Georgia / Atrium Health Navicent the Medical Center
CMS certification 110107 · Macon, GA
Atrium Health Navicent the Medical Center: charges and Medicare payments
Atrium Health Navicent the Medical Center reported 3,883 Medicare inpatient stays across 129 DRGs in 2024. Across them it charged 4.84 times what it was paid — mid-range in Georgia, number 30 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: 285 stays at an average charge of $93,253, 3% above the national average. It also billed 3,513 outpatient services, charging 7.97 times what Medicare paid.
- 1Medicare inpatient stays 3,883
- 2Charge ÷ paid, inpatient 4.84×
- 3Rank in GA (highest ratio = 1) 30 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 129 DRGs that can be compared with the national average, Atrium Health Navicent the Medical Center charged more than the national average in 38 (29%). 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 | 285 | $93,253 | +3% | $18,505 |
| 291 Heart Failure and Shock with MCC | 186 | $57,451 | +2% | $12,414 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 131 | $179,097 | +14% | $27,610 |
| 481 Hip and Femur Procedures except Major Joint with CC | 75 | $101,310 | +1% | $18,826 |
| 552 Medical Back Problems without MCC | 74 | $43,909 | -10% | $10,298 |
| 193 Simple Pneumonia and Pleurisy with MCC | 70 | $66,820 | +12% | $13,915 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 65 | $60,346 | 0% | $12,706 |
| 378 Gastrointestinal Hemorrhage with CC | 62 | $41,539 | -14% | $10,256 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 61 | $29,866 | -17% | $8,334 |
| 177 Respiratory Infections and Inflammations with MCC | 59 | $76,413 | +8% | $15,966 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 58 | $202,395 | -9% | $38,429 |
| 312 Syncope and Collapse | 57 | $42,912 | -6% | $9,315 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 53 | $89,394 | -10% | $18,578 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 53 | $73,773 | -3% | $14,825 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 52 | $50,208 | -1% | $10,803 |
| 377 Gastrointestinal Hemorrhage with MCC | 52 | $73,054 | -14% | $16,201 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 51 | $47,190 | -15% | $10,331 |
| 189 Pulmonary Edema and Respiratory Failure | 51 | $80,161 | +39% | $12,366 |
| 683 Renal Failure with CC | 50 | $43,143 | +6% | $9,827 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 50 | $211,463 | -8% | $45,666 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 47 | $23,364 | -19% | $6,727 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 45 | $60,443 | -18% | $13,272 |
| 682 Renal Failure with MCC | 44 | $73,057 | +11% | $14,271 |
| 690 Kidney and Urinary Tract Infections without MCC | 43 | $41,997 | +11% | $8,336 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 42 | $67,052 | +5% | $11,449 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 40 | $107,787 | -4% | $19,386 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 40 | $125,364 | +9% | $17,318 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 39 | $128,242 | -8% | $24,774 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $44,218 | +10% | $8,727 |
| 460 Spinal Fusion except Cervical without MCC | 37 | $157,455 | -8% | $34,051 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 37 | $79,485 | -22% | $18,456 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 36 | $96,013 | -17% | $20,534 |
| 273 Percutaneous and Other Intracardiac Procedures with MCC | 36 | $193,645 | -10% | $34,652 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $56,496 | +15% | $11,410 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 34 | $72,229 | +28% | $12,898 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $63,626 | -13% | $15,250 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 33 | $118,082 | -1% | $20,284 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 33 | $38,142 | +3% | $8,728 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 33 | $226,550 | +5% | $37,664 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 32 | $93,546 | -16% | $20,249 |
| 389 Gastrointestinal Obstruction with CC | 32 | $33,888 | -13% | $8,744 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $49,778 | -3% | $11,679 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $173,652 | +6% | $24,891 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 31 | $86,280 | -7% | $17,335 |
| 194 Simple Pneumonia and Pleurisy with CC | 30 | $40,641 | +6% | $9,214 |
| 314 Other Circulatory System Diagnoses with MCC | 30 | $65,062 | -31% | $18,687 |
| 330 Major Small and Large Bowel Procedures with CC | 29 | $79,293 | -33% | $20,886 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 28 | $201,392 | -13% | $37,157 |
| 329 Major Small and Large Bowel Procedures with MCC | 27 | $276,713 | +29% | $46,720 |
| 472 Cervical Spinal Fusion with CC | 26 | $118,687 | -17% | $26,088 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $32,082 | -32% | $10,236 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 24 | $117,325 | -14% | $24,305 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 24 | $258,514 | -9% | $49,222 |
| 069 Transient Ischemia without Thrombolytic | 23 | $39,357 | -22% | $8,452 |
| 313 Chest Pain | 23 | $33,131 | -17% | $8,003 |
| 100 Seizures with MCC | 22 | $77,613 | -18% | $17,391 |
| 252 Other Vascular Procedures with MCC | 22 | $128,415 | -25% | $30,403 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 22 | $48,534 | -4% | $9,618 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 21 | $52,383 | -20% | $12,567 |
| 638 Diabetes with CC | 21 | $59,132 | +42% | $12,212 |
Showing the 60 most frequent of 129 DRGs.
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Atrium Health Navicent the Medical Center charged $93,253 on average, 9% more than the Georgia average of $85,396, and was paid $18,505 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Atrium Health Navicent the Medical Center charged $57,451 on average, 9% more than the Georgia average of $52,781, and was paid $12,414 against a state average of $12,005. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Atrium Health Navicent the Medical Center charged $179,097 on average, 29% more than the Georgia average of $139,191, and was paid $27,610 against a state average of $26,112. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Atrium Health Navicent the Medical Center charged $101,310 on average, 5% less than the Georgia average of $107,098, and was paid $18,826 against a state average of $18,143. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $36,622 was 36% above the state average of $26,927. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,140 was 4% below the state average of $20,900. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,867 was 24% below the state average of $12,974. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,338 was 24% below the state average of $14,925.
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.