D

Upson Regional Medical Center

801 W Gordon Street · Thomaston, GA 30286

🤖AI Overview

⚠️ This hospital charges 4.5x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$37.2M
Medicare Payments
$8.3M
Discharges
738
Avg Length of Stay
4.9 days
Markup Ratio
4.5x
Risk Score
2.00

Fairness Grade: D

Poor — charges 4–5x what Medicare pays

Upson Regional Medical Center charges an average of $50,353 per discharge, but Medicare only pays $11,249 — a markup of 4.5x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
4.5x
State Avg
6.0x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$50,353
State Avg
$84,165
National Avg
$69,838
Avg Length of Stay
This Hospital
4.9 days
State Avg
5.7 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
13.2%
65–74
30.2%
75–84
34.0%
85+
22.7%

Gender

55.8%
Female
44.2%
Male

Dual Eligibility

33.3%
Dual Eligible
66.7%
Non-Dual

Race & Ethnicity

White
82.1%
Black
15.9%
Other
2.0%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
70.0%
Arthritis
45.3%
Diabetes
43.0%
Ischemic Heart Disease
40.4%
Anxiety
39.9%
Chronic Kidney Disease
36.6%
Mood Disorders
33.8%
Heart Failure
33.6%
COPD
32.4%
Depression
30.0%
Alzheimer's/Dementia
28.1%
Atrial Fibrillation
28.0%
Stroke/TIA
23.0%
Tobacco Use
19.4%
Cancer
17.9%
Osteoporosis
13.2%
Substance Use
10.4%
Asthma
7.3%
Bipolar Disorder
6.2%
Schizophrenia/Psychosis
5.5%
Parkinson's
3.1%
ADHD/Conduct Disorders
1.3%
PTSD
1.1%
Personality Disorders
1.1%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.