Wellstar Kennestone Regional Medical Center
WellStar Kennestone Regional Medical Center in Marietta, GA charges 7.2x the Medicare reimbursement rate on average across 193 analyzed procedures at this government-owned facility.
Marietta, GA 30060 · Acute Care Hospitals · CMS Rating: 4/5
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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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
D
High
Avg markup vs Medicare
7.21x
Charge / Medicare rate
Max markup
11.3x
Worst procedure
Procedures analyzed
193
With pricing data
Outlier procedures
3.1%
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 |
|---|---|---|---|---|---|
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $111,195 | $55,597 | — | 11.3x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $118,560 | $59,280 | — | 10.5x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $157,984 | $78,992 | — | 10.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $60,389 | $30,195 | — | 10.4x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $325,541 | $162,771 | — | 10.2x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $155,281 | $77,641 | — | 10x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | 565 | $80,144 | $40,072 | — | 9.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $83,999 | $42,000 | — | 9.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $150,974 | $75,487 | — | 9.3x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | 205 | $118,530 | $59,265 | — | 9.1x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $66,596 | $33,298 | — | 9.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $122,970 | $61,485 | — | 9x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $74,548 | $37,274 | — | 9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $70,246 | $35,123 | — | 8.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $46,997 | $23,498 | — | 8.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $253,983 | $126,992 | — | 8.8x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $185,075 | $92,538 | — | 8.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $111,876 | $55,938 | — | 8.7x |
| HYPERTENSION WITH MCC | 304 | $67,467 | $33,733 | — | 8.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $70,612 | $35,306 | — | 8.7x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $106,268 | $53,134 | — | 8.7x |
| ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT | 062 | $128,458 | $64,229 | — | 8.7x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $105,450 | $52,725 | — | 8.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $73,755 | $36,877 | — | 8.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $56,103 | $28,052 | — | 8.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $92,975 | $46,487 | — | 8.6x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $115,891 | $57,946 | — | 8.6x |
| OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | 166 | $199,645 | $99,823 | — | 8.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $166,058 | $83,029 | — | 8.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $178,645 | $89,323 | — | 8.4x |
| SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | 556 | $51,652 | $25,826 | — | 8.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $370,999 | $185,500 | — | 8.4x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $190,802 | $95,401 | — | 8.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $113,441 | $56,721 | — | 8.3x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $155,036 | $77,518 | — | 8.3x |
| PNEUMOTHORAX WITH CC | 200 | $68,637 | $34,318 | — | 8.3x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $91,048 | $45,524 | — | 8.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $141,807 | $70,904 | — | 8.2x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $204,726 | $102,363 | — | 8.2x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $224,345 | $112,173 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $36,881 | $18,441 | — | 8.1x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $69,675 | $34,838 | — | 8.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $185,819 | $92,910 | — | 8.1x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $195,249 | $97,624 | — | 8.1x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $82,291 | $41,146 | — | 8x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $99,837 | $49,919 | — | 8x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $98,296 | $49,148 | — | 8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $78,076 | $39,038 | — | 8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $118,081 | $59,041 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $115,770 | $57,885 | — | 8x |
Showing 50 of 193 procedures
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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