facebook tracking Acute myocardial infarction, expired with major complications cost in Georgia: 2 hospitals compared (DRG 283)

Acute myocardial infarction, expired with major complications in Georgia

What 2 hospitals in Georgia charged and were paid for a Medicare hospital stay for acute myocardial infarction, expired with major complications (DRG 283), from 2024 Medicare claims.

DRG 283 Inpatient 2024 Medicare data
Average charge $167,027 Hospital list price billed
Average payment $20,423 Medicare + patient + other payers
Medicare paid $17,441 Average per stay
Volume 22 Medicare hospital stays

Hospitals in Georgia billed an average of $167,027 for acute myocardial infarction, expired with major complications, about 8.2 times the average total payment of $20,423. That payment is 3% below the U.S. average of $21,068.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $20,423Billed $167,027

About 12¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: acute myocardial infarction, expired with major complications

Every Georgia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Northeast Georgia Medical Center, INCGainesville 11 $180,238 $20,605 $17,631
Wellstar Kennestone HospitalMarietta 11 $153,816 $20,241 $17,252
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Acute myocardial infarction, expired with major complications in other states

Questions

How much does acute myocardial infarction, expired with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for acute myocardial infarction, expired with major complications (DRG 283) at 2 hospitals in Georgia was billed at $167,027 on average, while the average total payment was $20,423, of which Medicare paid $17,441. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Georgia, average charges were 8.2 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.