Diabetes with major complications in Georgia
What 40 hospitals in Georgia charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$67,817
Hospital list price billed
Average payment
$14,000
Medicare + patient + other payers
Medicare paid
$11,192
Average per stay
State rank
#33 of 43
1 = lowest average payment
Hospitals in Georgia billed an average of $67,817 for diabetes with major complications, about 4.8 times the average total payment of $14,000. That payment is about the same as the U.S. average of $14,037.
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 $14,000Billed $67,817
About 21¢ 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 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 | 38 | $88,780 | $15,315 | $13,233 |
| Grady Memorial HospitalAtlanta | 31 | $122,637 | $30,088 | $21,956 |
| Gwinnett Medical CenterLawrenceville | 31 | $85,676 | $14,986 | $11,845 |
| Northside Hospital CherokeeCanton | 27 | $77,134 | $11,608 | $9,978 |
| Memorial Health Univ Med Cen, INCSavannah | 26 | $49,411 | $12,995 | $10,168 |
| Henry Medical Center, INCStockbridge | 26 | $64,786 | $12,367 | $10,683 |
| Wellstar Cobb HospitalAustell | 25 | $74,729 | $16,070 | $11,492 |
| Northeast Georgia Medical Center, INCGainesville | 24 | $75,766 | $11,661 | $9,743 |
| Piedmont Fayette HospitalFayetteville | 24 | $64,676 | $11,357 | $10,371 |
| Piedmont Augusta HospitalAugusta | 23 | $55,800 | $11,981 | $8,571 |
| Emory Decatur HospitalDecatur | 22 | $44,274 | $13,127 | $11,052 |
| Emory University Hospital MidtownAtlanta | 20 | $84,088 | $20,282 | $17,054 |
| Redmond Regional Medical CenterRome | 19 | $109,674 | $11,417 | $9,770 |
| Wellstar Douglas HospitalDouglasville | 19 | $93,996 | $13,371 | $11,653 |
| Houston Medical CenterWarner Robins | 18 | $28,003 | $11,004 | $9,514 |
| Athens Regional Medical CenterAthens | 18 | $53,194 | $18,034 | $8,713 |
| Northside Hospital ForsythCumming | 17 | $68,324 | $10,691 | $9,563 |
| Floyd Medical CenterRome | 17 | $44,446 | $12,720 | $11,019 |
| Piedmont HospitalAtlanta | 17 | $50,528 | $16,867 | $8,488 |
| Atrium Health Navicent the Medical CenterMacon | 17 | $71,758 | $13,525 | $10,263 |
| Sgmc HealthValdosta | 17 | $35,521 | $9,537 | $8,293 |
| Hamilton Medical CenterDalton | 15 | $54,991 | $12,300 | $10,425 |
| Saint Joseph's Hosp of AtlantaAtlanta | 15 | $32,314 | $9,995 | $7,695 |
| Emory Johns Creek HospitalJohns Creek | 15 | $46,528 | $10,092 | $8,787 |
| Emory University HospitalAtlanta | 14 | $64,541 | $19,123 | $11,863 |
| Spalding Regional Medical CenterGriffin | 14 | $82,900 | $12,936 | $11,554 |
| Wellstar Paulding HospitalDallas | 13 | $51,470 | $8,975 | $7,517 |
| St Joseph's Hospital - SavannahSavannah | 13 | $45,859 | $9,414 | $8,535 |
| Rockdale Medical CenterConyers | 13 | $61,894 | $13,430 | $10,257 |
| Southern Regional Medical CenterRiverdale | 13 | $34,282 | $14,877 | $13,059 |
| Piedmont Newnan Hospital, INCNewnan | 13 | $61,627 | $11,393 | $10,639 |
| St Mary's HospitalAthens | 12 | $26,933 | $13,129 | $10,785 |
| West Georgia Medical CenterLagrange | 12 | $95,210 | $11,863 | $11,455 |
| Northside HospitalAtlanta | 12 | $73,784 | $15,177 | $13,885 |
| Coliseum Medical CenterMacon | 12 | $131,506 | $12,519 | $8,690 |
| Emory Eastside Medical CenterSnellville | 12 | $55,932 | $10,888 | $10,072 |
| Phoebe Putney Memorial HospitalAlbany | 11 | $55,083 | $13,088 | $11,837 |
| Southeast Georgia Reg Med CtrBrunswick | 11 | $25,581 | $13,313 | $12,348 |
| Medical College of Ga Hospitals and ClinicsAugusta | 11 | $65,628 | $22,387 | $15,350 |
| Doctors HospitalAugusta | 11 | $100,206 | $10,529 | $9,342 |
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
| Wellstar Paulding HospitalDallas, GA | $8,975 |
|---|---|
| St Joseph's Hospital - SavannahSavannah, GA | $9,414 |
| Sgmc HealthValdosta, GA | $9,537 |
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $9,995 |
| Emory Johns Creek HospitalJohns Creek, GA | $10,092 |
Highest
| Grady Memorial HospitalAtlanta, GA | $30,088 |
|---|---|
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $22,387 |
| Emory University Hospital MidtownAtlanta, GA | $20,282 |
| Emory University HospitalAtlanta, GA | $19,123 |
| Athens Regional Medical CenterAthens, GA | $18,034 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 40 hospitals in Georgia was billed at $67,817 on average, while the average total payment was $14,000, of which Medicare paid $11,192. 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 4.8 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.