Georgia / Grady Memorial Hospital
CMS certification 110079 · Atlanta, GA · 4 entries in CMS's price-transparency list
Grady Memorial Hospital: charges and Medicare payments
Grady Memorial Hospital reported 2,585 Medicare inpatient stays across 86 DRGs in 2024. Across them it charged 4.4 times what it was paid — mid-range in Georgia, number 38 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: 158 stays at an average charge of $71,888, 28% above the national average. It also billed 944 outpatient services, charging 16.89 times what Medicare paid.
- 1Medicare inpatient stays 2,585
- 2Charge ÷ paid, inpatient 4.4×
- 3Rank in GA (highest ratio = 1) 38 of 74
- 4CMS price-transparency actions 4
Inpatient stays
For the 86 DRGs that can be compared with the national average, Grady Memorial Hospital charged more than the national average in 80 (93%). 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 | 158 | $71,888 | +28% | $26,754 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 158 | $168,692 | +87% | $35,596 |
| 812 Red Blood Cell Disorders without MCC | 98 | $47,892 | +8% | $23,086 |
| 552 Medical Back Problems without MCC | 82 | $99,984 | +105% | $23,271 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 72 | $199,183 | +99% | $37,334 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 64 | $83,208 | +38% | $26,968 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 61 | $105,661 | +90% | $24,878 |
| 481 Hip and Femur Procedures except Major Joint with CC | 51 | $217,947 | +116% | $36,427 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 50 | $352,566 | +25% | $70,498 |
| 057 Degenerative Nervous System Disorders without MCC | 50 | $72,839 | +29% | $27,451 |
| 312 Syncope and Collapse | 45 | $82,242 | +81% | $23,254 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 44 | $112,533 | +65% | $28,488 |
| 100 Seizures with MCC | 43 | $190,441 | +102% | $39,080 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 41 | $290,215 | +109% | $46,358 |
| 811 Red Blood Cell Disorders with MCC | 41 | $78,881 | +16% | $28,542 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $80,872 | +15% | $30,944 |
| 184 Major Chest Trauma with CC | 40 | $106,823 | +93% | $26,907 |
| 551 Medical Back Problems with MCC | 40 | $175,407 | +123% | $32,958 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 39 | $234,400 | +103% | $39,962 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 39 | $132,085 | +80% | $28,921 |
| 189 Pulmonary Edema and Respiratory Failure | 38 | $79,101 | +37% | $26,357 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 38 | $433,592 | +34% | $82,373 |
| 101 Seizures without MCC | 37 | $69,005 | +42% | $22,809 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 34 | $105,729 | +44% | $31,793 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 34 | $95,276 | +27% | $28,749 |
| 085 Traumatic Stupor and Coma <1 Hour with MCC | 31 | $179,374 | +65% | $39,834 |
| 193 Simple Pneumonia and Pleurisy with MCC | 31 | $87,581 | +47% | $27,924 |
| 637 Diabetes with MCC | 31 | $122,637 | +84% | $30,088 |
| 683 Renal Failure with CC | 31 | $55,313 | +36% | $22,572 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 30 | $79,648 | +72% | $22,322 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 29 | $531,325 | +130% | $67,412 |
| 071 Other Cerebrovascular Disorders with CC | 27 | $79,990 | +58% | $25,634 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 26 | $195,130 | +91% | $35,430 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 26 | $73,783 | +73% | $23,153 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 25 | $260,823 | +119% | $39,112 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $71,239 | +88% | $22,078 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $136,111 | +80% | $29,050 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $74,171 | +100% | $21,558 |
| 884 Organic Disturbances and Intellectual Disability | 24 | $97,256 | +56% | $32,612 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $674,514 | +195% | $94,999 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 23 | $57,344 | +55% | $22,768 |
| 638 Diabetes with CC | 22 | $65,931 | +58% | $22,872 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $87,503 | +70% | $24,733 |
