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.

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  1. 1Medicare inpatient stays 3,883
  2. 2Charge ÷ paid, inpatient 4.84×
  3. 3Rank in GA (highest ratio = 1) 30 of 74
  4. 4CMS price-transparency actions 0
DRG 871$93,253DRG 291$57,451DRG 274$179,097DRG 481$101,310DRG 552$43,909DRG 193$66,820DRG 640$60,346DRG 378$41,539DRG 309$29,866DRG 177$76,413
Average charge per stay at Atrium Health Navicent the Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC285$93,253+3%$18,505
291 Heart Failure and Shock with MCC186$57,451+2%$12,414
274 Percutaneous and Other Intracardiac Procedures without MCC131$179,097+14%$27,610
481 Hip and Femur Procedures except Major Joint with CC75$101,310+1%$18,826
552 Medical Back Problems without MCC74$43,909-10%$10,298
193 Simple Pneumonia and Pleurisy with MCC70$66,820+12%$13,915
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...65$60,3460%$12,706
378 Gastrointestinal Hemorrhage with CC62$41,539-14%$10,256
309 Cardiac Arrhythmia and Conduction Disorders with CC61$29,866-17%$8,334
177 Respiratory Infections and Inflammations with MCC59$76,413+8%$15,966
267 Endovascular Cardiac Valve Replacement and Supplement...58$202,395-9%$38,429
312 Syncope and Collapse57$42,912-6%$9,315
064 Intracranial Hemorrhage or Cerebral Infarction with MCC53$89,394-10%$18,578
280 Acute Myocardial Infarction, Discharged Alive with MCC53$73,773-3%$14,825
190 Chronic Obstructive Pulmonary Disease with MCC52$50,208-1%$10,803
377 Gastrointestinal Hemorrhage with MCC52$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 Failure51$80,161+39%$12,366
683 Renal Failure with CC50$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/MCC47$23,364-19%$6,727
083 Traumatic Stupor and Coma >1 Hour with CC45$60,443-18%$13,272
682 Renal Failure with MCC44$73,057+11%$14,271
690 Kidney and Urinary Tract Infections without MCC43$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 MCC39$128,242-8%$24,774
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...37$44,218+10%$8,727
460 Spinal Fusion except Cervical without MCC37$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 MCC36$96,013-17%$20,534
273 Percutaneous and Other Intracardiac Procedures with MCC36$193,645-10%$34,652
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC36$56,496+15%$11,410
308 Cardiac Arrhythmia and Conduction Disorders with MCC34$72,229+28%$12,898
698 Other Kidney and Urinary Tract Diagnoses with MCC34$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 CC32$93,546-16%$20,249
389 Gastrointestinal Obstruction with CC32$33,888-13%$8,744
689 Kidney and Urinary Tract Infections with MCC32$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 CC30$40,641+6%$9,214
314 Other Circulatory System Diagnoses with MCC30$65,062-31%$18,687
330 Major Small and Large Bowel Procedures with CC29$79,293-33%$20,886
025 Craniotomy and Endovascular Intracranial Procedures with MCC28$201,392-13%$37,157
329 Major Small and Large Bowel Procedures with MCC27$276,713+29%$46,720
472 Cervical Spinal Fusion with CC26$118,687-17%$26,088
699 Other Kidney and Urinary Tract Diagnoses with CC25$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 Thrombolytic23$39,357-22%$8,452
313 Chest Pain23$33,131-17%$8,003
100 Seizures with MCC22$77,613-18%$17,391
252 Other Vascular Procedures with MCC22$128,415-25%$30,403
281 Acute Myocardial Infarction, Discharged Alive with CC22$48,534-4%$9,618
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale21$52,383-20%$12,567
638 Diabetes with CC21$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.