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Hamilton Medical Center

HAMILTON MEDICAL CENTER in Dalton, GA charges 6.3x the Medicare reimbursement rate across 54 analyzed procedures, based on data from this nonprofit-private hospital.

Dalton, GA 30720 · Acute Care Hospitals · CMS Rating: 2/5

By Priya Iyengar , Senior Billing Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

54 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 4.4x2.5x15.0x
6.3x
Medicare markup ratio
GA lowestHamilton Medical CenterGA highest
6.3x
Avg markup ratio
6.1x
Median markup
54
Procedures
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Pricing grade

D

High

Avg markup vs Medicare

6.31x

Charge / Medicare rate

Max markup

9.97x

Worst procedure

Procedures analyzed

54

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$127,726$63,86310x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$206,419$103,2099x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$61,272$30,6368x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$71,734$35,8677.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$82,724$41,3627.6x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$97,964$48,9827.4x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$109,340$54,6707.3x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$57,115$28,5577.2x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$52,504$26,2527.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$29,814$14,9077.1x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$55,771$27,8867x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$43,652$21,8267x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$56,400$28,2006.9x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$45,633$22,8176.9x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$61,154$30,5776.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$37,607$18,8036.7x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$49,880$24,9406.7x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$42,503$21,2516.7x
GASTROINTESTINAL HEMORRHAGE WITH CC378$46,265$23,1336.7x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$93,045$46,5236.6x
SIGNS AND SYMPTOMS WITHOUT MCC948$38,801$19,4016.6x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$37,139$18,5706.4x
RED BLOOD CELL DISORDERS WITHOUT MCC812$42,290$21,1456.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$44,984$22,4926.3x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$70,996$35,4986.2x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$59,546$29,7736.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$36,978$18,4896.2x
CELLULITIS WITHOUT MCC603$36,998$18,4996.1x
SEIZURES WITHOUT MCC101$39,264$19,6326x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$84,695$42,3476x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC521$126,406$63,2036x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$70,748$35,3745.9x
SEIZURES WITH MCC100$73,942$36,9715.9x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$83,490$41,7455.9x
HEART FAILURE AND SHOCK WITH MCC291$56,103$28,0515.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$179,103$89,5525.8x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$46,616$23,3085.8x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$71,501$35,7505.8x
OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC314$77,686$38,8435.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$30,009$15,0045.6x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$80,092$40,0465.6x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$63,437$31,7195.5x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$48,379$24,1895.5x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$47,502$23,7515.3x
DIABETES WITH CC638$36,056$18,0285.3x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$195,132$97,5665.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$65,714$32,8575.3x
SYNCOPE AND COLLAPSE312$34,920$17,4605.2x
RENAL FAILURE WITH CC683$34,629$17,3145.2x
RENAL FAILURE WITH MCC682$56,548$28,2745.2x

Showing 50 of 54 procedures

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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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

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

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