Upson Regional Medical Center
UPSON REGIONAL MEDICAL CENTER in Thomaston, GA charges 4.8x the Medicare reimbursement rate across 17 analyzed procedures at this nonprofit facility.
Thomaston, GA 30286 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
4.77x
Charge / Medicare rate
Max markup
7.17x
Worst procedure
Procedures analyzed
17
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $34,447 | $17,223 | — | 7.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $31,261 | $15,631 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $50,468 | $25,234 | — | 5.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $68,647 | $34,324 | — | 5.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $78,054 | $39,027 | — | 5.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $33,679 | $16,839 | — | 5.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $55,980 | $27,990 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $33,926 | $16,963 | — | 4.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $45,952 | $22,976 | — | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $26,020 | $13,010 | — | 4.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $63,759 | $31,879 | — | 4.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $36,459 | $18,230 | — | 4.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $20,842 | $10,421 | — | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,985 | $11,992 | — | 3.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,810 | $18,405 | — | 3.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $52,578 | $26,289 | — | 3.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $49,350 | $24,675 | — | 3.7x |
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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