Aortic and heart assist procedures except pulsation balloon without major complications in Georgia
What 9 hospitals in Georgia charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.
Average charge
$214,168
Hospital list price billed
Average payment
$37,582
Medicare + patient + other payers
Medicare paid
$28,623
Average per stay
State rank
#19 of 35
1 = lowest average payment
Hospitals in Georgia billed an average of $214,168 for aortic and heart assist procedures except pulsation balloon without major complications, about 5.7 times the average total payment of $37,582. That payment is 5% below the U.S. average of $39,522.
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 $37,582Billed $214,168
About 18¢ was paid for every $1 hospitals in Georgia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Georgia:
Georgia hospitals: aortic and heart assist procedures except pulsation balloon without 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 | 27 | $247,962 | $40,377 | $28,999 |
| Piedmont HospitalAtlanta | 22 | $275,351 | $33,542 | $29,041 |
| Atrium Health Navicent the Medical CenterMacon | 17 | $257,208 | $43,725 | $26,031 |
| Wellstar Kennestone HospitalMarietta | 16 | $324,676 | $38,922 | $31,734 |
| Gwinnett Medical CenterLawrenceville | 15 | $170,971 | $38,225 | $30,049 |
| Athens Regional Medical CenterAthens | 14 | $205,737 | $45,110 | $26,686 |
| Saint Joseph's Hosp of AtlantaAtlanta | 13 | $81,185 | $29,583 | $25,035 |
| Emory University HospitalAtlanta | 12 | $99,649 | $38,116 | $34,866 |
| St Joseph's Hospital - SavannahSavannah | 11 | $133,322 | $25,776 | $24,292 |
Lowest and highest payments in Georgia
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| St Joseph's Hospital - SavannahSavannah, GA | $25,776 |
|---|---|
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $29,583 |
| Piedmont HospitalAtlanta, GA | $33,542 |
| Emory University HospitalAtlanta, GA | $38,116 |
| Gwinnett Medical CenterLawrenceville, GA | $38,225 |
Highest
| Athens Regional Medical CenterAthens, GA | $45,110 |
|---|---|
| Atrium Health Navicent the Medical CenterMacon, GA | $43,725 |
| Northeast Georgia Medical Center, INCGainesville, GA | $40,377 |
| Wellstar Kennestone HospitalMarietta, GA | $38,922 |
| Gwinnett Medical CenterLawrenceville, GA | $38,225 |
Aortic and heart assist procedures except pulsation balloon without major complications in other states
Questions
How much does aortic and heart assist procedures except pulsation balloon without major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 9 hospitals in Georgia was billed at $214,168 on average, while the average total payment was $37,582, of which Medicare paid $28,623. 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 5.7 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.