Wellstar Douglas Medical Center
WellStar Douglas Medical Center in Douglasville, GA charges 8.0x the Medicare reimbursement rate on average across 33 analyzed procedures at this nonprofit-private hospital.
Douglasville, GA 30134 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.02x
Charge / Medicare rate
Max markup
19.48x
Worst procedure
Procedures analyzed
33
With pricing data
Outlier procedures
6.1%
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 |
|---|---|---|---|---|---|
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $62,506 | $31,253 | — | 19.5x |
| SYNCOPE AND COLLAPSE | 312 | $65,656 | $32,828 | — | 9.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $55,505 | $27,752 | — | 9.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $55,670 | $27,835 | — | 9.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $124,375 | $62,188 | — | 9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $72,935 | $36,468 | — | 8.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $71,750 | $35,875 | — | 8.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $62,073 | $31,036 | — | 8.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $50,741 | $25,371 | — | 8.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $65,064 | $32,532 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $86,115 | $43,058 | — | 8.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $137,792 | $68,896 | — | 8.1x |
| DIABETES WITH CC | 638 | $43,692 | $21,846 | — | 7.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $131,110 | $65,555 | — | 7.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $109,058 | $54,529 | — | 7.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $156,247 | $78,124 | — | 7.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $92,273 | $46,136 | — | 7.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $72,239 | $36,119 | — | 7.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $94,248 | $47,124 | — | 7.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $57,024 | $28,512 | — | 7.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $54,709 | $27,355 | — | 7.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $69,714 | $34,857 | — | 7.4x |
| DIABETES WITH MCC | 637 | $83,284 | $41,642 | — | 7.2x |
| RENAL FAILURE WITH MCC | 682 | $90,606 | $45,303 | — | 7.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $69,974 | $34,987 | — | 7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $52,300 | $26,150 | — | 6.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $288,127 | $144,063 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $290,128 | $145,064 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $65,237 | $32,618 | — | 6.4x |
| CELLULITIS WITHOUT MCC | 603 | $45,070 | $22,535 | — | 6.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $40,084 | $20,042 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $84,034 | $42,017 | — | 6.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $53,314 | $26,657 | — | 6.2x |
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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