Complex GI Procedures in Georgia
What 52 hospitals in Georgia charged and were paid for complex gi procedures (APC 5331), from 2024 Medicare claims.
Average charge
$37,002
Hospital list price billed
Average allowed
$4,927
Medicare's payment + patient's share
Medicare paid
$3,909
Average per service
State rank
#19 of 48
1 = lowest average payment
Hospitals in Georgia billed an average of $37,002 for complex gi procedures, about 7.5 times the average medicare-allowed amount of $4,927. That payment is 8% below the U.S. average of $5,364.
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 $4,927Billed $37,002
About 13¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: complex gi procedures
Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Georgia
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Emory University HospitalAtlanta, GA | $4,543 |
|---|---|
| Candler HospitalSavannah, GA | $4,577 |
| Piedmont Columbus Regional MidtownColumbus, GA | $4,591 |
| Rockdale Medical CenterConyers, GA | $4,617 |
| Doctors HospitalAugusta, GA | $4,631 |
Highest
| Gwinnett Medical CenterLawrenceville, GA | $5,289 |
|---|---|
| Northside HospitalAtlanta, GA | $5,289 |
| North Fulton Regional HospitalRoswell, GA | $5,289 |
| Northeast Georgia Medical Center, INCGainesville, GA | $5,196 |
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $5,121 |
Complex GI Procedures in other states
Questions
How much does complex gi procedures cost in Georgia?
In 2024 Medicare data, complex gi procedures (APC 5331) at 52 hospitals in Georgia was billed at $37,002 on average, while the average medicare-allowed amount was $4,927, of which Medicare paid $3,909. 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 service in Georgia, average charges were 7.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.