Hospital · CCN 110044

Phoebe Sumter Medical Center

126 Highway 280 W, Americus, GA 31719 · Sumter County
Part of Phoebe Putney Health Systems · 54 beds · 1
Micropolitan area core: primary flow within an urban cluster of 10,000 to 49,999

12 admission types 25 outpatient services price file: ok

Billed per dollar paid, all admissions

3.26×

$8.8M billed against $2.7M paid across 230 Medicare discharges; the national figure is 5.03×.

2.7%

of adults in Sumter County have medical debt in collections

14.3%

uninsured in the county · state 13.6%

$44K

median household income

3.3×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (1 in the inpatient or outpatient file)ⓘ

39.5%

obesity in the countyⓘ

16.7%

diagnosed diabetes (PLACES)

7.7%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

291

Heart failure and shock with mcc

$28,913

$11,349

2.5× st 4.4×

871

Septicemia or severe sepsis without mv >96 hours with mcc

$48,429

$16,424

2.9× st 5.0×

189

Pulmonary edema and respiratory failure

$45,953

$11,295

4.1× st 4.8×

193

Simple pneumonia and pleurisy with mcc

$49,515

$13,459

3.7× st 4.7×

683

Renal failure with cc

$23,666

$8,504

2.8× st 4.1×

682

Renal failure with mcc

$43,551

$12,622

3.5× st 4.7×

177

Respiratory infections and inflammations with mcc

$52,270

$13,437

3.9× st 4.6×

640

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc

$41,517

$11,318

3.7× st 4.5×

641

Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc

$26,032

$8,104

3.2× st 4.4×

190

Chronic obstructive pulmonary disease with mcc

$24,379

$9,942

2.5× st 4.8×

392

Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc

$27,197

$7,839

3.5× st 4.5×

378

Gastrointestinal hemorrhage with cc

$32,424

$8,947

3.6× st 4.8×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5491

Level 1 Intraocular Procedures

$8,964

$1,944

4.6×

8011

Comprehensive Observation Services

$20,374

$2,325

8.8×

5361

Level 1 Laparoscopy and Related Services

$35,591

$4,715

7.5×

5302

Level 2 Upper GI Procedures

$11,424

$1,616

7.1×

5115

Level 5 Musculoskeletal Procedures

$58,786

$11,165

5.3×

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

$7,804

$1,377

5.7×

5492

Level 2 Intraocular Procedures

$9,273

$3,224

2.9×

5114

Level 4 Musculoskeletal Procedures

$36,288

$6,076

6.0×

5113

Level 3 Musculoskeletal Procedures

$16,378

$2,749

6.0×

5362

Level 2 Laparoscopy and Related Services

—

5414

Level 4 Gynecologic Procedures

—

5415

Level 5 Gynecologic Procedures

—

5431

Level 1 Nerve Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5503

Level 3 Extraocular, Repair, and Plastic Eye Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5342

Level 2 Abdominal/Peritoneal/Biliary and Related Procedures

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5092

Level 2 Breast/Lymphatic Surgery and Related Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5183

Level 3 Vascular Procedures

—

5182

Level 2 Vascular Procedures

—

5116

Level 6 Musculoskeletal Procedures

—

5303

Level 3 Upper GI Procedures

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as json, last updated 2026-04-01, template 3.0.0, 21,796 rows scanned, 8,986 distinct code–setting items kept. 1 finding against it.

