Georgia / Burke Medical Center
CMS certification 110113 · Waynesboro, GA
Burke Medical Center: charges and Medicare payments
Burke Medical Center reported 58 Medicare inpatient stays across 4 DRGs in 2024. Across them it charged 8.24 times what it was paid. Its most frequent stay was DRG 460, Spinal Fusion except Cervical without MCC: 18 stays at an average charge of $305,888, 80% above the national average. It also billed 1,091 outpatient services, charging 14.79 times what Medicare paid.
- 1Medicare inpatient stays 58
- 2Charge ÷ paid, inpatient 8.24×
- 3Rank in GA (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 4 DRGs that can be compared with the national average, Burke Medical Center charged more than the national average in 4 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 460 Spinal Fusion except Cervical without MCC | 18 | $305,888 | +80% | $37,032 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 15 | $185,104 | +49% | $25,907 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 14 | $362,604 | +79% | $46,883 |
| 451 Single Level Spinal Fusion except Cervical without MCC | 11 | $329,943 | +120% | $31,908 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 594 | $136,959 | $11,045 |
| Level 4 Musculoskeletal Procedures | 133 | $77,069 | $5,982 |
| Level 6 Musculoskeletal Procedures | 126 | $216,180 | $15,297 |
| Level 1 Endovascular Procedures | 59 | $27,803 | $2,698 |
| Comprehensive Observation Services | 51 | $11,060 | $2,316 |
| Level 2 Musculoskeletal Procedures | 45 | $8,860 | $1,339 |
| Level 3 Musculoskeletal Procedures | 44 | $24,533 | $2,581 |
| Level 1 Nerve Procedures | 21 | $16,725 | $1,634 |
| Level 3 Endovascular Procedures | 18 | $111,163 | $8,878 |
Against the Georgia average
For Spinal Fusion except Cervical without MCC (DRG 460), Burke Medical Center charged $305,888 on average, 79% more than the Georgia average of $170,544, and was paid $37,032 against a state average of $32,914. For Revision of Hip or Knee Replacement without CC/MCC (DRG 468), Burke Medical Center charged $185,104 on average, 42% more than the Georgia average of $130,524, and was paid $25,907 against a state average of $22,544. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Burke Medical Center charged $362,604 on average, 65% more than the Georgia average of $219,427, and was paid $46,883 against a state average of $40,425. For Single Level Spinal Fusion except Cervical without MCC (DRG 451), Burke Medical Center charged $329,943 on average, 92% more than the Georgia average of $171,994, and was paid $31,908 against a state average of $29,346. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $136,959 was 68% above the state average of $81,545. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $77,069 was 40% above the state average of $54,962. For Level 6 Musculoskeletal Procedures (outpatient APC 5116), its average charge of $216,180 was 89% above the state average of $114,461. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $27,803 was 3% 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.