Georgia / Coffee Regional Medical Center, Inc
CMS certification 110089 · Douglas, GA
Coffee Regional Medical Center, Inc: charges and Medicare payments
Coffee Regional Medical Center, Inc reported 227 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 4.09 times what it was paid — mid-range in Georgia, number 46 of 74 hospitals with at least 100 stays (state median 4.44×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 46 stays at an average charge of $36,405, 35% below the national average. It also billed 1,173 outpatient services, charging 8.27 times what Medicare paid.
- 1Medicare inpatient stays 227
- 2Charge ÷ paid, inpatient 4.09×
- 3Rank in GA (highest ratio = 1) 46 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Coffee Regional Medical Center, Inc charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 46 | $36,405 | -35% | $9,837 |
| 194 Simple Pneumonia and Pleurisy with CC | 32 | $23,427 | -39% | $7,572 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $32,799 | -11% | $6,785 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 17 | $37,023 | -59% | $13,976 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $66,408 | -42% | $13,412 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $55,534 | -8% | $10,558 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 12 | $18,618 | -35% | $6,379 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $112,441 | -31% | $19,934 |
| 683 Renal Failure with CC | 12 | $26,412 | -35% | $7,540 |
| 177 Respiratory Infections and Inflammations with MCC | 11 | $35,903 | -49% | $11,650 |
| 193 Simple Pneumonia and Pleurisy with MCC | 11 | $45,222 | -24% | $10,108 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $22,387 | -44% | $6,908 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $81,406 | -20% | $15,169 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 656 | $15,746 | $2,442 |
| Level 1 Endovascular Procedures | 115 | $20,349 | $2,844 |
| Level 3 Urology and Related Services | 53 | $11,208 | $1,816 |
| Level 2 Urology and Related Services | 40 | $11,449 | $608 |
| Level 3 Endovascular Procedures | 38 | $52,233 | $9,300 |
| Level 1 Laparoscopy and Related Services | 37 | $24,559 | $5,223 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 34 | $9,684 | $1,463 |
| Level 5 Musculoskeletal Procedures | 30 | $76,565 | $11,214 |
| Level 4 Urology and Related Services | 30 | $17,048 | $3,156 |
| Level 3 Musculoskeletal Procedures | 24 | $30,948 | $2,930 |
| Level 1 Nerve Procedures | 23 | $20,640 | $1,687 |
| Level 2 Musculoskeletal Procedures | 22 | $13,981 | $1,297 |
| Level 4 Musculoskeletal Procedures | 20 | $64,620 | $6,476 |
| Level 5 Urology and Related Services | 17 | $17,026 | $4,465 |
| Level 3 Vascular Procedures | 12 | $17,310 | $2,885 |
| Level 3 Pacemaker and Similar Procedures | 11 | $33,922 | $9,660 |
| Level 1 Intraocular Procedures | 11 | $11,094 | $2,110 |
Against the Georgia average
For Heart Failure and Shock with MCC (DRG 291), Coffee Regional Medical Center, Inc charged $36,405 on average, 31% less than the Georgia average of $52,781, and was paid $9,837 against a state average of $12,005. For Simple Pneumonia and Pleurisy with CC (DRG 194), Coffee Regional Medical Center, Inc charged $23,427 on average, 35% less than the Georgia average of $35,914, and was paid $7,572 against a state average of $8,374. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC (DRG 641), Coffee Regional Medical Center, Inc charged $32,799 on average, 4% less than the Georgia average of $34,066, and was paid $6,785 against a state average of $7,979. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Coffee Regional Medical Center, Inc charged $37,023 on average, 57% less than the Georgia average of $85,396, and was paid $13,976 against a state average of $17,147. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,746 was 25% below the state average of $20,900. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,349 was 24% below the state average of $26,927. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $11,208 was 36% below the state average of $17,644. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $11,449 was 142% above the state average of $4,740.
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.