17.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $837,544 | $418,772 | — | 16.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $86,400 | $43,200 | — | 16.4x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 463 | $849,646 | $424,823 | — | 15.3x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $217,213 | $108,607 | — | 14.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $180,434 | $90,217 | — | 14.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $451,527 | $225,763 | — | 14.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $166,256 | $83,128 | — | 14x |
| NON-EXTENSIVE BURNS | 935 | $165,322 | $82,661 | — | 13.9x |
| SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | 577 | $261,168 | $130,584 | — | 13.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $241,815 | $120,908 | — | 13.7x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $2,879,062 | $1,439,531 | — | 13.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $98,917 | $49,458 | — | 13.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $126,710 | $63,355 | — | 13.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $172,807 | $86,403 | — | 13.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $78,995 | $39,498 | — | 13.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $241,992 | $120,996 | — | 13.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $75,954 | $37,977 | — | 12.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $67,705 | $33,853 | — | 12.8x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $262,010 | $131,005 | — | 12.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $124,670 | $62,335 | — | 12.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $58,761 | $29,381 | — | 12.4x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $202,198 | $101,099 | — | 12.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $155,440 | $77,720 | — | 11.7x |
| SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WIT | 623 | $141,423 | $70,711 | — | 11.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $55,804 | $27,902 | — | 11.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $52,596 | $26,298 | — | 11.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $77,572 | $38,786 | — | 10.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $59,842 | $29,921 | — | 10.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $127,001 | $63,500 | — | 10.7x |
| FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | 928 | $616,384 | $308,192 | — | 10.5x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $51,883 | $25,941 | — | 10.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $67,359 | $33,679 | — | 9.9x |
| SEIZURES WITHOUT MCC | 101 | $54,332 | $27,166 | — | 9.7x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $213,089 | $106,544 | — | 9.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $71,320 | $35,660 | — | 9.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $69,259 | $34,630 | — | 9.2x |
| MINOR SKIN DISORDERS WITHOUT MCC | 607 | $51,535 | $25,767 | — | 9.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $92,616 | $46,308 | — | 9.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $98,122 | $49,061 | — | 9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $53,075 | $26,538 | — | 8.9x |
| RENAL FAILURE WITH CC | 683 | $48,272 | $24,136 | — | 8.9x |
| RENAL FAILURE WITH MCC | 682 | $88,517 | $44,258 | — | 8.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $41,857 | $20,929 | — | 8.6x |
Showing 50 of 64 procedures
How DOCTORS HOSPITAL 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