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Piedmont Augusta Hospital

Piedmont Augusta Hospital, a government-owned facility in Augusta, GA, charges 4.9x the Medicare reimbursement rate across 109 analyzed procedures.

Augusta, GA 30901 · Acute Care Hospitals · CMS Rating: 2/5

By Elena Vasquez , Medical Billing Research Lead · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

109 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.4x2.0x15.0x
4.9x
Medicare markup ratio
GA lowestPiedmont Augusta HospitalGA highest
4.9x
Avg markup ratio
4.9x
Median markup
109
Procedures
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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

C

Average

Avg markup vs Medicare

4.88x

Charge / Medicare rate

Max markup

7.76x

Worst procedure

Procedures analyzed

109

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
PULMONARY EMBOLISM WITHOUT MCC176$29,250$14,6257.8x
GASTROINTESTINAL OBSTRUCTION WITH CC389$31,110$15,5557.1x
MAJOR CHEST PROCEDURES WITH CC164$110,152$55,0767x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$60,960$30,4806.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$34,879$17,4406.7x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$37,223$18,6126.6x
CHEST PAIN313$25,422$12,7116.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$66,843$33,4226.4x
DISORDERS OF THE BILIARY TRACT WITH CC445$44,443$22,2226.3x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$22,860$11,4306.3x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$37,411$18,7066x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$65,253$32,6276x
RESPIRATORY NEOPLASMS WITH MCC180$47,157$23,5796x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$82,142$41,0715.9x
OTHER VASCULAR PROCEDURES WITH CC253$95,321$47,6615.9x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$25,794$12,8975.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$34,279$17,1395.8x
MEDICAL BACK PROBLEMS WITHOUT MCC552$33,090$16,5455.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$32,599$16,2995.8x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$27,119$13,5595.8x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$97,146$48,5735.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$25,234$12,6175.7x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$94,600$47,3005.7x
DYSEQUILIBRIUM149$23,293$11,6465.6x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$39,875$19,9385.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC271$147,276$73,6385.6x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$26,372$13,1865.6x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$25,282$12,6415.6x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$63,693$31,8465.6x
ENDOCRINE DISORDERS WITH MCC643$57,106$28,5535.5x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$23,643$11,8215.5x
FRACTURES OF HIP AND PELVIS WITHOUT MCC536$23,730$11,8655.4x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$28,559$14,2795.4x
HYPERTENSION WITHOUT MCC305$22,656$11,3285.4x
SYNCOPE AND COLLAPSE312$26,606$13,3035.3x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$106,679$53,3395.3x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$40,170$20,0855.3x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$132,777$66,3885.3x
BRONCHITIS AND ASTHMA WITH CC/MCC202$27,932$13,9665.2x
DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC441$54,542$27,2715.2x
CELLULITIS WITHOUT MCC603$25,407$12,7035.1x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$35,246$17,6235.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$62,140$31,0705.1x
GASTROINTESTINAL HEMORRHAGE WITH CC378$28,404$14,2025.1x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC070$54,191$27,0955x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC393$54,971$27,4855x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC982$76,378$38,1895x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$20,393$10,1965x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$50,569$25,2845x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$33,134$16,5674.9x

Showing 50 of 109 procedures

How PIEDMONT AUGUSTA 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.

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 →

FAQ — government hospital billing

How do government hospital billing rates compare to Medicare benchmarks?
Based on available data from 374 government hospitals, charges average 4.2 times the Medicare benchmark rates. Government hospitals, while publicly owned, still establish their own pricing structures that can result in charges above standard Medicare rates.
Why do government hospitals charge above Medicare rates if they're publicly owned?
Government hospitals operate as independent entities that must cover operational costs, equipment, and staffing expenses. Public ownership doesn't require hospitals to limit charges to Medicare benchmark levels, as they still need to maintain financial sustainability for continued operations.
What should I expect when reviewing a government hospital bill?
Government hospital bills typically show charges that may be several times higher than Medicare benchmark rates, with the average markup being approximately 4.2x across sampled facilities. The final amount you pay will depend on your insurance coverage, negotiated rates, and any applicable financial assistance programs.
Are there potential billing differences between government hospitals and other facility types?
Government hospitals show similar billing patterns to other hospital types, with charges typically set above Medicare benchmarks. The potential difference in what patients ultimately pay often depends more on individual insurance plans and hospital financial assistance policies than on the ownership structure of the facility.

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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