Ungraded
#850 nationally
Stephens County Hospital
163 Hospital Drive, Toccoa, GA 30577 · (706) 282-4250
Not enough published pricing to grade
For every $1 of care Medicare actually paid for here, Stephens County Hospital billed $3.41 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
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 9
- inpatient and outpatient combined
- Rank in GA
- #15
- lower markup ranks higher
- CMS quality stars
- 2/5
- shown for context, not in the grade
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 |
124 | $10,826 | $2,284 | -44% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
63 | $20,134 | $9,982 | -58% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
62 | $6,347 | $1,370 | -37% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
48 | $13,723 | $1,970 | +17% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
16 | $24,291 | $16,982 | -63% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
13 | $89,140 | $11,112 | +43% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
13 | $17,077 | $1,359 | +52% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
12 | $18,623 | $6,713 | -39% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
11 | $9,568 | $7,497 | -69% |
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 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$17,077 | $1,359 | +52% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$89,140 | $11,112 | +43% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$13,723 | $1,970 | +17% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,347 | $1,370 | -37% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$18,623 | $6,713 | -39% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$10,826 | $2,284 | -44% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$20,134 | $9,982 | -58% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$24,291 | $16,982 | -63% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$9,568 | $7,497 | -69% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$24,291 | $16,982 | -63% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$20,134 | $9,982 | -58% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$10,826 | $2,284 | -44% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$18,623 | $6,713 | -39% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,347 | $1,370 | -37% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$13,723 | $1,970 | +17% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$89,140 | $11,112 | +43% |
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.