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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Atrium Health Navicent The Medical Center

Atrium Health Navicent · Macon, GA

777 Hemlock Street, Macon, GA 31201(478) 633-1000

2 of 5

CMS star rating

699

Beds

34,356

Inpatient discharges a year

$973.8M

Net patient revenue a year

41

In-network payers

About this hospital

Atrium Health Navicent The Medical Center is a 699-bed government - hospital district or authority hospital in Macon, GA, affiliated with Atrium Health Navicent. Below you'll find publicly disclosed negotiated rates and facility details, including 41 in-network payers and 276 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
110107
NPI
1043270564
Health system
Atrium Health Navicent
Teaching
Teaching hospital
County
Bibb County
Metro area
Macon-Bibb County, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Atrium Health Navicent The Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,368 - $15,482

from 4 insurers · median $10,358

UnitedHealthcare$15,482
Insurer A*$7,368
Insurer B*$8,434
Insurer C*$12,282

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$10,685 - $22,018

from 4 insurers · median $13,201

UnitedHealthcare$22,018
Insurer A*$10,685
Insurer B*$11,994
Insurer C*$14,407

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$43,949 - $77,314

from 3 insurers · median $48,006

Aetna$48,006
Insurer A*$43,949
Insurer B*$77,314
Medicare $25,782Nearby hospitals $60,85521% below nearby hospitals

38 Medicare discharges for this DRG in CMS hospital data

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$522 - $2,974

from 4 insurers · median $2,545

Cigna$2,974
Insurer A*$522
Insurer B*$2,153
Insurer C*$2,937
Medicare $515Nearby hospitals $1,030147% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Atrium Health Navicent The Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
696%
132
Insurer B*24
441%
137
Insurer C*23
167%
514
Insurer D*24
136%
416

How we chose these services: 4 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Atrium Health Navicent The Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Alliant Health PlansAmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner Health

More about this hospital

  • Quality

    2 of 5 stars

    • 182 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.27%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 51 services, including trauma care
    • 951 affiliated clinicians
    See doctors and services
  • Finances

    $973.8M net patient revenue

    • Operating margin on patient care 6.1%
    • $44.9M unreimbursed and uncompensated care
    • $189.6M net income
    See finances
  • Ownership and leadership

    Owned by Ah Georgia Inc

    • Hospital district or authority
    • Delvecchio S Finley, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Atrium Health Navicent The Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-2149128Atrium Health Navicent The Medical Center61Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 56 more1043270564 The Medical Center Of Central Georgia Inc1326630153 The Medical Center Of Central Georgia Inc1760557953 The Medical Center Of Central Georgia Inc.and 12 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

777 Hemlock Street, Macon, GA 31201

(478) 633-1000

Get directions

Frequently asked questions

About Atrium Health Navicent The Medical Center's rates and hospital price transparency.

How much does an MRI cost at Atrium Health Navicent The Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Atrium Health Navicent The Medical Center range from $502 to $3,925 across 4 insurers. Aetna's rate is $3,925. The median at nearby comparable hospitals is $947. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Atrium Health Navicent The Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Atrium Health Navicent The Medical Center range from $316 to $4,272 across 4 insurers. Blue Cross Blue Shield's rate is $316. The median at nearby comparable hospitals is $725. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Atrium Health Navicent The Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Atrium Health Navicent The Medical Center range from $1,456 to $3,157 across 3 insurers. Cigna's rate is $2,875. The median at nearby comparable hospitals is $2,238. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Atrium Health Navicent The Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Atrium Health Navicent The Medical Center range from $7,368 to $15,482 across 4 insurers. UnitedHealthcare's rate is $15,482. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Atrium Health Navicent The Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Atrium Health Navicent The Medical Center range from $128 to $564 across 4 insurers. UnitedHealthcare's rate is $564. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Atrium Health Navicent The Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Atrium Health Navicent The Medical Center range from $22,312 to $44,295 across 4 insurers. Aetna's rate is $24,695. The median at nearby comparable hospitals is $31,646. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Atrium Health Navicent The Medical Center's CMS star rating?

Atrium Health Navicent The Medical Center has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Atrium Health Navicent The Medical Center a teaching hospital?

Yes. CMS counts 0.16 Medicare-funded residents per bed at Atrium Health Navicent The Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Atrium Health Navicent The Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Atrium Health Navicent The Medical Center's base inpatient payments by an estimated 0.27% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Atrium Health Navicent The Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (285 discharges), heart failure and shock with mcc (186 discharges), percutaneous and other intracardiac procedures without mcc (131 discharges).

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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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