Upson Regional Medical Center

801 W Gordon Street, Thomaston, GA 30286 · (706) 647-8111

Charges well above the national norm

For every $1 of care Medicare actually paid for here, Upson Regional Medical Center billed $4.82 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.

See all 24 prices How we grade

Charge-to-payment: 4.8x; volume-weighted across all its priced work
Procedures priced: 24; inpatient and outpatient combined
Rank in GA: #27; lower markup ranks higher
CMS quality stars: 1/5; 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.

Inpatient charge markup 20.1/35

Better than 57% of U.S. hospitals.

Outpatient charge markup 9.9/25

Better than 40% of U.S. hospitals.

Price level vs national median 14.7/30

Better than 49% of U.S. hospitals.

Price consistency 5.8/10

Better than 58% 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	97	$24,600	$2,629	+27%
Sepsis (severe) MS-DRG 871 · Inpatient stay	33	$48,420	$15,233	-26%
Level 1 Laparoscopy and Related Services APC 5361 · Hospital outpatient visit	32	$34,586	$5,634	about average
Level 4 Urology and Related Services APC 5374 · Hospital outpatient visit	28	$31,808	$3,404	+54%
Level 1 Intraocular Procedures APC 5491 · Hospital outpatient visit	28	$13,611	$2,276	+16%
Heart Failure (severe) MS-DRG 291 · Inpatient stay	25	$36,267	$11,608	-16%
Urinary Tract Infection (without major complications) MS-DRG 690 · Inpatient stay	21	$26,033	$7,257	-13%
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications MS-DRG 522 · Inpatient stay	19	$76,885	$16,306	-10%
Fluid and Electrolyte Disorder (without major complications) MS-DRG 641 · Inpatient stay	19	$29,971	$7,002	about average
Level 5 Urology and Related Services APC 5375 · Hospital outpatient visit	19	$30,910	$5,053	+13%

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 4 Urology and Related Services APC 5374 · Hospital outpatient visit	$31,808	$3,404	+54%
Level 2 Excision/ Biopsy/ Incision and Drainage APC 5072 · Hospital outpatient visit	$13,072	$1,439	+30%
Comprehensive Observation Services APC 8011 · Hospital outpatient visit	$24,600	$2,629	+27%
Level 5 Musculoskeletal Procedures APC 5115 · Hospital outpatient visit	$72,770	$12,832	+17%
Level 1 Intraocular Procedures APC 5491 · Hospital outpatient visit	$13,611	$2,276	+16%
Level 5 Urology and Related Services APC 5375 · Hospital outpatient visit	$30,910	$5,053	+13%
Level 1 Nerve Procedures APC 5431 · Hospital outpatient visit	$12,495	$1,885	+10%
Level 2 Upper GI Procedures APC 5302 · Hospital outpatient visit	$12,774	$1,858	+9%

Where it charges least relative to everyone else

Procedure	Charged	Actually paid	vs national
Hip or Thigh Bone Surgery (with complications) MS-DRG 481 · Inpatient stay	$53,875	$15,984	-35%
Pneumonia (with complications) MS-DRG 194 · Inpatient stay	$21,800	$7,431	-31%
Red Blood Cell Disorders without Major Complications MS-DRG 812 · Inpatient stay	$26,821	$7,890	-28%
Level 1 Endovascular Procedures APC 5191 · Hospital outpatient visit	$18,418	$3,055	-27%
Sepsis (severe) MS-DRG 871 · Inpatient stay	$48,420	$15,233	-26%
Level 4 Musculoskeletal Procedures APC 5114 · Hospital outpatient visit	$31,385	$6,986	-21%
Respiratory Failure MS-DRG 189 · Inpatient stay	$38,292	$10,270	-21%
Level 3 Vascular Procedures APC 5183 · Hospital outpatient visit	$15,453	$3,112	-19%

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.

Lower markups near Thomaston

A
Ty Cobb Regional Medical Center, Llc
2.6x · Lavonia, GA
A
Southeast Georgia Health System -- Camden Campus
2.6x · Saint Marys, GA
A
Southeast Georgia Health System- Brunswick Campus
2.7x · Brunswick, GA
A
Navicent Health Baldwin
3.1x · Milledgeville, GA
A
Crisp Regional Hospital
3.1x · Cordele, GA
A
Colquitt Regional Medical Center
3.2x · Moultrie, GA

Compare with Ty Cobb Regional Medical Cen...

The record

CMS provider number: 110002
Type: Acute Care Hospitals
Ownership: Voluntary non-profit - Other
Emergency department: Yes
Setting: Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

Source: CMS Medicare Inpatient and Outpatient utilisation files and Hospital General Information. See the files.