Thomaston, GA
1 of 5
CMS star rating
99
Beds
3,321
Inpatient discharges a year
$126.9M
Net patient revenue a year
29
In-network payers
Upson Regional Medical Center is a 99-bed voluntary non-profit - other hospital in Thomaston, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 214 disclosed rate categories.
The 24 services Upson Regional 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
MS-DRG 807
$3,390 - $9,491
from 3 insurers · median $9,206
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
MS-DRG 788
$6,173 - $13,505
from 3 insurers · median $12,684
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
CT imaging
CPT 74177
$3,770 - $6,328
from 2 insurers · median $5,049
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$28,044 - $32,539
from 2 insurers · median $30,292
12 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$1,430 - $2,097
from 2 insurers · median $1,763
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$8,835 - $12,650
from 2 insurers · median $10,742
32 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,390 - $9,491
from 3 insurers · median $9,206
CMS lists this service as CPT 59610, 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
Medicine & Surgery · Inpatient
MS-DRG 460
$54,754 - $61,173
from 2 insurers · median $57,963
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 47563
$8,891 - $12,650
from 2 insurers · median $10,771
32 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$12,650
negotiated rate
32 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$3,410 - $4,076
from 2 insurers · median $3,743
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$32,468 - $35,494
from 2 insurers · median $33,981
Hospital reports orthopedic surgery services to CMS
MRI imaging
CPT 70553
$4,543 - $5,166
from 3 insurers · median $4,904
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$5,592 - $6,774
from 3 insurers · median $5,973
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,440 - $2,217
from 4 insurers · median $1,716
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,410 - $4,076
from 2 insurers · median $3,743
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,350 - $7,052
from 3 insurers · median $6,204
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$3,312 - $3,765
from 3 insurers · median $3,691
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$323 - $551
from 3 insurers · median $462
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$3,159
negotiated rate
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$255 - $451
from 4 insurers · median $301
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$611 - $1,286
from 3 insurers · median $1,128
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$14,346 - $17,019
from 2 insurers · median $15,683
Hospital reports inpatient surgical services to CMS
Ultrasound
CPT 76642
$881 - $1,015
from 3 insurers · median $893
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 12 | 620% | 8 | 0 |
| Insurer B* | 16 | 451% | 13 | 2 |
| Insurer C* | 23 | 446% | 9 | 5 |
| Insurer D* | 9 | 264% | 1 | 1 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 6 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 Upson Regional Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
1 of 5 stars
Doctors and services
Accredited by DNV
Finances
$126.9M net patient revenue
Ownership and leadership
Hospital district or authority
The employer identification numbers (EINs) health plans and networks list for Upson Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 58-1734026Upson County Hospital INC | 48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 43 more | 1659376630 Upson County Hospital Inc1225559610 Upson County Hospital Inc1447389697 Keith B. Huckaby M.d.and 7 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.
801 West Gordon Street, Thomaston, GA 30286
(706) 647-8111
How Upson Regional Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
1 of 5
The lowest rating, shared by 6% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
Worse on 2 of 6 measures
0 better, 4 no different, 2 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 4 measures
1 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 6 measures
0 better, 5 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
74%
Higher than 58% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.04
Higher than 72% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
174 min
Higher than 67% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
64%
Lower than 52% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 1 of 5 | |
| Death rates | Worse on 2 of 6 measures | |
| Safety | Better on 1 of 4 measures | |
| Readmissions | Worse on 1 of 6 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 74% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.04 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 174 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 64% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Upson Regional Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.75% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.28% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Upson Regional Medical Center, beside the US median and the average of GA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.655 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 824 cases | 6.8 | 3.9 | 4.079 | Worse than 99% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 48 cases | 13.6 | 11.8 | 12.11 | Worse than 93% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.575 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 52 cases | 11.7 | 8.5 | 8.691 | Worse than 97% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 85 cases | 19.6 | 11 | 10.84 | Worse than 99% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 117 cases | 20.6 | 15.2 | 15.21 | Worse than 97% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 92 cases | 15.3 | 11.6 | 12.45 | Worse than 89% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,049 