30/100
#1,879 nationally
Piedmont Macon North Hospital
400 Charter Boulevard, Macon, GA 31210 · (478) 757-5990
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Piedmont Macon North Hospital billed $6.89 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
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 21
- inpatient and outpatient combined
- Rank in GA
- #47
- 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 45% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 16% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
136 | $23,829 | $2,295 | +23% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
65 | $15,619 | $1,634 | +33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
51 | $55,624 | $14,041 | -15% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
42 | $37,182 | $4,274 | +35% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
39 | $57,219 | $5,418 | +44% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
39 | $53,026 | $3,348 | +157% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
38 | $37,395 | $9,460 | -14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
38 | $116,663 | $11,032 | +87% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
25 | $20,487 | $1,380 | +82% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
21 | $32,464 | $8,737 | -17% |
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 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$53,026 | $3,348 | +157% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$116,663 | $11,032 | +87% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$153,352 | $15,967 | +85% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$20,487 | $1,380 | +82% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$35,633 | $2,649 | +75% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$57,219 | $5,418 | +44% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$40,672 | $7,971 | +37% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$37,182 | $4,274 | +35% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$29,809 | $9,394 | -39% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$38,150 | $10,942 | -18% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$43,354 | $10,521 | -18% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$32,464 | $8,737 | -17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$55,624 | $14,041 | -15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$37,395 | $9,460 | -14% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$26,455 | $6,637 | -13% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$31,467 | $7,360 | -5% |
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.