Diabetes with complications in Georgia
What 36 hospitals in Georgia charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$39,774
Hospital list price billed
Average payment
$9,886
Medicare + patient + other payers
Medicare paid
$7,054
Average per stay
State rank
#40 of 47
1 = lowest average payment
Hospitals in Georgia billed an average of $39,774 for diabetes with complications, about 4.0 times the average total payment of $9,886. That payment is 7% above the U.S. average of $9,215.
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 $9,886Billed $39,774
About 25¢ was paid for every $1 hospitals in Georgia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Georgia:
Georgia hospitals: diabetes with 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 | 42 | $46,111 | $10,570 | $8,194 |
| Piedmont Fayette HospitalFayetteville | 36 | $37,234 | $7,959 | $6,226 |
| Northside Hospital ForsythCumming | 27 | $44,183 | $8,421 | $5,853 |
| Northeast Georgia Medical Center, INCGainesville | 27 | $45,532 | $9,921 | $6,964 |
| Henry Medical Center, INCStockbridge | 25 | $34,450 | $8,107 | $6,801 |
| Northside Hospital CherokeeCanton | 23 | $50,107 | $16,299 | $5,738 |
| Saint Joseph's Hosp of AtlantaAtlanta | 23 | $26,535 | $7,164 | $3,954 |
| Grady Memorial HospitalAtlanta | 22 | $65,931 | $22,872 | $18,692 |
| Piedmont HospitalAtlanta | 21 | $29,534 | $12,784 | $4,602 |
| Atrium Health Navicent the Medical CenterMacon | 21 | $59,132 | $12,212 | $9,866 |
| Hamilton Medical CenterDalton | 20 | $42,295 | $9,136 | $7,231 |
| Gwinnett Medical CenterLawrenceville | 20 | $52,020 | $10,437 | $7,901 |
| St Joseph's Hospital - SavannahSavannah | 19 | $27,181 | $6,618 | $4,591 |
| Wellstar Paulding HospitalDallas | 17 | $43,836 | $9,671 | $3,527 |
| Emory University Hospital MidtownAtlanta | 17 | $30,886 | $9,589 | $7,911 |
| Tift Regional Medical CenterTifton | 17 | $27,399 | $8,593 | $6,961 |
| Satilla Regional Medical CenterWaycross | 16 | $34,182 | $7,532 | $5,513 |
| Piedmont Augusta HospitalAugusta | 16 | $27,631 | $7,292 | $4,819 |
| Emory Decatur HospitalDecatur | 16 | $29,467 | $8,835 | $7,691 |
| Sgmc HealthValdosta | 16 | $19,284 | $7,142 | $5,787 |
| Wellstar Cobb HospitalAustell | 16 | $61,599 | $9,943 | $8,521 |
| Medical College of Ga Hospitals and ClinicsAugusta | 15 | $42,873 | $15,923 | $10,493 |
| Athens Regional Medical CenterAthens | 15 | $33,083 | $9,022 | $6,560 |
| Northside HospitalAtlanta | 14 | $58,791 | $11,422 | $9,034 |
| Cartersville Medical CenterCartersville | 13 | $52,759 | $7,729 | $6,929 |
| Memorial Health Univ Med Cen, INCSavannah | 13 | $29,913 | $8,520 | $5,375 |
| Piedmont Newnan Hospital, INCNewnan | 13 | $44,838 | $8,651 | $6,127 |
| St Mary's HospitalAthens | 12 | $14,690 | $8,726 | $6,471 |
| Phoebe Putney Memorial HospitalAlbany | 12 | $28,897 | $8,849 | $7,263 |
| Floyd Medical CenterRome | 12 | $30,192 | $8,660 | $6,424 |
| Redmond Regional Medical CenterRome | 12 | $48,864 | $7,227 | $5,038 |
| North Fulton Regional HospitalRoswell | 12 | $34,136 | $8,146 | $7,152 |
| Piedmont Columbus Regional MidtownColumbus | 11 | $27,380 | $8,312 | $7,262 |
| Rockdale Medical CenterConyers | 11 | $24,722 | $9,594 | $6,732 |
| Doctors HospitalAugusta | 11 | $37,672 | $7,128 | $5,371 |
| Wellstar Douglas HospitalDouglasville | 11 | $54,198 | $8,657 | $7,019 |
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
| St Joseph's Hospital - SavannahSavannah, GA | $6,618 |
|---|---|
| Doctors HospitalAugusta, GA | $7,128 |
| Sgmc HealthValdosta, GA | $7,142 |
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $7,164 |
| Redmond Regional Medical CenterRome, GA | $7,227 |
Highest
| Grady Memorial HospitalAtlanta, GA | $22,872 |
|---|---|
| Northside Hospital CherokeeCanton, GA | $16,299 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $15,923 |
| Piedmont HospitalAtlanta, GA | $12,784 |
| Atrium Health Navicent the Medical CenterMacon, GA | $12,212 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Georgia?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 36 hospitals in Georgia was billed at $39,774 on average, while the average total payment was $9,886, of which Medicare paid $7,054. 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 4.0 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.