cases | 0.4 | 0.51 | 0.6821 | No Different Than the National Rate | Better than 67% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,348 cases | 0.2 | 0.2 | 0.2173 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,272 cases | 0.3 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 78% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 292 cases | 2.19 | 2.29 | 2.356 | No Different Than the National Rate | Better than 68% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.796 | Number of Cases Too Small | ||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.26 | Number of Cases Too Small | ||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 288 cases | 4.55 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 92% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.77 | Number of Cases Too Small | ||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 66 cases | 1.71 | 1.72 | 1.743 | No Different Than the National Rate | Better than 53% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 208 cases | 0.99 | 1.02 | 1.073 | No Different Than the National Rate | Better than 61% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 5.306 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 86 cases | 30.3 | 1.25 | 12.52 | Worse than 83% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 117 cases | 11.6 | 3.85 | 12.69 | Worse than 61% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 127 cases | 12.7 | 12.9 | 12.97 | No Different Than the National Rate | Better than 63% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 93 cases | 0.9 | 1 | 0.9723 | No Different than expected | Better than 68% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 90 cases | 14.4 | 14.4 | 14.35 | Worse than 50% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 95 cases | 20 | 19.8 | 19.84 | Worse than 57% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 171 cases | 20.9 | 21.3 | 21.19 | Better than 63% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.927 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 197 cases | 18.7 | 17.2 | 17.41 | Worse than 90% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2721 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.762 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 1,008 | 1,370 | 5,571 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.722 | 0.9835 | 5.825 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.568 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.619 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1792 | No Different than National Benchmark | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.059 | 1.392 | 1.515 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 2,107 | 1,799 | 4,621 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 1.455 | 1.377 | 6.01 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.317 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0 | 0.399 | 0.3748 | No Different than National Benchmark | The best result, shared by 24% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4352 | No Different than National Benchmark | ||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.664 | 2.135 | 2.519 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 67 | 61 | 136 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.8 | 1.591 | 3.769 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 3.756 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0 | 0.7155 | 0.9605 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4781 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 12 | 38 | 143 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.111 | 0.328 | 1.256 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.77 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.373 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2796 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.919 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 13,449 | 14,451 | 48,840 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.718 | 0.567 | 3.385 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.336 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6352 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.303 | 0.127 | 0.1286 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.833 | 0.747 | 1.104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 12,583 | 13,646 | 44,552 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 6.045 | 5.683 | 23.39 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 5 | 2 | 6.1 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.827 | 0.279 | 0.2745 | No Different than National Benchmark | Worse than 91% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 329 cases | 78 | 73 | 72.27 | Better than 68% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 329 cases | 6 | 8 | 9.85 | Better than 65% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 329 cases | 16 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 90 | 87 | 85.97 | Better than 74% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 329 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 329 cases | 86 | 80 | 78.79 | Better than 83% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 95 | 91 | 90.82 | Better than 91% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 329 cases | 2 | 4 | 4.903 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 329 cases | 5 | 3 | 3.204 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 329 cases | 12 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 329 cases | 84 | 79 | 79.46 | Better than 76% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 94 | 91 | 90.77 | Better than 87% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 329 cases | 3 | 5 | 5.717 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 329 cases | 4 | 3 | 3.075 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 329 cases | 13 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 329 cases | 63 | 61 | 60.14 | Better than 58% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 80 | 77 | 75.68 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 329 cases | 17 | 19 | 21.5 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 329 cases | 3 | 3 | 2.462 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 329 cases | 20 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 87 | 86 | 84.09 | Better than 55% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 329 cases | 13 | 13 | 14.95 | Better than 47% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 329 cases | 4 | 3 | 2.935 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 329 cases | 87 | 87 | 85.05 | Better than 47% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 329 cases | 11 | 14 | 17.13 | Better than 77% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 329 cases | 89 | 86 | 82.87 | Better than 77% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 329 cases | 80 | 74 | 74.33 | Better than 82% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 329 cases | 4 | 7 | 7.087 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 329 cases | 16 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 329 cases | 82 | 77 | 77.43 | Better than 76% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 329 cases | 4 | 6 | 6.146 | Better than 70% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 329 cases | 14 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 329 cases | 89 | 85 | 85.2 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 329 cases | 1 | 3 | 3.728 | Better than 91% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 329 cases | 10 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 329 cases | 6 | 8 | 8.69 | Better than 63% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 329 cases | 15 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 329 cases | 79 | 72 | 71.31 | Better than 77% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 91 | 88 | 87.94 | Better than 77% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 329 cases | 4 | 3 | 3.269 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 329 cases | 73 | 74 | 73.43 | Worse than 55% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 329 cases | 10 | 9 | 10.45 | Worse than 52% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 329 cases | 17 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 329 cases | 84 | 75 | 74.03 | Better than 92% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 329 cases | 3 | 5 | 6.592 | Better than 81% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 329 cases | 13 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 329 cases | 83 | 77 | 75.78 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 329 cases | 3 | 4 | 5.34 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 329 cases | 14 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 329 cases | 90 | 86 | 84.54 | Better than 77% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 329 cases | 1 | 3 | 3.437 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 329 cases | 9 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 329 cases | 67 | 59 | 63.8 | Better than 75% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 329 cases | 6 | 9 | 8.469 | Better than 70% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 329 cases | 27 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 86 | 82 | 83.87 | Better than 79% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 329 cases | 4 | 3 | 3.774 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 329 cases | 4 | 5 | 6.124 | Better than 57% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 329 cases | 74 | 71 | 70.88 | Better than 58% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 329 cases | 89 | 87 | 87.15 | Better than 60% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 329 cases | 22 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 329 cases | 4 | 4 | 3.602 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 329 cases | 54 | 47 | 46.49 | Better than 78% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 329 cases | 25 | 30 | 32.79 | Better than 74% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 329 cases | 21 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 329 cases | 4 | 3 | 3.151 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 329 cases | 14 | 12 | 13.65 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 329 cases | 86 | 88 | 86.35 | Worse than 63% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | medium | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.667 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.08 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,158 cases | 79 | 79 | 71.13 | Worse than 50% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 429 cases | 186 | 154 | 175 | Worse than 70% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 403 cases | 174 | 148 | 169 | Worse than 67% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 17 cases | 399 | 247 | 348 | Worse than 87% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 334 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 29,928 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.14 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 116 cases | 97 | 97 | 90.05 | Better than 46% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 868 cases | 14 | 15 | 16.89 | Better than 52% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 174 cases | 64 | 65 | 58.96 | Worse than 52% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 81 cases | 75 | 73 | 70.15 | Better than 53% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 49 cases | 92 | 88 | 83.53 | Better than 61% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 174 cases | 83 | 82 | 77.15 | Better than 52% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 118 cases | 94 | 94 | 90.02 | Worse than 49% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.72 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.46 