Georgia / Adventhealth Gordon
CMS certification 110023 · Calhoun, GA
Adventhealth Gordon: charges and Medicare payments
Adventhealth Gordon reported 584 Medicare inpatient stays across 19 DRGs in 2024. Across them it charged 5.42 times what it was paid — among the higher ratios in Georgia, number 22 of 74 hospitals with at least 100 stays (state median 4.44×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 165 stays at an average charge of $89,759, 1% below the national average. It also billed 1,007 outpatient services, charging 14.12 times what Medicare paid.
- 1Medicare inpatient stays 584
- 2Charge ÷ paid, inpatient 5.42×
- 3Rank in GA (highest ratio = 1) 22 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 19 DRGs that can be compared with the national average, Adventhealth Gordon charged more than the national average in 6 (32%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 165 | $89,759 | -1% | $17,090 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 79 | $67,558 | -11% | $12,099 |
| 291 Heart Failure and Shock with MCC | 41 | $50,772 | -10% | $11,153 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $62,347 | +4% | $11,333 |
| 177 Respiratory Infections and Inflammations with MCC | 26 | $99,002 | +40% | $12,629 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $47,161 | -8% | $10,036 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $68,702 | -6% | $19,329 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 20 | $100,663 | -10% | $16,977 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 20 | $168,822 | +3% | $29,820 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $44,845 | -9% | $8,845 |
| 481 Hip and Femur Procedures except Major Joint with CC | 19 | $134,358 | +33% | $15,104 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $33,406 | -17% | $8,718 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $55,986 | -3% | $10,478 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $134,841 | -41% | $30,506 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $50,757 | -9% | $8,156 |
| 389 Gastrointestinal Obstruction with CC | 14 | $31,666 | -19% | $7,008 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $80,500 | +59% | $9,065 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $43,013 | -29% | $10,671 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $39,939 | +6% | $6,939 |
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventhealth Gordon charged $89,759 on average, 5% more than the Georgia average of $85,396, and was paid $17,090 against a state average of $17,147. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adventhealth Gordon charged $67,558 on average, 11% less than the Georgia average of $76,091, and was paid $12,099 against a state average of $13,912. For Heart Failure and Shock with MCC (DRG 291), Adventhealth Gordon charged $50,772 on average, 4% less than the Georgia average of $52,781, and was paid $11,153 against a state average of $12,005. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventhealth Gordon charged $62,347 on average, 11% more than the Georgia average of $56,349, and was paid $11,333 against a state average of $12,110. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $28,770 was 59% above the state average of $18,060. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $34,515 was 65% above the state average of $20,900. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $50,959 was 44% above the state average of $35,322. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $42,442 was 58% above the state average of $26,927.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.