Wellstar Paulding Medical Center
WellStar Paulding Medical Center in Hiram, Georgia charges 10.1x the Medicare reimbursement rate across 55 analyzed procedures, representing a significant markup for this nonprofit-private hospital.
Hiram, GA 30141 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.11x
Charge / Medicare rate
Max markup
16.92x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
1.8%
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 WITHOUT CC/MCC | 310 | $35,933 | $17,966 | — | 16.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $84,421 | $42,211 | — | 14.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $52,381 | $26,190 | — | 14.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $58,537 | $29,269 | — | 13.2x |
| HYPERTENSION WITHOUT MCC | 305 | $43,679 | $21,840 | — | 12.8x |
| CHEST PAIN | 313 | $42,632 | $21,316 | — | 12.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $45,422 | $22,711 | — | 12.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $81,397 | $40,699 | — | 12.2x |
| HYPERTENSION WITH MCC | 304 | $77,503 | $38,752 | — | 12x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $46,537 | $23,269 | — | 11.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $77,549 | $38,774 | — | 11.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $45,757 | $22,879 | — | 11.5x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $36,871 | $18,435 | — | 11.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $39,888 | $19,944 | — | 11.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $58,989 | $29,494 | — | 11.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $46,791 | $23,395 | — | 11.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $44,824 | $22,412 | — | 11.2x |
| SYNCOPE AND COLLAPSE | 312 | $50,293 | $25,147 | — | 11x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $120,532 | $60,266 | — | 11x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $78,078 | $39,039 | — | 10.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $45,769 | $22,884 | — | 10.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $81,680 | $40,840 | — | 10.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $61,696 | $30,848 | — | 10.6x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $51,826 | $25,913 | — | 10.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $59,625 | $29,812 | — | 10.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $54,618 | $27,309 | — | 10.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $79,438 | $39,719 | — | 10.1x |
| RENAL FAILURE WITH CC | 683 | $46,380 | $23,190 | — | 10x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $76,187 | $38,094 | — | 9.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $36,516 | $18,258 | — | 9.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $49,090 | $24,545 | — | 9.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $48,668 | $24,334 | — | 9.1x |
| DIABETES WITH CC | 638 | $40,361 | $20,180 | — | 9x |
| CELLULITIS WITHOUT MCC | 603 | $38,127 | $19,064 | — | 9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $81,811 | $40,906 | — | 9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $70,437 | $35,219 | — | 9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $101,345 | $50,673 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $53,469 | $26,735 | — | 8.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $166,618 | $83,309 | — | 8.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $54,729 | $27,364 | — | 8.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $90,980 | $45,490 | — | 8.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $97,994 | $48,997 | — | 8.6x |
| CELLULITIS WITH MCC | 602 | $70,971 | $35,486 | — | 8.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $41,316 | $20,658 | — | 8.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $79,704 | $39,852 | — | 8.4x |
| RENAL FAILURE WITH MCC | 682 | $64,838 | $32,419 | — | 8.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $97,287 | $48,644 | — | 8.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $67,688 | $33,844 | — | 8.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $76,793 | $38,397 | — | 8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $98,053 | $49,026 | — | 8x |
Showing 50 of 55 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