82/100
#301 nationally
Navicent Health Baldwin
821 North Cobb Street, Milledgeville, GA 31061 · (478) 454-3550
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Navicent Health Baldwin billed $3.09 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.1x
- volume-weighted across all its priced work
- Procedures priced
- 19
- inpatient and outpatient combined
- Rank in GA
- #5
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 81% of U.S. hospitals.
Better than 74% of U.S. hospitals.
Better than 87% of U.S. hospitals.
Better than 90% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
234 | $9,177 | $1,908 | -22% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
47 | $37,399 | $14,440 | -43% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
47 | $9,515 | $2,292 | -51% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
28 | $27,316 | $10,358 | -37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
22 | $30,794 | $10,791 | -34% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $30,145 | $12,330 | -45% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
18 | $11,247 | $2,661 | -46% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
15 | $19,071 | $12,002 | -64% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
15 | $5,347 | $876 | -47% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
15 | $31,082 | $5,673 | -22% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$25,407 | $6,733 | -17% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$9,177 | $1,908 | -22% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$31,082 | $5,673 | -22% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$12,865 | $2,669 | -33% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$30,794 | $10,791 | -34% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$27,316 | $10,358 | -37% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$18,189 | $7,135 | -39% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$37,399 | $14,440 | -43% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$19,071 | $12,002 | -64% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$12,875 | $4,832 | -63% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$11,024 | $2,650 | -53% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$16,083 | $7,806 | -51% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$9,515 | $2,292 | -51% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$24,695 | $10,240 | -49% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$6,013 | $1,593 | -49% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$5,347 | $876 | -47% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.