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Short Term Acute Care HospitalVoluntary Non-Profit - Private

St Marys Health Care System Inc

Trinity Health · Athens, GA

1230 Baxter Street, Athens, GA 30606(706) 389-3930

1 of 5

CMS star rating

181

Beds

10,081

Inpatient discharges a year

$275.8M

Net patient revenue a year

35

In-network payers

About this hospital

St Marys Health Care System Inc is a 181-bed voluntary non-profit - private hospital in Athens, GA, affiliated with Trinity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 322 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
110006
NPI
1871556621
Health system
Trinity Health
Teaching
Teaching hospital
County
Clarke County
Metro area
Athens-Clarke County, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services St Marys Health Care System Inc 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

$2,451 - $12,355

from 4 insurers · median $6,350

UnitedHealthcare$6,010
Insurer A*$2,451
Insurer B*$6,689
Insurer C*$12,355

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

$7,791 - $12,355

from 4 insurers · median $9,821

UnitedHealthcare$10,129
Insurer A*$7,791
Insurer B*$9,513
Insurer C*$12,355

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

Cervical spinal fusion without CC or MCC

MS-DRG 473

$20,593 - $125,007

from 3 insurers · median $53,699

Aetna$53,699
Insurer A*$20,593
Insurer B*$125,007
Medicare $17,197Nearby hospitals $44,05622% above nearby hospitals

22 Medicare discharges for this DRG in CMS hospital data

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$566 - $9,079

from 4 insurers · median $4,137

Blue Cross$2,696
Insurer A*est.$566
Insurer B*$5,578
Insurer C*$9,079
Medicare $879Nearby hospitals $4,139In line with nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at St Marys Health Care System Inc

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*23
294%
154
Insurer B*24
291%
127
Insurer C*24
253%
411
Insurer D*16
135%
29

How we chose these services: 7 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 5 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 St Marys Health Care System Inc, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCareSource (incl Common Ground Health Coop)

More about this hospital

  • Quality

    1 of 5 stars

    • 130 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.18%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 39 services
    • 531 affiliated clinicians
    See doctors and services
  • Finances

    $275.8M net patient revenue

    • Operating margin on patient care 14.0%
    • $19.8M unreimbursed and uncompensated care
    • $44.6M net income
    See finances
  • Ownership and leadership

    Owned by Trinity Health Corporation

    • Private (not for profit)
    • Stonish Pierce, 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 St Marys Health Care System Inc in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-0566223(multi-state) St. Marys Health Care System59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 54 more1871556621 St. Mary's Hospital Inc.1841299187 Trinity Home Health Services1083710982 St. Mary's Hospital 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

1230 Baxter Street, Athens, GA 30606

(706) 389-3930

Get directions

Frequently asked questions

About St Marys Health Care System Inc's rates and hospital price transparency.

How much does an MRI cost at St Marys Health Care System Inc?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Marys Health Care System Inc range from $488 to $2,625 across 4 insurers. UnitedHealthcare's rate is $1,930. The median at nearby comparable hospitals is $939. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at St Marys Health Care System Inc?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at St Marys Health Care System Inc range from $499 to $1,916 across 4 insurers. Cigna's rate is $499. The median at nearby comparable hospitals is $926. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at St Marys Health Care System Inc?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at St Marys Health Care System Inc range from $631 to $9,079 across 4 insurers. Blue Cross Blue Shield's rate is $3,336. The median at nearby comparable hospitals is $3,987. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at St Marys Health Care System Inc?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at St Marys Health Care System Inc range from $2,451 to $12,355 across 4 insurers. UnitedHealthcare's rate is $6,010. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at St Marys Health Care System Inc?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Marys Health Care System Inc range from $157 to $258 across 4 insurers. Cigna's rate is $212. The median at nearby comparable hospitals is $229. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at St Marys Health Care System Inc?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St Marys Health Care System Inc range from $4,115 to $62,572 across 4 insurers. Aetna's rate is $4,115. The median at nearby comparable hospitals is $33,448. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is St Marys Health Care System Inc's CMS star rating?

St Marys Health Care System Inc has a CMS overall hospital star rating of 1 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the lowest rating, shared by 6% of US hospitals.

Is St Marys Health Care System Inc a teaching hospital?

Yes. CMS counts 0.21 Medicare-funded residents per bed at St Marys Health Care System Inc for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize St Marys Health Care System Inc for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts St Marys Health Care System Inc's base inpatient payments by an estimated 1.18% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at St Marys Health Care System Inc?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (88 discharges), heart failure and shock with mcc (84 discharges), combined anterior and posterior spinal fusion without cc/mcc (54 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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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Publish a CMS-compliant machine-readable file

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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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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