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,865 cases | 57 | 90 | 83.63 | Worse than 88% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 435 cases | 81 | 97 | 95.53 | Worse than 92% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 5.8 | 5 | 5.623 | Worse than 59% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.4 | 6.6 | 6.411 | Better than 79% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.02 | 0.99 | 0.9648 | Worse than 64% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 54 cases | 72.2 | 60.8 | 52.96 | Better than 80% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 54 cases | 38.9 | 35.5 | 30.16 | Better than 61% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 5,816 cases | 0.32 | 0.05 | 0.1041 | Better than 81% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 5,816 cases | 0 | 0.03 | 0.08615 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 182 cases | 74 | 87 | 68.37 | Worse than 68% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 70.53 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 148 cases | 21 | 19.1 | 19.96 | No Different Than the National Rate | Worse than 77% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 196 cases | 97 | 92 | 78.85 | Better than 70% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 58 cases | 64 | 74 | 57.9 | Worse than 61% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 56 cases | 66 | 81 | 71.62 | Worse than 67% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 69 cases | 65 | 77 | 54.17 | Worse than 62% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 69 cases | 65 | 56 | 44.17 | Better than 57% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 112 cases | 67 | 64 | 52.9 | Better than 52% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 112 cases | 51 | 4 | 25.84 | Better than 83% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 401 cases | 86 | 77 | 63.23 | Better than 59% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 0 | 20 | 20.96 | The worst result, shared by 11% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0 | 5 | 5.347 | The worst result, shared by 11% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 26.92 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 7.03 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 62 | 34 | 36.51 | Better than 87% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 15.5 | 8.75 | 9.439 | Better than 86% of US hospitals | |
| VBP safety domain scoreFY 2026 | 70 | 40 | 38.57 | Better than 89% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 17.5 | 10 | 9.691 | Better than 88% of US hospitals | |
| VBP total performance scoreFY 2026 | 33 | 29.5 | 31.07 | Better than 63% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 0 | 0 | 10 | 0 | 0 | 0 |
| VBP clinical outcomes weighted domain score | 0 | 0 | 2.5 | 0 | 0 | 0 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 30 | 30 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 7.5 | 7.5 | 0 | 0 |
| VBP person and community engagement domain score | 46 | Not Available | Not Available | 29 | 27 | 62 |
| VBP person and community engagement weighted domain score | 11.5 | Not Available | Not Available | 7.25 | 6.75 | 15.5 |
| VBP safety domain score | 66.67 | Not Available | Not Available | 67.5 | 56.67 | 70 |
| VBP safety weighted domain score | 16.67 | Not Available | Not Available | 16.88 | 14.17 | 17.5 |
| VBP total performance score | 28.17 | Not Available | Not Available | 31.63 | 20.92 | 33 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | 1.083 | 0.9995 | 1.003 | Worse than 90% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 1.027 | 0.9969 | 1.012 | Worse than 74% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 80 cases | 1.091 | 0.9983 | 1.011 | Worse than 91% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 107 cases | 1.044 | 0.9955 | 1.009 | Worse than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | 1.079 | 1.077 | 1.083 |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9611 | 1.055 | 1.037 | 1.004 | 0.9625 | 1.027 |
| READM-30-HF-HRRP | 1.099 | 1.124 | 1.044 | 1.007 | 1.024 | 1.091 |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9775 | 1.019 | 1.071 | 1.091 | 1.06 | 1.044 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.563 | 0.489 | 0.6612 | Worse than 57% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.22 | 0.346 | 0.3286 | Better than 70% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.559 | 0.6574 | The best result, shared by 14% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.513 | 0.6405 | 0.8117 | Worse than 92% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.04 | 0.9628 | 1.068 | Worse than 72% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.7945 | 1.054 | The best result, shared by 12% of US hospitals | |
| Total HAC scoreFY 2026 | -0.2284 | -0.0453 | 0.04361 | Better than 63% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.5861 | -0.3893 | 0 | -0.4555 | -0.4245 | -0.2284 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
DNV (since 2026)
Accreditation
Limited
Medical school affiliation
Hospital district or authority
Ownership type
119
Medicare-certified beds
101
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Upson Regional Medical Center reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,321
Inpatient discharges
Medicare 18%, Medicaid 6%
13,785
Inpatient days
47% of available bed days used
526
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 837710). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Upson Regional Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,718 | 1,003 | 10,064 | 13,785 |
| Discharges | 592 | 211 | 2,518 | 3,321 |
| Average length of stay | 4.6 days | 4.8 days | 4.0 days | 4.2 days |
| Average daily census | 7.4 | 2.7 | 27.6 | 37.8 |
4,889
Medicare Advantage days
1,006 discharges
1,522
Medicaid managed care days
394 discharges
1,280
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 53 | 11,354 | 2,357 | 59% |
