Piedmont Athens Regional Medical Center
PIEDMONT ATHENS REGIONAL MEDICAL CENTER in Athens, GA charges 5.7x the Medicare reimbursement rate across 117 analyzed procedures at this nonprofit hospital.
Athens, GA 30606 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.67x
Charge / Medicare rate
Max markup
9.92x
Worst procedure
Procedures analyzed
117
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 |
|---|---|---|---|---|---|
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $57,178 | $28,589 | — | 9.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $37,853 | $18,926 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $111,942 | $55,971 | — | 8.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $106,058 | $53,029 | — | 8.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $294,423 | $147,211 | — | 7.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $78,640 | $39,320 | — | 7.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,736 | $24,868 | — | 7.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $209,028 | $104,514 | — | 7.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $126,845 | $63,423 | — | 7.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $55,342 | $27,671 | — | 7.5x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $180,321 | $90,160 | — | 7.3x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $253,660 | $126,830 | — | 7.3x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $272,430 | $136,215 | — | 7.3x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $191,944 | $95,972 | — | 7.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $80,295 | $40,148 | — | 7.1x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $133,708 | $66,854 | — | 7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $123,727 | $61,863 | — | 6.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $101,937 | $50,969 | — | 6.9x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $182,897 | $91,448 | — | 6.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $44,690 | $22,345 | — | 6.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $72,104 | $36,052 | — | 6.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,586 | $27,793 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $54,696 | $27,348 | — | 6.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $102,413 | $51,207 | — | 6.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $40,317 | $20,158 | — | 6.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $74,134 | $37,067 | — | 6.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $94,141 | $47,071 | — | 6.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $50,203 | $25,101 | — | 6.4x |
| DIABETES WITH CC | 638 | $36,411 | $18,205 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $23,502 | $11,751 | — | 6.3x |
| PNEUMOTHORAX WITH MCC | 199 | $80,014 | $40,007 | — | 6.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $33,575 | $16,788 | — | 6.3x |
| HYPERTENSION WITH MCC | 304 | $45,592 | $22,796 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $36,430 | $18,215 | — | 6.2x |
| SEIZURES WITHOUT MCC | 101 | $38,543 | $19,272 | — | 6.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $40,842 | $20,421 | — | 6.2x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $80,185 | $40,092 | — | 6.2x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $132,152 | $66,076 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $71,311 | $35,656 | — | 6.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $222,252 | $111,126 | — | 6.1x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $85,009 | $42,504 | — | 6.1x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $81,240 | $40,620 | — | 6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $32,202 | $16,101 | — | 6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $123,042 | $61,521 | — | 6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $98,389 | $49,195 | — | 5.9x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $153,900 | $76,950 | — | 5.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,199 | $16,100 | — | 5.9x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $158,670 | $79,335 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,603 | $26,801 | — | 5.8x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $85,849 | $42,924 | — | 5.8x |
Showing 50 of 117 procedures
How PIEDMONT ATHENS REGIONAL 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