Service

Code

Listed

Cash

Negotiated

Rates

Checks

Rbc dna hea 35 ag 11 bld grp

CPT 0001U

—

$756

clean

Liver dis 10 assays w/ash

CPT 0002M

—

$529

clean

Liver dis 10 assays w/nash

CPT 0003M

—

$529

clean

Onco prst8 3 gene ur alg

CPT 0005U

—

$798

clean

Adrnl cortcl tum bchm asy 25

CPT 0015M

—

$1,371

clean

Onc bladder mrna 209 gen alg

CPT 0016M

—

$3,664

clean

Onc thyr 10 microrna seq alg

CPT 0018U

—

$3,152

clean

Onc aml dna detcj/nondetcj

CPT 0023U

—

$261

clean

Glyca nuc mr spectrsc quan

CPT 0024U

—

$36

clean

Onc thyr dna&mrna 112 genes

CPT 0026U

—

$3,780

clean

Jak2 gene trgt seq alys

CPT 0027U

—

$128

clean

Rx metab advrs trgt seq alys

CPT 0029U

—

$779

clean

Tpmt nudt15 genes

CPT 0034U

—

$489

clean

Neuro csf prion prtn qual

CPT 0035U

—

$568

clean

Trgt gen seq dna 324 genes

CPT 0037U

—

$3,675

clean

B brgdrferi antb 5 prtn igm

CPT 0041U

—

$18

clean

B brgdrferi antb 12 prtn igg

CPT 0042U

—

$18

clean

Tbrf b grp antb 4 prtn igm

CPT 0043U

—

$16

clean

Tbrf b grp antb 4 prtn igg

CPT 0044U

—

$16

clean

Onc brst dux carc is 12 gene

CPT 0045U

—

$4,067

clean

Onc prst8 mrna 17 gene alg

CPT 0047U

—

$4,067

clean

Onc merkel cll carc srm quan

CPT 0058U

—

$339

clean

Onc merkel cll carc srm +/-

CPT 0059U

—

$339

clean

Tc meas 5 bmrk sfdi m-s alys

CPT 0061U

—

$26

clean

Antb tp total&rpr ia qual

CPT 0064U

—

$33

clean

Syfls tst nontreponemal antb

CPT 0065U

—

$19

clean

Candida species pnl amp prb

CPT 0068U

—

$150

clean

Ig paraprotein qual bld/ur

CPT 0077U

—

$46

clean

Onc lng 5 clin rsk factr alg

CPT 0080U

—

$3,696

clean

Onc mlnma prame & linc00518

CPT 0089U

—

$798

clean

Onc cutan mlnma mrna 23 gene

CPT 0090U

—

$2,048

clean

Extracorp shockwv tx hi enrg

CPT 0101T

—

$227

clean

Hered colon ca do 15 genes

CPT 0101U

—

$1,831

clean

Neph ckd mult eclia tum nec

CPT 0105U

—

$998

clean

Touch Quant Sensory Test

CPT 0106T

—

$34

clean

Gstr emptg 7 timed brth spec

CPT 0106U

—

$918

clean

Vibrate Quant Sensory Test

CPT 0107T

—

$34

clean

Cool Quant Sensory Test

CPT 0108T

—

$54

clean

Gi barrett esoph 9 prtn bmrk

CPT 0108U

—

$5,198

clean

Heat Quant Sensory Test

CPT 0109T

—

$34

clean

Iadi 16s&18s rrna genes

CPT 0112U

—

$374

clean

Trnsplj don-drv cll-fr dna

CPT 0118U

—

$2,891

clean

Crd ceramides liq chrom plsm

CPT 0119U

—

$88

clean

Hered brst ca rltd do panel

CPT 0129U

—

$1,369

clean

Nfct bct fng prst dna >1000

CPT 0152U

—

$2,233

clean

Gi ibs ia anti-cdtb&vinculin

CPT 0164U

—

$118

clean

Liver ds 10 biochem asy srm

CPT 0166U

—

$529

clean

Onc sld tum alys brca1 brca2

CPT 0172U

—

$3,182

clean

Onc solid tumor 30 prtn trgt

CPT 0174U

—

$1,371

clean

Exc rectal tumor endoscopic

CPT 0184T

—

$5,586

clean

Perq sacral augmt unilat inj

CPT 0200T

—

$6,677

clean

Perq sacral augmt bilat inj

CPT 0201T

