Georgia / Piedmont Macon Medical Center
CMS certification 110164 · Macon, GA · 4 entries in CMS's price-transparency list
Piedmont Macon Medical Center: charges and Medicare payments
Piedmont Macon Medical Center reported 1,217 Medicare inpatient stays across 42 DRGs in 2024. Across them it charged 5.69 times what it was paid — among the higher ratios in Georgia, number 18 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: 263 stays at an average charge of $87,627, 3% below the national average. It also billed 1,381 outpatient services, charging 9.9 times what Medicare paid.
- 1Medicare inpatient stays 1,217
- 2Charge ÷ paid, inpatient 5.69×
- 3Rank in GA (highest ratio = 1) 18 of 74
- 4CMS price-transparency actions 4
Inpatient stays
For the 42 DRGs that can be compared with the national average, Piedmont Macon Medical Center charged more than the national average in 22 (52%). 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 | 263 | $87,627 | -3% | $16,096 |
| 291 Heart Failure and Shock with MCC | 62 | $65,455 | +16% | $11,750 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $47,512 | -3% | $8,945 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $52,674 | -25% | $14,516 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $50,239 | -13% | $11,332 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $50,740 | -15% | $11,627 |
| 689 Kidney and Urinary Tract Infections with MCC | 38 | $51,142 | 0% | $9,935 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $58,167 | +15% | $9,831 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 32 | $61,938 | +11% | $9,874 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $70,521 | +17% | $11,078 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 28 | $182,491 | +16% | $25,565 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $34,585 | -14% | $7,341 |
| 682 Renal Failure with MCC | 27 | $55,312 | -16% | $11,985 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $162,569 | -29% | $38,029 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 25 | $73,140 | +29% | $10,919 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $45,523 | -6% | $8,866 |
| 683 Renal Failure with CC | 25 | $37,182 | -9% | $7,991 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $97,048 | +28% | $13,606 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $76,750 | +5% | $13,349 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $38,039 | +5% | $7,735 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $47,477 | -6% | $9,200 |
| 690 Kidney and Urinary Tract Infections without MCC | 20 | $36,537 | -3% | $7,277 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 20 | $308,396 | -5% | $52,514 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 18 | $260,457 | +24% | $43,148 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 18 | $111,120 | -3% | $17,444 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 17 | $40,172 | +40% | $5,409 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 17 | $233,992 | +15% | $38,928 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $88,893 | -11% | $14,419 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $75,606 | -11% | $14,571 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $38,656 | +4% | $6,878 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $89,329 | +37% | $12,588 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $143,784 | +6% | $20,459 |
| 312 Syncope and Collapse | 15 | $46,855 | +3% | $7,701 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 15 | $200,629 | +23% | $24,429 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $110,674 | +10% | $16,021 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $119,510 | +17% | $17,344 |
| 101 Seizures without MCC | 13 | $43,574 | -11% | $8,151 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 13 | $284,882 | +6% | $47,690 |
| 304 Hypertension with MCC | 12 | $61,873 | +8% | $10,196 |
| 305 Hypertension without MCC | 12 | $34,071 | -15% | $6,768 |
| 637 Diabetes with MCC | 12 | $131,506 | +98% | $12,519 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $60,615 | -5% | $8,769 |
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Piedmont Macon Medical Center charged $87,627 on average, 3% more than the Georgia average of $85,396, and was paid $16,096 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Piedmont Macon Medical Center charged $65,455 on average, 24% more than the Georgia average of $52,781, and was paid $11,750 against a state average of $12,005. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Piedmont Macon Medical Center charged $47,512 on average, 9% more than the Georgia average of $43,563, and was paid $8,945 against a state average of $9,785. For Respiratory Infections and Inflammations with MCC (DRG 177), Piedmont Macon Medical Center charged $52,674 on average, 20% less than the Georgia average of $66,006, and was paid $14,516 against a state average of $14,774. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,302 was 21% above the state average of $20,900. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,561 was 6% above the state average of $26,927. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $76,075 was 34% above the state average of $56,827. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $173,893 was 30% above the state average of $134,007.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Piedmont Macon Medical Center in Macon, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-02-16 (CMS case 1475)
- CAP Request — 2023-08-04 (CMS case 1475)
- Closure Notice — 2023-10-11 (CMS case 1475)
- Met Requirements — 2025-08-19 (CMS case 6291)
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.