facebook tracking Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost in Georgia: 4 hospitals compared (DRG 442)

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications in Georgia

What 4 hospitals in Georgia charged and were paid for a Medicare hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442), from 2024 Medicare claims.

DRG 442 Inpatient 2024 Medicare data
Average charge $42,172 Hospital list price billed
Average payment $11,938 Medicare + patient + other payers
Medicare paid $7,297 Average per stay
State rank #20 of 27 1 = lowest average payment

Hospitals in Georgia billed an average of $42,172 for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications, about 3.5 times the average total payment of $11,938. That payment is 6% above the U.S. average of $11,272.

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 $11,938Billed $42,172

About 28¢ 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: disorders of liver except malignancy, cirrhosis or alcoholic hepatitis 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
Emory University HospitalAtlanta 19 $42,072 $14,525 $8,641
Northeast Georgia Medical Center, INCGainesville 17 $43,814 $9,795 $8,282
Piedmont HospitalAtlanta 17 $42,455 $13,162 $4,915
Athens Regional Medical CenterAthens 11 $39,368 $8,886 $7,137
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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.

Lowest

Athens Regional Medical CenterAthens, GA$8,886
Northeast Georgia Medical Center, INCGainesville, GA$9,795
Piedmont HospitalAtlanta, GA$13,162
Emory University HospitalAtlanta, GA$14,525

Highest

Emory University HospitalAtlanta, GA$14,525
Piedmont HospitalAtlanta, GA$13,162
Northeast Georgia Medical Center, INCGainesville, GA$9,795
Athens Regional Medical CenterAthens, GA$8,886

Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications in other states

Questions

How much does disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications cost in Georgia?

In 2024 Medicare data, a hospital stay for disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with complications (DRG 442) at 4 hospitals in Georgia was billed at $42,172 on average, while the average total payment was $11,938, of which Medicare paid $7,297. 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 3.5 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.