Georgia / Wellstar Spalding Medical Center
CMS certification 110031 · Griffin, GA
Wellstar Spalding Medical Center: charges and Medicare payments
Wellstar Spalding Medical Center reported 907 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 6.62 times what it was paid — among the higher ratios in Georgia, number 7 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: 254 stays at an average charge of $111,968, 24% above the national average. It also billed 271 outpatient services, charging 12.23 times what Medicare paid.
- 1Medicare inpatient stays 907
- 2Charge ÷ paid, inpatient 6.62×
- 3Rank in GA (highest ratio = 1) 7 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 31 DRGs that can be compared with the national average, Wellstar Spalding Medical Center charged more than the national average in 26 (84%). 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 | 254 | $111,968 | +24% | $16,638 |
| 291 Heart Failure and Shock with MCC | 102 | $87,548 | +55% | $12,070 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 43 | $110,101 | +45% | $13,427 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $81,097 | +36% | $11,186 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $91,657 | +52% | $12,046 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $51,291 | +5% | $8,749 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $76,601 | +9% | $12,868 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $75,973 | +32% | $11,245 |
| 682 Renal Failure with MCC | 22 | $90,484 | +37% | $12,614 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $56,565 | +10% | $10,805 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $51,358 | +42% | $7,605 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $48,592 | +21% | $7,921 |
| 378 Gastrointestinal Hemorrhage with CC | 20 | $64,275 | +32% | $11,296 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $60,582 | +63% | $7,671 |
| 683 Renal Failure with CC | 20 | $53,153 | +31% | $8,830 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $111,663 | +97% | $10,983 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $56,097 | +11% | $8,780 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $298,659 | +30% | $43,813 |
| 069 Transient Ischemia without Thrombolytic | 17 | $51,428 | +2% | $8,079 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $62,161 | +12% | $9,774 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $97,226 | +14% | $17,532 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $107,570 | -6% | $15,409 |
| 637 Diabetes with MCC | 14 | $82,900 | +25% | $12,936 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $96,662 | -3% | $34,062 |
| 389 Gastrointestinal Obstruction with CC | 13 | $43,992 | +13% | $7,579 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $91,960 | -10% | $17,111 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $90,584 | -10% | $20,821 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 12 | $305,769 | -5% | $47,384 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $71,786 | +42% | $10,093 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $101,055 | +38% | $14,500 |
| 812 Red Blood Cell Disorders without MCC | 11 | $60,000 | +35% | $8,854 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 65 | $28,327 | $2,509 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 44 | $16,907 | $1,450 |
| Level 1 Endovascular Procedures | 36 | $29,694 | $2,969 |
| Level 4 Vascular Procedures | 31 | $60,128 | $4,969 |
| Level 2 Endovascular Procedures | 23 | $36,300 | $5,121 |
| Level 2 Upper GI Procedures | 22 | $19,374 | $1,766 |
| Level 3 Vascular Procedures | 18 | $33,588 | $2,958 |
| Level 5 Musculoskeletal Procedures | 17 | $76,115 | $11,576 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $27,838 | $2,637 |
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellstar Spalding Medical Center charged $111,968 on average, 31% more than the Georgia average of $85,396, and was paid $16,638 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Wellstar Spalding Medical Center charged $87,548 on average, 66% more than the Georgia average of $52,781, and was paid $12,070 against a state average of $12,005. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Wellstar Spalding Medical Center charged $110,101 on average, 45% more than the Georgia average of $76,091, and was paid $13,427 against a state average of $13,912. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Wellstar Spalding Medical Center charged $81,097 on average, 44% more than the Georgia average of $56,349, and was paid $11,186 against a state average of $12,110. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,327 was 36% above the state average of $20,900. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $16,907 was 30% above the state average of $12,974. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,694 was 10% above the state average of $26,927. For Level 4 Vascular Procedures (outpatient APC 5184), its average charge of $60,128 was 26% above the state average of $47,688.
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.