facebook tracking Degenerative nervous system disorders with major complications cost in Georgia: 8 hospitals compared (DRG 056)

Degenerative nervous system disorders with major complications in Georgia

What 8 hospitals in Georgia charged and were paid for a Medicare hospital stay for degenerative nervous system disorders with major complications (DRG 056), from 2024 Medicare claims.

DRG 056 Inpatient 2024 Medicare data
Average charge $102,691 Hospital list price billed
Average payment $24,137 Medicare + patient + other payers
Medicare paid $20,346 Average per stay
State rank #25 of 34 1 = lowest average payment

Hospitals in Georgia billed an average of $102,691 for degenerative nervous system disorders with major complications, about 4.3 times the average total payment of $24,137. That payment is 2% below the U.S. average of $24,633.

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 $24,137Billed $102,691

About 24¢ 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: degenerative nervous system disorders 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
Wellstar Kennestone HospitalMarietta 37 $99,458 $22,703 $20,421
Emory University HospitalAtlanta 25 $125,458 $41,666 $30,345
Northside Hospital ForsythCumming 19 $111,803 $17,106 $15,903
Memorial Health Univ Med Cen, INCSavannah 16 $77,710 $18,432 $14,003
Northside HospitalAtlanta 15 $121,812 $25,450 $24,146
Northeast Georgia Medical Center, INCGainesville 14 $107,377 $21,979 $19,055
Emory Johns Creek HospitalJohns Creek 13 $40,772 $15,807 $14,552
Atrium Health Navicent the Medical CenterMacon 12 $121,826 $20,680 $17,813
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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

Degenerative nervous system disorders with major complications in other states

Questions

How much does degenerative nervous system disorders with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for degenerative nervous system disorders with major complications (DRG 056) at 8 hospitals in Georgia was billed at $102,691 on average, while the average total payment was $24,137, of which Medicare paid $20,346. 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 4.3 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.