St Mary's Hospital
ST MARY'S HOSPITAL in Athens, GA charges 3.9x the Medicare reimbursement rate across 52 analyzed procedures, reflecting typical pricing patterns for nonprofit-private healthcare facilities.
Athens, GA 30606 · Acute Care Hospitals · CMS Rating: 1/5
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
C
Average
Avg markup vs Medicare
3.92x
Charge / Medicare rate
Max markup
6.48x
Worst procedure
Procedures analyzed
52
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 |
|---|---|---|---|---|---|
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $109,215 | $54,607 | — | 6.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $40,046 | $20,023 | — | 5.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $44,481 | $22,240 | — | 5.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $24,918 | $12,459 | — | 5.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $64,102 | $32,051 | — | 5.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $68,766 | $34,383 | — | 5.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $19,810 | $9,905 | — | 5.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $62,494 | $31,247 | — | 5.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $67,435 | $33,718 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $16,823 | $8,411 | — | 4.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $73,613 | $36,806 | — | 4.8x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $85,842 | $42,921 | — | 4.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $31,694 | $15,847 | — | 4.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,176 | $11,088 | — | 4.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $25,320 | $12,660 | — | 4.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $142,532 | $71,266 | — | 4.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $26,521 | $13,260 | — | 4.2x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $109,870 | $54,935 | — | 4.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,637 | $10,319 | — | 4.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $22,765 | $11,383 | — | 4.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $59,426 | $29,713 | — | 4x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $151,846 | $75,923 | — | 4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $62,270 | $31,135 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,499 | $13,249 | — | 3.9x |
| RENAL FAILURE WITH CC | 683 | $21,884 | $10,942 | — | 3.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $20,425 | $10,212 | — | 3.8x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $106,690 | $53,345 | — | 3.8x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $73,708 | $36,854 | — | 3.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $51,944 | $25,972 | — | 3.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $25,527 | $12,763 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $48,356 | $24,178 | — | 3.6x |
| SEIZURES WITHOUT MCC | 101 | $23,246 | $11,623 | — | 3.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,369 | $9,185 | — | 3.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $30,616 | $15,308 | — | 3.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $22,473 | $11,236 | — | 3.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $140,893 | $70,447 | — | 3.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $29,344 | $14,672 | — | 3.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $27,261 | $13,631 | — | 3.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $38,734 | $19,367 | — | 3.1x |
| SYNCOPE AND COLLAPSE | 312 | $19,739 | $9,870 | — | 3.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $34,378 | $17,189 | — | 3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $72,590 | $36,295 | — | 3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $38,713 | $19,356 | — | 3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $18,895 | $9,447 | — | 3x |
| CELLULITIS WITHOUT MCC | 603 | $16,121 | $8,060 | — | 2.9x |
| CHEST PAIN | 313 | $14,652 | $7,326 | — | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $23,614 | $11,807 | — | 2.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $14,807 | $7,403 | — | 2.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $89,276 | $44,638 | — | 2.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | 453 | $174,207 | $87,104 | — | 2.7x |
Showing 50 of 52 procedures
How ST MARY'S 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