32/100
#1,823 nationally
Piedmont Athens Regional Medical Center
1199 Prince Avenue, Athens, GA 30606 · (706) 475-7000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Piedmont Athens Regional Medical Center billed $5.58 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
- 5.6x
- volume-weighted across all its priced work
- Procedures priced
- 160
- inpatient and outpatient combined
- Rank in GA
- #41
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 35% of U.S. hospitals.
Better than 24% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 30% 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 |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
690 | $72,256 | $16,877 | +11% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
582 | $21,993 | $2,376 | +13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
378 | $48,261 | $11,529 | +11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
285 | $14,806 | $1,406 | +47% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
266 | $27,765 | $2,889 | +10% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
162 | $15,242 | $1,644 | +30% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
152 | $41,398 | $9,505 | +6% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
151 | $22,302 | $2,789 | +17% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
145 | $48,313 | $4,904 | +38% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
136 | $30,919 | $2,022 | +163% |
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 |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$30,919 | $2,022 | +163% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$26,937 | $1,701 | +137% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$43,810 | $3,575 | +112% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$27,185 | $1,751 | +110% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$49,891 | $4,161 | +106% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$22,875 | $1,468 | +101% |
|
Level 3 Breast/lymphatic Surgery and Related Procedures
APC 5093 · Hospital outpatient visit |
$123,030 | $8,526 | +83% |
|
Level 4 Gynecologic Procedures
APC 5414 · Hospital outpatient visit |
$32,703 | $2,733 | +80% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$50,689 | $17,241 | -37% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$50,293 | $17,629 | -36% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$46,196 | $14,615 | -35% |
|
Traumatic Stupor and Coma <1 Hour with Major Complications
MS-DRG 085 · Inpatient stay |
$69,457 | $15,340 | -29% |
|
Other Disorders of Nervous System with Complications
MS-DRG 092 · Inpatient stay |
$33,470 | $10,014 | -26% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$34,108 | $9,196 | -23% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$32,796 | $7,637 | -21% |
|
Nervous System Neoplasms with Major Complications
MS-DRG 054 · Inpatient stay |
$52,906 | $12,643 | -20% |
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.