Georgia / St Mary's Hospital
CMS certification 110006 · Athens, GA · 3 entries in CMS's price-transparency list
St Mary's Hospital: charges and Medicare payments
St Mary's Hospital reported 1,317 Medicare inpatient stays across 58 DRGs in 2024. Across them it charged 3.21 times what it was paid — among the lower ratios in Georgia, number 62 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: 88 stays at an average charge of $48,464, 46% below the national average. It also billed 1,851 outpatient services, charging 7.36 times what Medicare paid.
- 1Medicare inpatient stays 1,317
- 2Charge ÷ paid, inpatient 3.21×
- 3Rank in GA (highest ratio = 1) 62 of 74
- 4CMS price-transparency actions 3
Inpatient stays
For the 58 DRGs that can be compared with the national average, St Mary's Hospital charged more than the national average in 1 (2%). 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 | 88 | $48,464 | -46% | $16,915 |
| 291 Heart Failure and Shock with MCC | 84 | $29,171 | -48% | $12,179 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 54 | $128,753 | -37% | $38,427 |
| 690 Kidney and Urinary Tract Infections without MCC | 46 | $22,431 | -41% | $8,165 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 42 | $157,160 | -44% | $53,967 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 42 | $69,798 | -25% | $16,083 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 41 | $34,041 | -39% | $9,807 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 37 | $81,599 | -29% | $19,032 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $22,445 | -44% | $8,008 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 30 | $70,806 | -29% | $17,372 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $20,346 | -58% | $9,916 |
| 481 Hip and Femur Procedures except Major Joint with CC | 29 | $67,340 | -33% | $18,169 |
| 689 Kidney and Urinary Tract Infections with MCC | 29 | $34,594 | -33% | $11,293 |
| 177 Respiratory Infections and Inflammations with MCC | 28 | $40,576 | -43% | $14,672 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $23,881 | -34% | $7,542 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $30,568 | -49% | $12,356 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 25 | $33,161 | -48% | $10,519 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $21,978 | -43% | $8,254 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $123,489 | -46% | $39,554 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 22 | $66,408 | -46% | $22,473 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $18,497 | -50% | $7,502 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $24,243 | -51% | $10,262 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $33,705 | -44% | $11,659 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $68,207 | -33% | $18,305 |
| 377 Gastrointestinal Hemorrhage with MCC | 19 | $38,603 | -55% | $16,953 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 18 | $43,241 | -43% | $13,928 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $79,817 | -33% | $20,609 |
| 812 Red Blood Cell Disorders without MCC | 18 | $15,613 | -65% | $11,753 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 17 | $16,716 | -42% | $5,836 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 17 | $57,086 | -39% | $14,385 |
| 472 Cervical Spinal Fusion with CC | 17 | $93,767 | -34% | $24,372 |
| 683 Renal Failure with CC | 17 | $25,259 | -38% | $8,871 |
| 057 Degenerative Nervous System Disorders without MCC | 16 | $31,453 | -44% | $12,133 |
| 069 Transient Ischemia without Thrombolytic | 16 | $21,746 | -57% | $7,810 |
| 313 Chest Pain | 16 | $23,907 | -40% | $7,008 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 15 | $154,214 | -33% | $33,050 |
| 460 Spinal Fusion except Cervical without MCC | 15 | $118,834 | -30% | $29,432 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 14 | $30,008 | -41% | $8,798 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $34,383 | -39% | $11,475 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $24,819 | -51% | $10,491 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $45,756 | -59% | $18,646 |
| 473 Cervical Spinal Fusion without CC/MCC | 13 | $80,640 | -30% | $20,547 |
| 682 Renal Failure with MCC | 13 | $42,386 | -36% | $12,701 |
| 027 Craniotomy and Endovascular Intracranial Procedures without... | 12 | $93,369 | -33% | $19,128 |
| 092 Other Disorders of Nervous System with CC | 12 | $28,305 | -45% | $10,054 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $33,388 | -42% | $13,670 |
| 402 Single Level Combined Anterior and Posterior Spinal Fusion... | 12 | $120,821 | -36% | $31,933 |
| 427 Multiple Level Combined Anterior and Posterior Spinal Fusion... | 12 | $174,912 | -49% | $55,011 |
| 637 Diabetes with MCC | 12 | $26,933 | -59% | $13,129 |
| 638 Diabetes with CC | 12 | $14,690 | -65% | $8,726 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 12 | $51,200 | -24% | $12,464 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $46,761 | -36% | $15,590 |
| 811 Red Blood Cell Disorders with MCC | 12 | $31,624 | -54% | $16,017 |
| 068 Precerebral Occlusion without Infarction without MCC | 11 | $21,669 | -59% | $8,232 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $27,130 | -40% | $9,006 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 11 | $116,440 | +5% | $19,286 |
| 467 Revision of Hip or Knee Replacement with CC | 11 | $77,760 | -51% | $26,686 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $56,955 | -42% | $21,048 |
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Mary's Hospital charged $48,464 on average, 43% less than the Georgia average of $85,396, and was paid $16,915 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), St Mary's Hospital charged $29,171 on average, 45% less than the Georgia average of $52,781, and was paid $12,179 against a state average of $12,005. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), St Mary's Hospital charged $128,753 on average, 41% less than the Georgia average of $219,427, and was paid $38,427 against a state average of $40,425. For Kidney and Urinary Tract Infections without MCC (DRG 690), St Mary's Hospital charged $22,431 on average, 32% less than the Georgia average of $32,908, and was paid $8,165 against a state average of $8,115. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $56,994 was 30% below the state average of $81,545. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $40,742 was 26% below the state average of $54,962. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,497 was 20% below the state average of $26,927. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,285 was 21% below the state average of $12,974.
Price-transparency record
CMS's enforcement list records these actions for a hospital named St Mary's Hospital in Athens, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-03-22 (CMS case 1691)
- Closure Notice — 2024-06-28 (CMS case 1691)
- Met Requirements — 2025-06-05 (CMS case 4927)
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.