| Intensive care unit | 28 | 1,534 | 361 | 15% |
| Nursery | 897 | |||
| Subprovider - ipf | 18 | 5,628 | 1,736 | 86% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837710, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Upson Regional Medical Center treats Medicare patients for most often, in 2024. 193 Medicare discharges in 11 published DRGs; 16% surgical; 49% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 33 | $48,420 | $14,197 | $13,267 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 25 | $36,267 | $9,164 | $9,937 | 1.28 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 21 | $26,033 | $6,015 | $7,133 | 0.81 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $76,885 | $14,847 | $21,067 | 2.11 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $29,971 | $5,714 | $8,212 | 0.78 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $30,305 | $5,702 | $8,304 | 0.79 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $38,292 | $9,105 | $10,492 | 1.23 |
| Renal failure with CCMS-DRG 683, medical | 13 | $33,690 | $6,795 | $9,231 | 0.90 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $21,800 | $5,799 | $5,973 | 0.82 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $53,875 | $14,500 | $14,762 | 2.07 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $26,821 | $6,703 | $7,349 | 0.90 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Upson Regional Medical Center billed Medicare for most in 2024: 307 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 97 | 92 | $24,600 | $2,084 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 32 | 31 | $34,586 | $4,485 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 28 | 22 | $31,808 | $2,708 | $2,629 |
| Level 1 Intraocular ProceduresAPC 5491 | 28 | 23 | $13,611 | $1,813 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 15 | $30,910 | $4,015 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 16 | 15 | $15,453 | $2,480 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 16 | 16 | $18,418 | $2,142 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $20,512 | $2,338 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 12 | 12 | $31,385 | $5,566 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | $12,495 | $1,502 | $1,407 |
See all 13 Medicare outpatient services at Upson Regional Medical Center
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Upson Regional Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 1,597 in 2020 to 1,472 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30286 | 706 | 48% | 3,399 | $38M | 59% | 72% |
| 30204 | 206 | 14% | 953 | $11.2M | 35% | 33% |
| 30256 | 63 | 4% | 291 | $3.2M | 72% | 71% |
| 30295 | 60 | 4% | 267 | $3.3M | 36% | 32% |
| 30293 | 51 | 3% | 262 | $3.2M | 39% | 35% |
| 30257 | 49 | 3% | 213 | $2.7M | 18% | 16% |
| 31816 | 45 | 3% | 228 | $2.4M | 16% | 17% |
| 30258 | 44 | 3% | 176 | $2.5M | 45% | 73% |
| 31006 | 44 | 3% | 243 | $2.7M | 21% | 24% |
| 31097 | 37 | 3% | 189 | $2M | 70% | 100% |
| 30206 | 31 | 2% | 196 | $1.9M | 32% | 24% |
| 30292 | 30 | 2% | 151 | $1.7M | 14% | 8% |
| 30224 | 27 | 2% | 109 | $1.5M | 2% | 1% |
| 30223 | 19 | 1% | 93 | $1.1M | 1% | 1% |
| 31836 | 17 | 1% | 71 | $733,572 | 37% | 51% |
| 30285 | 16 | 1% | 94 | $1.2M | 100% | 100% |
| 31016 | 15 | 1% | 62 | $1M | 26% | 38% |
| 30233 | 12 | 1% | 49 | $525,337 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 1,472 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Upson Regional Medical Center reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
6
Operating rooms
2
Endoscopy rooms
1
Cardiac catheterization rooms
18
Psychiatric unit beds
2
Off-site locations
101
Registered nurses
16
Licensed practical nurses
5
Pharmacists
6
Respiratory therapists
17
Radiology technicians
1
Nuclear medicine technicians
4
Laboratory technicians
10
Medical technologists
2
Dietitians
2
Social workers
385
Other personnel
Source: CMS Provider of Services file.
176 clinicians who bill Medicare list Upson Regional Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Marcus Weldon, MD
Hematology & Oncology Physician
NPI 1942689286
See commercial rates for Marcus Weldon, MDRichard Thomas, MD
Orthopaedic Surgery Physician
NPI 1811942592
See commercial rates for Richard Thomas, MDGarland Gudger, M.D.
Orthopaedic Surgery Physician
NPI 1902101702
See commercial rates for Garland Gudger, M.D.Benjamin Hess, MD
Family Medicine Physician
NPI 1003044199
See commercial rates for Benjamin Hess, MDHolly Gore, NP-C
Nurse Practitioner
NPI 1902001670
See commercial rates for Holly Gore, NP-CGregory Lee, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1922178508
See commercial rates for Gregory Lee, MDVirendra Ranadive, MD
Neurology Physician
NPI 1447211149
See commercial rates for Virendra Ranadive, MDDavid Goodman, M.D.
Orthopaedic Surgery Physician
NPI 1467449165
See commercial rates for David Goodman, M.D.Atul Khasnis, M.D.
Rheumatology Physician
NPI 1639292931
See commercial rates for Atul Khasnis, M.D.Freddy Gaton, M.D.
Family Medicine Physician
NPI 1003896416
See commercial rates for Freddy Gaton, M.D.Oliver Horne, M.D.
Clinical Cardiac Electrophysiology Physician
NPI 1053610642
See commercial rates for Oliver Horne, M.D.Mark Hendricks, M.D
Pulmonary Disease Physician
NPI 1306827639
See commercial rates for Mark Hendricks, M.DBenjamin Durham, PA-C
Surgical Physician Assistant
NPI 1003006115
See commercial rates for Benjamin Durham, PA-CWendell Ellis, MD
Cardiovascular Disease Physician
NPI 1093875973
See commercial rates for Wendell Ellis, MDJonathan Busbee, M.D.
Internal Medicine Physician
NPI 1346212792
See commercial rates for Jonathan Busbee, M.D.Ashwini Gore, M.D.
Endocrinology, Diabetes & Metabolism Physician
NPI 1457373565
See commercial rates for Ashwini Gore, M.D.William Dasher, MD
Orthopaedic Surgery Physician
NPI 1275616369
See commercial rates for William Dasher, MDDavid Gloystein, M.D.
Orthopaedic Surgery of the Spine Physician
NPI 1619947413
See commercial rates for David Gloystein, M.D.Charles Dodgen, M.D.
