Georgia / Sgmc Health
CMS certification 110122 · Valdosta, GA
Sgmc Health: charges and Medicare payments
Sgmc Health reported 2,361 Medicare inpatient stays across 71 DRGs in 2024. Across them it charged 3.4 times what it was paid — among the lower ratios in Georgia, number 58 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: 234 stays at an average charge of $54,131, 40% below the national average. It also billed 2,211 outpatient services, charging 7.62 times what Medicare paid.
- 1Medicare inpatient stays 2,361
- 2Charge ÷ paid, inpatient 3.4×
- 3Rank in GA (highest ratio = 1) 58 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 71 DRGs that can be compared with the national average, Sgmc Health charged more than the national average in 2 (3%). 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 | 234 | $54,131 | -40% | $15,532 |
| 291 Heart Failure and Shock with MCC | 181 | $26,498 | -53% | $9,808 |
| 177 Respiratory Infections and Inflammations with MCC | 118 | $38,729 | -45% | $11,966 |
| 690 Kidney and Urinary Tract Infections without MCC | 94 | $18,501 | -51% | $6,869 |
| 193 Simple Pneumonia and Pleurisy with MCC | 87 | $31,375 | -47% | $9,989 |
| 689 Kidney and Urinary Tract Infections with MCC | 84 | $22,590 | -56% | $8,561 |
| 189 Pulmonary Edema and Respiratory Failure | 55 | $31,157 | -46% | $9,634 |
| 683 Renal Failure with CC | 53 | $20,386 | -50% | $7,603 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $22,195 | -40% | $6,490 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 46 | $35,546 | -53% | $13,038 |
| 682 Renal Failure with MCC | 46 | $31,845 | -52% | $10,835 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 46 | $36,525 | -50% | $12,483 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $25,196 | -37% | $6,808 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 44 | $33,735 | -39% | $7,557 |
| 378 Gastrointestinal Hemorrhage with CC | 44 | $34,845 | -28% | $8,954 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 43 | $42,628 | -57% | $13,834 |
| 178 Respiratory Infections and Inflammations with CC | 42 | $22,399 | -51% | $8,047 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $21,733 | -64% | $9,692 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 38 | $28,234 | -42% | $8,597 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 37 | $79,066 | -31% | $17,072 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 37 | $136,503 | -40% | $41,102 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $41,327 | -52% | $12,517 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $62,684 | -38% | $15,201 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $20,579 | -43% | $6,324 |
| 312 Syncope and Collapse | 30 | $19,388 | -57% | $7,289 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 28 | $62,712 | -60% | $23,274 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $26,181 | -57% | $10,120 |
| 071 Other Cerebrovascular Disorders with CC | 27 | $24,742 | -51% | $7,963 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 27 | $33,178 | -34% | $7,753 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 27 | $69,437 | -32% | $14,981 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $25,486 | -34% | $6,826 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $24,619 | -48% | $8,371 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 22 | $150,352 | -32% | $33,064 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $33,421 | -41% | $10,577 |
| 070 Other Cerebrovascular Disorders with MCC | 20 | $42,251 | -44% | $12,136 |
| 811 Red Blood Cell Disorders with MCC | 20 | $33,067 | -51% | $10,409 |
| 101 Seizures without MCC | 19 | $23,347 | -52% | $9,127 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $14,715 | -49% | $5,396 |
| 330 Major Small and Large Bowel Procedures with CC | 17 | $71,891 | -40% | $19,351 |
| 389 Gastrointestinal Obstruction with CC | 17 | $19,933 | -49% | $6,874 |
| 637 Diabetes with MCC | 17 | $35,521 | -47% | $9,537 |
| 069 Transient Ischemia without Thrombolytic | 16 | $25,115 | -50% | $6,944 |
| 092 Other Disorders of Nervous System with CC | 16 | $19,773 | -62% | $7,958 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $31,652 | -51% | $12,207 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 16 | $132,689 | -37% | $28,579 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 16 | $45,664 | +5% | $9,788 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 16 | $105,010 | -36% | $20,447 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 16 | $60,872 | -22% | $11,986 |
| 638 Diabetes with CC | 16 | $19,284 | -54% | $7,142 |
| 091 Other Disorders of Nervous System with MCC | 15 | $54,451 | -34% | $13,559 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $93,186 | -57% | $29,642 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 15 | $28,378 | -40% | $8,640 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 14 | $93,740 | -31% | $22,844 |
| 252 Other Vascular Procedures with MCC | 14 | $101,004 | -41% | $28,954 |
| 388 Gastrointestinal Obstruction with MCC | 14 | $57,517 | -16% | $13,728 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 14 | $77,241 | -44% | $20,829 |
| 536 Fractures of Hip and Pelvis without MCC | 14 | $15,499 | -59% | $6,708 |
| 603 Cellulitis without MCC | 14 | $17,590 | -53% | $7,446 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 14 | $192,245 | -41% | $52,511 |
| 552 Medical Back Problems without MCC | 13 | $19,635 | -60% | $7,460 |
Showing the 60 most frequent of 71 DRGs.
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sgmc Health charged $54,131 on average, 37% less than the Georgia average of $85,396, and was paid $15,532 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Sgmc Health charged $26,498 on average, 50% less than the Georgia average of $52,781, and was paid $9,808 against a state average of $12,005. For Respiratory Infections and Inflammations with MCC (DRG 177), Sgmc Health charged $38,729 on average, 41% less than the Georgia average of $66,006, and was paid $11,966 against a state average of $14,774. For Kidney and Urinary Tract Infections without MCC (DRG 690), Sgmc Health charged $18,501 on average, 44% less than the Georgia average of $32,908, and was paid $6,869 against a state average of $8,115. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,041 was 33% below the state average of $20,900. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,075 was 38% below the state average of $12,974. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $11,679 was 57% below the state average of $26,927. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $6,514 was 37% 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.