facebook tracking Circulatory disorders except AMI, with cardiac catheterization with major complications cost in Georgia: 37 hospitals compared (DRG 286)

Circulatory disorders except AMI, with cardiac catheterization with major complications in Georgia

What 37 hospitals in Georgia charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.

DRG 286 Inpatient 2024 Medicare data
Average charge $99,962 Hospital list price billed
Average payment $20,573 Medicare + patient + other payers
Medicare paid $16,369 Average per stay
State rank #24 of 47 1 = lowest average payment

Hospitals in Georgia billed an average of $99,962 for circulatory disorders except ami, with cardiac catheterization with major complications, about 4.9 times the average total payment of $20,573. That payment is 6% below the U.S. average of $21,968.

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 $20,573Billed $99,962

About 21¢ 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: circulatory disorders except ami, with cardiac catheterization 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
Piedmont HospitalAtlanta 129 $106,988 $25,954 $14,534
Northeast Georgia Medical Center, INCGainesville 78 $117,782 $20,073 $17,457
Wellstar Kennestone HospitalMarietta 78 $144,172 $21,529 $19,076
Piedmont Augusta HospitalAugusta 58 $68,628 $17,598 $12,771
Northside Hospital ForsythCumming 43 $117,638 $16,884 $14,905
John D Archbold Memorial HospitalThomasville 41 $46,846 $17,366 $14,621
Emory University HospitalAtlanta 40 $111,466 $35,962 $26,615
Atrium Health Navicent the Medical CenterMacon 40 $107,787 $19,386 $16,874
Saint Joseph's Hosp of AtlantaAtlanta 39 $74,733 $19,735 $12,625
Emory University Hospital MidtownAtlanta 38 $131,541 $29,077 $26,277
Northside Hospital CherokeeCanton 37 $134,672 $19,576 $18,219
Medical College of Ga Hospitals and ClinicsAugusta 33 $123,053 $29,061 $21,149
Hamilton Medical CenterDalton 31 $81,339 $19,365 $16,210
St Joseph's Hospital - SavannahSavannah 28 $66,712 $13,773 $12,607
Floyd Medical CenterRome 28 $68,338 $19,237 $15,271
Piedmont Fayette HospitalFayetteville 28 $96,458 $16,459 $15,177
Redmond Regional Medical CenterRome 27 $142,184 $16,844 $14,430
Southeast Georgia Reg Med CtrBrunswick 26 $40,195 $19,997 $17,659
Piedmont Newnan Hospital, INCNewnan 26 $85,166 $17,194 $14,286
Cartersville Medical CenterCartersville 25 $150,802 $17,279 $14,292
Tanner Medical Center - CarrolltonCarrollton 23 $78,797 $17,216 $15,460
Gwinnett Medical CenterLawrenceville 22 $100,454 $19,360 $17,067
Wellstar Paulding HospitalDallas 21 $98,425 $15,077 $13,757
Gordon HospitalCalhoun 20 $100,663 $16,977 $13,645
Wellstar Cobb HospitalAustell 20 $136,113 $18,579 $16,972
Houston Medical CenterWarner Robins 19 $50,146 $15,467 $13,951
Phoebe Putney Memorial HospitalAlbany 17 $66,058 $21,152 $19,269
Athens Regional Medical CenterAthens 17 $82,510 $21,820 $14,020
Henry Medical Center, INCStockbridge 15 $81,854 $18,631 $14,885
Emory Johns Creek HospitalJohns Creek 15 $63,503 $13,580 $12,494
St Mary's HospitalAthens 13 $45,756 $18,646 $13,762
Northside HospitalAtlanta 13 $115,894 $21,119 $19,864
Emory Eastside Medical CenterSnellville 12 $102,295 $15,702 $14,750
North Fulton Regional HospitalRoswell 12 $151,708 $18,915 $17,532
Tanner Medical Center Villa RicaVilla Rica 11 $70,246 $20,391 $15,426
Colquitt Reg Medical CenterMoultrie 11 $45,363 $17,323 $15,500
St Francis Hospital, INCColumbus 11 $68,997 $17,167 $10,023
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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

Emory Johns Creek HospitalJohns Creek, GA$13,580
St Joseph's Hospital - SavannahSavannah, GA$13,773
Wellstar Paulding HospitalDallas, GA$15,077
Houston Medical CenterWarner Robins, GA$15,467
Emory Eastside Medical CenterSnellville, GA$15,702

Highest

Circulatory disorders except AMI, with cardiac catheterization with major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 37 hospitals in Georgia was billed at $99,962 on average, while the average total payment was $20,573, of which Medicare paid $16,369. 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 4.9 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.