Georgia / Phoebe Sumter Medical Center
CMS certification 110044 · Americus, GA · 1 entry in CMS's price-transparency list
Phoebe Sumter Medical Center: charges and Medicare payments
Phoebe Sumter Medical Center reported 230 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.26 times what it was paid — among the lower ratios in Georgia, number 60 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: 37 stays at an average charge of $28,913, 49% below the national average. It also billed 257 outpatient services, charging 7.61 times what Medicare paid.
- 1Medicare inpatient stays 230
- 2Charge ÷ paid, inpatient 3.26×
- 3Rank in GA (highest ratio = 1) 60 of 74
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, Phoebe Sumter Medical Center 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 | 37 | $28,913 | -49% | $11,349 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 36 | $48,429 | -46% | $16,424 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $45,953 | -20% | $11,295 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $49,515 | -17% | $13,459 |
| 683 Renal Failure with CC | 17 | $23,666 | -42% | $8,504 |
| 682 Renal Failure with MCC | 16 | $43,551 | -34% | $12,622 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $52,270 | -26% | $13,437 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $41,517 | -31% | $11,318 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $24,379 | -52% | $9,942 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $27,197 | -32% | $7,838 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $26,032 | -30% | $8,104 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $32,424 | -33% | $8,947 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 84 | $8,964 | $1,944 |
| Comprehensive Observation Services | 68 | $20,374 | $2,325 |
| Level 1 Laparoscopy and Related Services | 21 | $35,591 | $4,715 |
| Level 2 Upper GI Procedures | 19 | $11,424 | $1,616 |
| Level 5 Musculoskeletal Procedures | 18 | $58,786 | $11,165 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 13 | $7,804 | $1,377 |
| Level 2 Intraocular Procedures | 12 | $9,273 | $3,224 |
| Level 3 Musculoskeletal Procedures | 11 | $16,378 | $2,749 |
| Level 4 Musculoskeletal Procedures | 11 | $36,288 | $6,076 |
Against the Georgia average
For Heart Failure and Shock with MCC (DRG 291), Phoebe Sumter Medical Center charged $28,913 on average, 45% less than the Georgia average of $52,781, and was paid $11,349 against a state average of $12,005. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Phoebe Sumter Medical Center charged $48,429 on average, 43% less than the Georgia average of $85,396, and was paid $16,424 against a state average of $17,147. For Pulmonary Edema and Respiratory Failure (DRG 189), Phoebe Sumter Medical Center charged $45,953 on average, 18% less than the Georgia average of $55,758, and was paid $11,295 against a state average of $11,742. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Phoebe Sumter Medical Center charged $49,515 on average, 12% less than the Georgia average of $56,349, and was paid $13,459 against a state average of $12,110. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,964 was 50% below the state average of $18,060. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,374 was 3% below the state average of $20,900. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $35,591 was 18% below the state average of $43,535. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $11,424 was 23% below the state average of $14,925.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Phoebe Sumter Medical Center in Americus, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-03-03 (CMS case 7158)
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.