Family Medicine Physician
NPI 1104846625
See commercial rates for Charles Dodgen, M.D.Paul Mazzone, MD
Diagnostic Radiology Physician
NPI 1588045439
See commercial rates for Paul Mazzone, MDLeah Barbee, NP
Family Nurse Practitioner
NPI 1811170566
See commercial rates for Leah Barbee, NPHari Madichetty, MD, FCCP, D-ABSM
Specialist
NPI 1437123585
See commercial rates for Hari Madichetty, MD, FCCP, D-ABSMJulie Senne, D.O.
Diagnostic Radiology Physician
NPI 1538500913
See commercial rates for Julie Senne, D.O.Christopher Andriano, D.O.
Interventional Pain Medicine Physician
NPI 1922549351
See commercial rates for Christopher Andriano, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Upson Regional Medical Center reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $521.2M | 410.6% |
| Inpatient | $137.1M | 108.0% |
| Outpatient | $384.2M | 302.6% |
| Contractual allowances and discounts | -$394.3M | -310.6% |
| Net patient revenue | $126.9M | 100.0% |
| Operating expenses | -$128.5M | -101.2% |
| Operating income from patient care | -$1.5M | -1.2% |
| Other income | $27.3M | 21.5% |
| Contributions and donations | $3.2M | 2.5% |
| Investment income | $22M | 17.3% |
| Other | $2.1M | 1.6% |
| Net income | $25.7M | 20.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $62.3M | 12.6% |
| Medicaid (including managed care) | $45.5M | 9.2% |
| Other payers and self-pay | $387.7M | 78.3% |
| Total charges | $495.4M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837710, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Upson Regional Medical Center's latest cost report.
-1.2%
Operating margin
Operating income from patient care / net patient revenue
16.7%
Total margin
Net income / net patient revenue plus other income
21.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
52% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$38.56
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
8.0%
Return on assets
Net income for a year / total assets
9.2%
Return on equity
Net income for a year / fund balance
0.11
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
4.44
Current ratio
Current assets / current liabilities
2.99
Quick ratio
Cash, temporary investments and net receivables / current liabilities
34 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
67 days
Days in patient receivables
Net patient receivables / daily net patient revenue
34 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.48
Asset turnover
Total revenue for a year / total assets
18.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 837710, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Upson Regional Medical Center owned and owed at the end of its reporting period (Dec 2025), across all fund types: $323.4M in total assets and a $279.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $11.2M | 3.5% |
| Patient receivables, net | $23.2M | 7.2% |
| Inventory | $3.6M | 1.1% |
| Total current assets | $50.9M | 15.7% |
| Property and equipment, net of depreciation | $66.5M | 20.6% |
| Investments and other assets | $206M | 63.7% |
| Total assets | $323.4M | 100.0% |
| Current liabilities | $11.5M | 3.6% |
| Long-term debt | $29.7M | 9.2% |
| Total liabilities | $43.6M | 13.5% |
| Fund balance (net assets) | $279.8M | 86.5% |
Source: CMS cost report (HCRIS, Form 2552-10), report 837710, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Upson Regional Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$5.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$36.5M
Bad debt
Patient bills written off as uncollectible, at charges
$1.7M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$54,471
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$12.2M
Total unreimbursed and uncompensated care
9.5% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 837710, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Upson Regional Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $85.9M | $111.8M | $112.7M | $118.7M | $122.5M | $126.9M |
| Operating expenses | $99.7M | $113.2M | $117.3M | $119.2M | $125.5M | $128.5M |
| Operating margin | -16.1% | -1.2% | -4.1% | -0.5% | -2.5% | -1.2% |