—

$6,677

clean

Post vert arthrplst 1 lumbar

CPT 0202T

—

$11,813

clean

Nfct ds 22 trgt sars-cov-2

CPT 0202U

—

$438

clean

Neuro alzheimer cell aggregj

CPT 0206U

—

$2,326

clean

Clear eyelid gland w/heat

CPT 0207T

—

$122

clean

Njx platelet plasma

CPT 0232T

—

$411

clean

Trluml perip athrc brchiocph

CPT 0237T

—

$10,622

clean

Trluml perip athrc iliac art

CPT 0238T

—

$16,868

clean

Trgt gen seq alys pnl 311+

CPT 0239U

—

$3,675

clean

Trgt gen seq alys pnl 55-74

CPT 0242U

—

$5,250

clean

Onc thyr mut alys 10 gen&37

CPT 0245U

—

$1,329

clean

Onc sld org neo dna 505 gene

CPT 0250U

—

$3,066

clean

Tempr

CPT 0278T

—

$118

clean

Onc lung mrna quan pcr 11&3

CPT 0288U

—

$4,067

clean

Onc brst dux carc 7 proteins

CPT 0295U

—

$5,707

clean

Crd cad alys 3 prtn plsm alg

CPT 0308U

—

$410

clean

Crd cv ds aly 4 prtn plm alg

CPT 0309U

—

$410

clean

Nfct ds bct quan antmcrb sc

CPT 0311U

—

clean

Ai ds sle alys 8 igg autoant

CPT 0312U

—

$883

clean

Onc cutan sq cll ca mrna 40

CPT 0315U

—

$8,925

clean

Neph rna psttrnspl perph bld

CPT 0320U

—

$2,783

clean

Tear film img uni/bi w/i&r

CPT 0330T

—

$34

clean

Onc sld orgn tgsa dna 84/+

CPT 0334U

—

$3,675

clean

Onc plsm cell do&myeloma id

CPT 0337U

—

$2,557

clean

Onc sld tum crcg tum cl slct

CPT 0338U

—

$2,557

clean

Trnscth renal symp denrv bil

CPT 0339T

—

$5,237

clean

Onc prst8 mrna hoxc6 & dlx1

CPT 0339U

—

$798

clean

Onc pan ca alys mrd plasma

CPT 0340U

—

$3,770

clean

Hep nafld semiq evl 28 lipid

CPT 0344U

—

$832

clean

Psyc genom alys pnl 15 gen

CPT 0345U

—

$1,403

clean

Rx metab/pcx dna 16 gen alys

CPT 0347U

—

$1,403

clean

Rx metab/pcx dna 25 gen alys

CPT 0348U

—

$779

clean

Rx metab/pcx dna 27gen rx ia

CPT 0349U

—

$779

clean

RSA lower extr exam

CPT 0350T

—

$80

clean

Nfct ds bct/viral trail ip10

CPT 0351U

—

$274

clean

Apol1 risk variants

CPT 0355U

—

$144

clean

Onc orop 17 dna ddpcr alg

CPT 0356U

—

$1,890

clean

BIA whole body

CPT 0358T

—

$27

clean

Neuro alys b-amyl 1-42&1-40

CPT 0358U

—

$274

clean

Onc prst8 ca alys all psa

CPT 0359U

—

$798

clean

Onc lung elisa 7 autoant alg

CPT 0360U

—

$883

clean

Onc urthl mrna 5 gen alg

CPT 0363U

—

$798

clean

Onc bldr 10 prb bldr ca

CPT 0365U

—

$942

clean

Onc bldr 10 prb recr bldr ca

CPT 0366U

—

$942

clean

Onc ovrn bchm asy 7 prtn alg

CPT 0375U

—

$942

clean

Onc prst8 ca img alys 128

CPT 0376U

—

$742

clean

Vis field assmnt tech suppt

CPT 0379T

—

$34

clean

Tgsap sl or neo dna523&rna55

CPT 0379U

—

$3,453

clean

Onc nonsm cll lng ca 37 gen

CPT 0388U

—

$3,675

clean

Neu prksn msfl ?-syncln prtn

CPT 0393U

—

$568

clean

Pfas 16 pfas compnd lc ms/ms

CPT 0394U

—

$209

clean

Hdr elctr ntrst/ntrcv brchtx

CPT 0395T

—

$641

clean

Gi baret esph dna mthyln aly

CPT 0398U

—

$1,843

clean

Collagen crosslinking cornea

