facebook tracking Combined anterior and posterior spinal fusion without complications cost in Georgia: 16 hospitals compared (DRG 455)

Combined anterior and posterior spinal fusion without complications in Georgia

What 16 hospitals in Georgia charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455), from 2024 Medicare claims.

DRG 455 Inpatient 2024 Medicare data
Average charge $212,958 Hospital list price billed
Average payment $40,933 Medicare + patient + other payers
Medicare paid $32,333 Average per stay
State rank #21 of 35 1 = lowest average payment

Hospitals in Georgia billed an average of $212,958 for combined anterior and posterior spinal fusion without complications, about 5.2 times the average total payment of $40,933. That payment is about the same as the U.S. average of $40,610.

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 $40,933Billed $212,958

About 19¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: combined anterior and posterior spinal fusion without 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 54 $128,753 $38,427 $33,246
Piedmont Columbus Regional NorthsideColumbus 48 $209,636 $28,627 $27,063
Piedmont HospitalAtlanta 39 $255,777 $41,457 $29,782
Northeast Georgia Medical Center, INCGainesville 29 $364,505 $64,307 $38,446
Northside Hospital CherokeeCanton 27 $227,309 $35,901 $31,089
Northside HospitalAtlanta 27 $251,678 $40,834 $37,895
St Joseph's Hospital - SavannahSavannah 26 $134,481 $30,245 $26,154
Piedmont Augusta HospitalAugusta 23 $213,937 $43,022 $30,905
Emory University HospitalAtlanta 21 $93,878 $42,117 $37,986
Northside Hospital ForsythCumming 19 $232,105 $33,587 $32,212
Coliseum Medical CenterMacon 17 $233,992 $38,928 $32,526
Wellstar Kennestone HospitalMarietta 16 $202,617 $51,343 $34,379
Gwinnett Medical CenterLawrenceville 15 $293,739 $49,124 $35,835
Burke Medical CenterWaynesboro 14 $362,604 $46,883 $40,035
Emory University Hospital MidtownAtlanta 13 $84,189 $45,453 $27,116
Atrium Health Navicent the Medical CenterMacon 12 $174,504 $50,392 $28,800
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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

Piedmont Columbus Regional NorthsideColumbus, GA$28,627
St Joseph's Hospital - SavannahSavannah, GA$30,245
Northside Hospital ForsythCumming, GA$33,587
Northside Hospital CherokeeCanton, GA$35,901
St Mary's HospitalAthens, GA$38,427

Highest

Northeast Georgia Medical Center, INCGainesville, GA$64,307
Wellstar Kennestone HospitalMarietta, GA$51,343
Atrium Health Navicent the Medical CenterMacon, GA$50,392
Gwinnett Medical CenterLawrenceville, GA$49,124
Burke Medical CenterWaynesboro, GA$46,883

Combined anterior and posterior spinal fusion without complications in other states

Questions

How much does combined anterior and posterior spinal fusion without complications cost in Georgia?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 16 hospitals in Georgia was billed at $212,958 on average, while the average total payment was $40,933, of which Medicare paid $32,333. 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 5.2 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.