| 964 Other Multiple Significant Trauma with CC | 22 | $137,579 | +76% | $31,338 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 21 | $847,860 | +38% | $160,118 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 20 | $99,163 | +96% | $25,422 |
| 314 Other Circulatory System Diagnoses with MCC | 20 | $105,581 | +11% | $33,608 |
| 682 Renal Failure with MCC | 20 | $81,852 | +24% | $28,306 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $62,992 | +28% | $23,146 |
| 956 Limb Reattachment, Hip and Femur Procedures for Multiple... | 20 | $406,421 | +130% | $68,359 |
| 091 Other Disorders of Nervous System with MCC | 19 | $162,538 | +96% | $34,066 |
| 394 Other Digestive System Diagnoses with CC | 19 | $56,341 | +20% | $23,726 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $43,764 | -8% | $21,811 |
| 885 Psychoses | 19 | $52,439 | +19% | $29,258 |
| 070 Other Cerebrovascular Disorders with MCC | 18 | $132,951 | +75% | $33,123 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $164,638 | +93% | $32,016 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $57,832 | +19% | $22,015 |
| 003 ECMO or Tracheostomy with MV >96 Hours or Principal... | 17 | $1,096,260 | +4% | $172,319 |
| 024 Craniotomy with Major Device Implant or Acute Complex Cns... | 17 | $187,797 | -2% | $52,762 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 17 | $111,174 | +71% | $26,469 |
Showing the 60 most frequent of 86 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 410 | $28,347 | $2,513 |
| Level 1 Intraocular Procedures | 103 | $37,759 | $2,163 |
| Level 2 Urology and Related Services | 70 | $3,376 | $634 |
| Level 3 Urology and Related Services | 69 | $21,575 | $1,890 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 61 | $16,845 | $1,505 |
| Level 3 Vascular Procedures | 32 | $41,298 | $2,866 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 23 | $44,312 | $2,637 |
| Level 5 Urology and Related Services | 20 | $77,067 | $4,802 |
| Level 1 Laparoscopy and Related Services | 16 | $127,264 | $5,355 |
| Level 4 Musculoskeletal Procedures | 15 | $110,268 | $6,287 |
| Level 2 Vascular Procedures | 15 | $11,778 | $1,388 |
| Level 5 Airway Endoscopy | 14 | $60,105 | $6,352 |
| Level 4 Airway Endoscopy | 13 | $36,662 | $3,475 |
| Level 2 Upper GI Procedures | 13 | $16,243 | $1,766 |
| Level 1 Nerve Procedures | 13 | $14,755 | $1,792 |
| Level 2 Musculoskeletal Procedures | 12 | $31,918 | $1,492 |
| Level 4 Vascular Procedures | 12 | $109,194 | $4,675 |
| Level 4 Urology and Related Services | 11 | $58,392 | $3,235 |
| Level 4 Gynecologic Procedures | 11 | $43,499 | $2,901 |
| Level 2 Intraocular Procedures | 11 | $65,637 | $3,773 |
Against the Georgia average
For Heart Failure and Shock with MCC (DRG 291), Grady Memorial Hospital charged $71,888 on average, 36% more than the Georgia average of $52,781, and was paid $26,754 against a state average of $12,005. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Grady Memorial Hospital charged $168,692 on average, 98% more than the Georgia average of $85,396, and was paid $35,596 against a state average of $17,147. For Red Blood Cell Disorders without MCC (DRG 812), Grady Memorial Hospital charged $47,892 on average, 17% more than the Georgia average of $41,043, and was paid $23,086 against a state average of $10,543. For Medical Back Problems without MCC (DRG 552), Grady Memorial Hospital charged $99,984 on average, 112% more than the Georgia average of $47,254, and was paid $23,271 against a state average of $10,323. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,347 was 36% above the state average of $20,900. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $37,759 was 109% above the state average of $18,060. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,376 was 29% below the state average of $4,740. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $21,575 was 22% above the state average of $17,644.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Grady Memorial Hospital in Atlanta, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-18 (CMS case 832)
- Closure Notice — 2023-09-25 (CMS case 832)
- CAP Request — 2025-04-28 (CMS case 4130)
- Closure Notice — 2025-06-20 (CMS case 4130)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.