CPT 0402T

—

$2,188

clean

Onc prst8 mrna 18 gen dre ur

CPT 0403U

—

$798

clean

Onc brst semiq meas thym kn

CPT 0404U

—

$339

clean

Onc lung flow cytmtry 5 mrk

CPT 0406U

—

$798

clean

Neph dbtc ckd mult eclia alg

CPT 0407U

—

$998

clean

Insj/rplc cardiac modulj sys

CPT 0408T

—

$28,882

clean

Onc sld tum dna 80 & rna 36

CPT 0409U

—

$3,066

clean

Psyc genom alys pnl 15 gen

CPT 0411U

—

$1,403

clean

Cv ds acs bld alg 5 yr score

CPT 0415U

—

$410

clean

Prgrmg eval cardiac modulj

CPT 0417T

—

$34

clean

Interro eval cardiac modulj

CPT 0418T

—

$34

clean

Onc pan solid tum alys dna

CPT 0422U

—

$2,040

clean

Gi malabs aat calpro pncrtc

CPT 0430U

—

$65

clean

Gly rcptr alpha1 igg srm/csf

CPT 0431U

—

$38

clean

Klhl11 antb sr/csf asy qual

CPT 0432U

—

$38

clean

Onc prst8 5 dna reg mrk pcr

CPT 0433U

—

$798

clean

Rx metab advrs vrnt alys 25

CPT 0434U

—

$438

clean

Abltj perc lxtr/perph nrv

CPT 0441T

—

$1,797

clean

Neurflmnt lt chn ultrsens ia

CPT 0443U

—

$122

clean

Rmvl impltbl glucose sensor

CPT 0447T

—

$185

clean

Insj aqueous drain dev 1st

CPT 0449T

—

$4,896

clean

Visual ep test for glaucoma

CPT 0464T

—

$118

clean

Onc sld tum bld/slv 648 gene

CPT 0473U

—

$4,725

clean

Hered prst8 ca gsap 23 genes

CPT 0475U

—

$1,369

clean

Fxjl abl lsr 1st 100 sq cm

CPT 0479T

—

$680

clean

Oct mid ear i&r unilateral

CPT 0485T

—

$34

clean

Onc sol tum cfdna&rna ngs gm

CPT 0485U

—

$3,832

clean

Oct mid ear i&r bilateral

CPT 0486T

—

$34

clean

Ev fempop artl revsc

CPT 0505T

—

$10,622

clean

Near ifr 2img mibmn glnd i&r

CPT 0507T

—

$54

clean

Pattern erg w/i&r

CPT 0509T

—

$199

clean

Esw integ wnd hlg 1st wnd

CPT 0512T

—

$185

clean

Insj/rplcmt compl iims

CPT 0525T

—

$17,723

clean

Prgrmg dev eval iims ip

CPT 0528T

—

$34

clean

Interrog dev eval iims ip

CPT 0529T

—

$34

clean

Antmc guide 3d print 1st gd

CPT 0561T

—

$122

clean

Evac meibomian glnd heat bi

CPT 0563T

—

$54

clean

Insj/rplcmt icds ss eltrd

CPT 0571T

—

$28,882

clean

Prgrmg dev eval icds ss ip

CPT 0575T

—

$34

clean

Interrog dev eval icds ss ip

CPT 0576T

—

$34

clean

Rem interrog dev icds tech

CPT 0579T

—

$34

clean

Abltj mal brst tum perq crtx

CPT 0581T

—

$3,603

clean

Ncntc r-t fluor wnd img 1st

CPT 0598T

—

$199

clean

Ire abltj 1+tum organ perq

CPT 0600T

—

$9,781

clean

Ire abltj 1+tumors open

CPT 0601T

—

$9,781

clean

Perq njx algc fluor lmbr 1st

CPT 0627T

—

$11,813

clean

Perq njx algc ct lmbr 1st

CPT 0629T

—

$11,813

clean

Ct breast w/3d bi c-/c+

CPT 0638T

—

$321

clean

Ncntc nr ifr spctrsc wnd

CPT 0640T

—

$34

clean

Tcat rmvl/dblk icar mas perq

CPT 0644T

—

$5,237

clean

Insj gtube perq mag gastrpxy

CPT 0647T

—

$1,766

clean

Prgrmg dev eval scrms remote

CPT 0650T

—

$34

clean

Egd flx transnasal tube/cath

CPT 0654T

—

$3,548

clean

