Georgia / Navicent Health Baldwin
CMS certification 110150 · Milledgeville, GA · 1 entry in CMS's price-transparency list
Navicent Health Baldwin: charges and Medicare payments
Navicent Health Baldwin reported 195 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 2.5 times what it was paid — among the lower ratios in Georgia, number 70 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: 47 stays at an average charge of $37,399, 59% below the national average. It also billed 382 outpatient services, charging 5.79 times what Medicare paid.
- 1Medicare inpatient stays 195
- 2Charge ÷ paid, inpatient 2.5×
- 3Rank in GA (highest ratio = 1) 70 of 74
- 4CMS price-transparency actions 1
Inpatient stays
For the 10 DRGs that can be compared with the national average, Navicent Health Baldwin 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 47 | $37,399 | -59% | $14,440 |
| 291 Heart Failure and Shock with MCC | 28 | $27,316 | -52% | $10,358 |
| 193 Simple Pneumonia and Pleurisy with MCC | 22 | $30,794 | -48% | $10,791 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $30,145 | -57% | $12,330 |
| 682 Renal Failure with MCC | 15 | $19,071 | -71% | $12,002 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 14 | $22,254 | -56% | $10,274 |
| 683 Renal Failure with CC | 14 | $16,083 | -60% | $7,806 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $18,188 | -52% | $7,135 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 12 | $25,407 | -30% | $6,733 |
| 189 Pulmonary Edema and Respiratory Failure | 11 | $24,695 | -57% | $10,240 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 234 | $9,177 | $1,908 |
| Comprehensive Observation Services | 47 | $9,515 | $2,292 |
| Level 4 Urology and Related Services | 18 | $11,247 | $2,661 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 15 | $5,347 | $876 |
| Level 4 Musculoskeletal Procedures | 15 | $31,082 | $5,673 |
| Level 2 Upper GI Procedures | 14 | $6,013 | $1,593 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 14 | $11,024 | $2,650 |
| Level 3 Vascular Procedures | 13 | $12,865 | $2,669 |
| Level 1 Laparoscopy and Related Services | 12 | $12,875 | $4,832 |
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Navicent Health Baldwin charged $37,399 on average, 56% less than the Georgia average of $85,396, and was paid $14,440 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Navicent Health Baldwin charged $27,316 on average, 48% less than the Georgia average of $52,781, and was paid $10,358 against a state average of $12,005. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Navicent Health Baldwin charged $30,794 on average, 45% less than the Georgia average of $56,349, and was paid $10,791 against a state average of $12,110. For Respiratory Infections and Inflammations with MCC (DRG 177), Navicent Health Baldwin charged $30,145 on average, 54% less than the Georgia average of $66,006, and was paid $12,330 against a state average of $14,774. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,177 was 49% below the state average of $18,060. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,515 was 54% below the state average of $20,900. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $11,247 was 59% below the state average of $27,163. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,347 was 59% below the state average of $12,974.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Navicent Health Baldwin in Milledgeville, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-23 (CMS case 3859)
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.