facebook tracking Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o cost in Georgia: 9 hospitals compared (DRG 023)

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Georgia

What 9 hospitals in Georgia charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.

DRG 023 Inpatient 2024 Medicare data
Average charge $314,532 Hospital list price billed
Average payment $59,554 Medicare + patient + other payers
Medicare paid $46,698 Average per stay
State rank #31 of 38 1 = lowest average payment

Hospitals in Georgia billed an average of $314,532 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 5.3 times the average total payment of $59,554. That payment is 5% above the U.S. average of $56,603.

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 $59,554Billed $314,532

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

Georgia hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o

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
Wellstar Kennestone HospitalMarietta 68 $441,994 $61,104 $52,694
Grady Memorial HospitalAtlanta 50 $352,566 $70,498 $61,770
Piedmont HospitalAtlanta 32 $301,451 $59,681 $41,143
Emory University HospitalAtlanta 30 $196,419 $72,463 $44,118
Memorial Health Univ Med Cen, INCSavannah 29 $292,915 $44,621 $34,928
Medical College of Ga Hospitals and ClinicsAugusta 27 $214,987 $58,177 $48,307
Northeast Georgia Medical Center, INCGainesville 25 $249,805 $52,760 $39,277
North Fulton Regional HospitalRoswell 21 $304,752 $54,367 $36,436
Piedmont Columbus Regional MidtownColumbus 15 $216,595 $39,889 $32,878
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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.

Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states

Questions

How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Georgia?

In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 9 hospitals in Georgia was billed at $314,532 on average, while the average total payment was $59,554, of which Medicare paid $46,698. 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 5.3 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.