Tprnl focal abltj mal prst8

CPT 0655T

—

$4,934

clean

Elec impd spectrsc 1+skn les

CPT 0658T

—

$54

clean

Implt ant sgm io nbio rx sys

CPT 0660T

—

$3,803

clean

Insj ant sgm aq drg dev 1+

CPT 0671T

—

$4,896

clean

Abltj b9 thyr ndul perq lasr

CPT 0673T

—

$1,520

clean

Bdy surf mapg pm/cvdfb f/up

CPT 0696T

—

$34

clean

Njx b1 sub mtrl sbchdrl dfct

CPT 0707T

—

$3,011

clean

Instlj fecal microbiota ssp

CPT 0780T

—

$122

clean

Tcat ins 2chmbr ldls pm cmpl

CPT 0795T

—

$17,723

clean

Tcat ins 2chmbr ldls pm ra

CPT 0796T

—

$17,723

clean

Tcat ins 2chmbr ldls pm rv

CPT 0797T

—

$17,723

clean

Prgrmg evl ldls pm 2chmbr ip

CPT 0804T

—

$34

clean

Rem mlt day uroflow setup

CPT 0811T

—

$123

clean

Rem mlt day uroflow dev sply

CPT 0812T

—

$118

clean

Opn insj/rplcmt ins ptn subq

CPT 0816T

—

$17,851

clean

Opn insj/rplcmt ins ptn subf

CPT 0817T

—

$17,851

clean

Revj/rmvl ins ptn subq

CPT 0818T

—

$3,217

clean

Tcat ins 1chmbr ldls pm ra

CPT 0823T

—

$17,723

clean

Prgrmg evl ldls pm 1chmbr ip

CPT 0826T

—

$34

clean

Low ntsty eswt corpus cvrnsm

CPT 0864T

—

$230

clean

Quan mri alys brn w/dx mri

CPT 0866T

—

$220

clean

N-invas prst8 cancer est map

CPT 0898T

—

$790

clean

Fna bx w/us gdn 1st les

CPT 10005

—

$652

clean

Fna bx w/fluor gdn 1st les

CPT 10007

—

$652

clean

Fna bx w/ct gdn 1st les

CPT 10009

—

$652

clean

Fna bx w/mr gdn 1st les

CPT 10011

—

$652

clean

Fna w/o image

CPT 10021

—

$374

clean

Guide cathet fluid drainage

CPT 10030

—

$652

clean

Perq dev soft tiss 1st imag

CPT 10035

—

$652

clean

Acne surgery

CPT 10040

—

$185

clean

Drainage of skin abscess

CPT 10060

—

$185

clean

Drainage of skin abscess

CPT 10061

—

$374

clean

Drainage of pilonidal cyst

CPT 10080

—

$652

clean

Drainage of pilonidal cyst

CPT 10081

—

$652

clean

Remove foreign body

CPT 10120

—

$374

clean

Remove foreign body

CPT 10121

—

$1,520

clean

Drainage of hematoma/fluid

CPT 10140

—

$1,520

clean

Puncture drainage of lesion

CPT 10160

—

$374

clean

Complex drainage wound

CPT 10180

—

$2,673

clean

Debride infected skin

CPT 11000

—

$374

clean

Debride skin at fx site

CPT 11010

—

$652

clean

Debride skin musc at fx site

CPT 11011

—

$652

clean

Deb skin bone at fx site

CPT 11012

—

$2,673

clean

Showing the first 200 of 8,986 code–setting items in the file, verified codes first — every row as JSON →

Findings

Service

Severity

Rule

Detail

warn

mrf_rate_without_estimate

9,779 of 9,779 percentage/algorithm rates across 889 items carry no estimated dollar amount, which the template has required since 1 January 2025 — none of them do

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Phoebe Sumter Medical Center — standard charges file · GA · updated 2026-04-01
· json · 21.1M bytes · fetched 2026-08-23 · sha256 0d0a4ceabc94…

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.