facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Georgia: 9 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Georgia

What 9 hospitals in Georgia charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $294,393 Hospital list price billed
Average payment $52,714 Medicare + patient + other payers
Medicare paid $45,036 Average per stay
State rank #18 of 37 1 = lowest average payment

Hospitals in Georgia billed an average of $294,393 for coronary bypass without cardiac catheterization with major complications, about 5.6 times the average total payment of $52,714. That payment is 7% below the U.S. average of $56,401.

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 $52,714Billed $294,393

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: coronary bypass without 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
Saint Joseph's Hosp of AtlantaAtlanta 52 $225,872 $41,302 $39,804
Wellstar Kennestone HospitalMarietta 39 $410,156 $55,308 $49,352
Piedmont HospitalAtlanta 29 $301,630 $60,837 $39,166
Gwinnett Medical CenterLawrenceville 25 $259,232 $50,611 $46,374
Emory University Hospital MidtownAtlanta 22 $288,170 $65,071 $51,985
Medical College of Ga Hospitals and ClinicsAugusta 16 $214,494 $53,387 $45,168
Emory University HospitalAtlanta 14 $233,206 $61,110 $48,822
Atrium Health Navicent the Medical CenterMacon 13 $202,770 $43,374 $40,345
Redmond Regional Medical CenterRome 11 $583,531 $55,493 $53,537
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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.

Highest

Emory University Hospital MidtownAtlanta, GA$65,071
Emory University HospitalAtlanta, GA$61,110
Piedmont HospitalAtlanta, GA$60,837
Redmond Regional Medical CenterRome, GA$55,493
Wellstar Kennestone HospitalMarietta, GA$55,308

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 9 hospitals in Georgia was billed at $294,393 on average, while the average total payment was $52,714, of which Medicare paid $45,036. 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 5.6 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.