facebook tracking Combined anterior and posterior spinal fusion with complications cost in Georgia: 14 hospitals compared (DRG 454)

Combined anterior and posterior spinal fusion with complications in Georgia

What 14 hospitals in Georgia charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454), from 2024 Medicare claims.

DRG 454 Inpatient 2024 Medicare data
Average charge $266,386 Hospital list price billed
Average payment $58,015 Medicare + patient + other payers
Medicare paid $44,637 Average per stay
State rank #26 of 37 1 = lowest average payment

Hospitals in Georgia billed an average of $266,386 for combined anterior and posterior spinal fusion with complications, about 4.6 times the average total payment of $58,015. That payment is 2% below the U.S. average of $59,319.

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 $58,015Billed $266,386

About 22¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: combined anterior and posterior spinal fusion with 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
St Mary's HospitalAthens 42 $157,160 $53,967 $42,676
Emory University HospitalAtlanta 40 $149,955 $62,818 $45,476
Piedmont HospitalAtlanta 31 $435,643 $65,100 $56,114
Northside HospitalAtlanta 29 $336,041 $54,549 $48,967
Piedmont Augusta HospitalAugusta 27 $217,815 $47,759 $37,942
Emory University Hospital MidtownAtlanta 22 $128,954 $49,627 $46,810
Northside Hospital CherokeeCanton 19 $280,053 $44,383 $42,751
Piedmont Columbus Regional NorthsideColumbus 17 $292,751 $38,647 $37,207
Northeast Georgia Medical Center, INCGainesville 15 $409,312 $90,476 $46,256
Gwinnett Medical CenterLawrenceville 15 $397,508 $60,575 $51,995
Memorial Health Univ Med Cen, INCSavannah 13 $406,296 $46,754 $43,924
Wellstar Kennestone HospitalMarietta 12 $246,555 $88,352 $40,277
Atrium Health Navicent the Medical CenterMacon 11 $206,319 $63,719 $37,377
Redmond Regional Medical CenterRome 11 $318,569 $67,357 $32,773
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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.

Combined anterior and posterior spinal fusion with complications in other states

Questions

How much does combined anterior and posterior spinal fusion with complications cost in Georgia?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 14 hospitals in Georgia was billed at $266,386 on average, while the average total payment was $58,015, of which Medicare paid $44,637. 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 4.6 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.