| Net income | $36.3M | $22M | -$40.3M | $28.1M | $23.5M | $25.7M |
| Total assets | $303.1M | $333.7M | $297.7M | $240.6M | $267.2M | $323.4M |
| Discharges | 3,508 | 3,547 | 3,890 | 3,858 | 3,276 | 3,321 |
| Inpatient days | 13,686 | 18,125 | 15,796 | 15,012 | 13,594 | 13,785 |
| Medicare Advantage days | 3,375 | 4,740 | 5,204 | 4,495 | 4,666 | 4,889 |
| Beds | 105 | 105 | 99 | 99 | 99 | 99 |
| Employees (FTE) | 572 | 609 | 613 | 631 | 507 | 526 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837710, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Upson Regional Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Emergency | $3.8M | $11M | $101.9M | 0.11 | 10,624 |
| Laboratory | $2.1M | $8M | $53.6M | 0.15 | 6,684 |
| Drugs charged to patients | $7.1M | $20.9M | 0.34 | ||
| Operating room | $1.2M | $7M | $49.1M | 0.14 | 13,920 |
| Radiology-diagnostic | $1.5M | $5M | $22.8M | 0.22 | 14,787 |
| Medical supplies charged to patient | $4.9M | $9.2M | 0.53 | ||
| Physical therapy | $3.4M | $15.8M | 0.21 | 11,007 | |
| Cardiac catheterization | $635,657 | $3.1M | $15.2M | 0.20 | 1,350 |
| Impl. dev. charged to patients | $2.8M | $11.6M | 0.24 | ||
| Ct scan | $202,855 | $2.6M | $81.7M | 0.03 | 1,152 |
| Respiratory therapy | $1M | $2.5M | $10M | 0.25 | 1,405 |
| Delivery room & labor room | $1.2M | $2.5M | $3.9M | 0.65 | 4,495 |
| Recovery room | $826,465 | $2.3M | $8.2M | 0.28 | 6,196 |
| Electrocardiology | $837,596 | $2M | $17.5M | 0.11 | 2,952 |
| Wound care center | $649,270 | $1.8M | $8.1M | 0.23 | 3,454 |
| Observation beds (non-distinct part | $1.6M | $2.8M | 0.57 | ||
| Mri | $180,016 | $809,649 | $12.6M | 0.06 | 1,176 |
| Rural health clinic | $264,866 | $570,979 | $647,438 | 0.88 | 1,500 |
| Radioisotope | $73,308 | $478,626 | $6M | 0.08 | 840 |
| Renal dialysis | $165,970 | $406,118 | $1.3M | 0.31 | 252 |
| Whole blood & packed red blood cell | $61,522 | $251,425 | $2.3M | 0.11 | 404 |
| Anesthesiology | $146,753 | $3.9M | 0.04 | 272 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $6.5M | $15.6M | $20.3M | 0.77 | 30,624 |
| Subprovider - ipf | $2M | $5.4M | $9.8M | 0.55 | 13,492 |
| Intensive care unit | $1.6M | $3.4M | $5.2M | 0.64 | 4,659 |
| Nursery | $548,658 | $1.1M | $1.1M | 1.02 | 1,730 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Employee benefits department | $544,875 | $14.8M | 16,646 | $32.73 | 2,048 |
| Administrative & general | $3.6M | $12.6M | 10,351 | ||
| Business office | $3.2M | $6.9M | 10,200 | ||
| Cap rel costs-mvble equip | $4.7M | ||||
| Operation of plant | $1.4M | $4.2M | 52,250 | $27.48 | 21,974 |
| Cap rel costs-bldg & fixt | $2.6M | 220,032 | |||
| Medical records & library | $1.1M | $1.7M | 31,320 | $34.34 | 4,608 |
| Housekeeping | $912,130 | $1.6M | 53,105 | $17.18 | 680 |
| Pharmacy | $1.3M | $1.6M | 28,891 | $44.87 | 3,560 |
| Cafeteria | $1.4M | 40,609 | $16.78 | 2,048 | |
| Nursing administration | $1.1M | $1.3M | 28,650 | $38.80 | 536 |
| Central services & supply | $432,174 | $568,842 | 16,943 | $25.51 | 10,445 |
| Dietary | $921,834 | $504,953 | 14,323 | $16.78 | 8,733 |
| Laundry & linen service | $255,770 | $398,137 | 15,524 | $16.48 | 2,006 |
| Inservice education | $310,367 | $349,309 | 6,620 | $46.88 | 9,364 |
Source: CMS cost report (HCRIS, Form 2552-10), report 837710, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Upson Regional Medical Center for an inpatient stay.
1.50
Case mix index
Higher than 28% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
24.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
564
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.44 | 1.44 | 1.74 | 1.76 | 1.64 | 1.65 | 1.50 |
| Wage index | 0.917 | 0.926 | 0.919 | 0.954 | 0.957 | 0.939 | 0.892 |
| Readmissions adjustment | -0.08% | -0.28% | -0.75% | -0.22% | -0.50% | -0.46% | -0.75% |
| Value-based purchasing adjustment | +0.12% | -0.19% | -0.19% | -0.27% | +1.00% | -0.13% | +0.28% |
| Medicare inpatient stays | 1,004 | 1,004 | 848 | 783 | 723 | 594 | 564 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Upson Regional Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 9 of 10 are shown.
Upson County Hospital Inc files the Form 990 for the tax ID insurers list for Upson Regional Medical Center, so these people may lead the wider organization rather than Upson Regional Medical Center alone.
| Name | Title |
|---|---|
| Jeff Tarrant | Hospital CEO |
| John Williams | Cfo/coo |
| Jim Edwards | Vice Chairma |
| William Hightower IV | Chairman |
| Steve Keadle | Assistant Se |
| Ralph Warnock MD | Secretary |
| Rev Greg Smith | Board Member |
| Daniel Owens | CEO (1/2025) |
Board members: Benjamin Williams MD, Mark Andrews, Scott Blackstock, Kay Searcy.
Source: IRS Form 990 Part VII filed by Upson County Hospital Inc (EIN 58-1734026), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2013
340B ID SCH110002-00, registered as a sole community hospital; 1 registered outpatient sites. Authorizing official: Jason A Gassett, CFO.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Upson regional medical center
CCN 11S002, certified 2018, Medicare prospective payment
Upson regional medical center - sb
CCN 11U002, certified 1996, Medicare prospective payment
Upson regional medical center
CCN 118561, certified 2018, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Upson Regional Medical Center's latest Medicare cost report (HCRIS).
About Upson Regional Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Upson Regional Medical Center range from $4,543 to $5,166 across 3 insurers. Aetna's rate is $4,904. The median at nearby comparable hospitals is $1,153. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Upson Regional Medical Center range from $3,770 to $6,328 across 2 insurers. Aetna's rate is $3,770. The median at nearby comparable hospitals is $678. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Upson Regional Medical Center range from $3,410 to $4,076 across 2 insurers. Aetna's rate is $3,410. The median at nearby comparable hospitals is $4,004. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Upson Regional Medical Center range from $3,390 to $9,491 across 3 insurers. Cigna's rate is $9,491. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Upson Regional Medical Center range from $255 to $451 across 4 insurers. Cigna's rate is $255. The median at nearby comparable hospitals is $229. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Upson Regional Medical Center range from $28,044 to $32,539 across 2 insurers. Blue Cross Blue Shield's rate is $32,539. The median at nearby comparable hospitals is $36,683. What a patient pays depends on their plan's deductible, coinsurance and network status.
Upson Regional Medical Center 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.
CMS reports no Medicare-funded interns or residents at Upson Regional Medical Center for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Upson Regional Medical Center's base inpatient payments by an estimated 0.75% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (33 discharges), heart failure and shock with mcc (25 discharges), kidney and urinary tract infections without mcc (21 discharges).
Upson Regional Medical Center's Medicare case mix index is 1.50 for fiscal year 2027, higher than 28% of hospitals paid under the inpatient prospective payment system.
Upson Regional Medical Center reported 3,321 inpatient discharges and 13,785 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Upson Regional Medical Center reported 526 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Upson Regional Medical Center reported $126.9M in net patient revenue on $521.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -1.2%, and net income of $25.7M.
Upson Regional Medical Center reported $12.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $5.2M of charity care at cost.
Insurers' price transparency files list Upson Regional Medical Center under employer identification number 58-1734026 (Upson County Hospital INC). 48 health plans and networks list 58-1734026 for it.
Yes. HRSA's 340B database lists Upson Regional Medical Center (340B ID SCH110002-00) as a participating sole community hospital since 2013.
176 clinicians who bill Medicare list Upson Regional Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family medicine physician (23), family nurse practitioner (19), emergency medicine physician (17).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Upson Regional Medical Center, effective 2026.
CMS lists 31 services at Upson Regional Medical Center, including Acute Renal Dialysis, Anesthesia, Chemotherapy, Clinical Laboratory, Coronary Care Unit, CT Scan.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Upson Regional Medical Center came from ZIP codes 30286 (706), 30204 (206), 30256 (63).
Upson Regional Medical Center has 99 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 119 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Upson Regional Medical Center is located at 801 West Gordon Street, Thomaston, GA 30286. Its main phone number is (706) 647-8111.
Upson Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 110002.
The National Provider Identifier (NPI) on file for Upson Regional Medical Center is 1659376630.
Upson Regional Medical Center lists 29 in-network payers, including Aetna, Alliant Health Plans, Ambetter, Ameri Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
214 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers