facebook tracking Endocrine disorders with major complications cost in Georgia: 8 hospitals compared (DRG 643)

Endocrine disorders with major complications in Georgia

What 8 hospitals in Georgia charged and were paid for a Medicare hospital stay for endocrine disorders with major complications (DRG 643), from 2024 Medicare claims.

DRG 643 Inpatient 2024 Medicare data
Average charge $65,934 Hospital list price billed
Average payment $15,322 Medicare + patient + other payers
Medicare paid $12,668 Average per stay
State rank #17 of 29 1 = lowest average payment

Hospitals in Georgia billed an average of $65,934 for endocrine disorders with major complications, about 4.3 times the average total payment of $15,322. That payment is 6% below the U.S. average of $16,313.

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 $15,322Billed $65,934

About 23¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: endocrine 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 23 $115,271 $19,802 $17,075
Northeast Georgia Medical Center, INCGainesville 21 $76,270 $16,373 $13,373
Emory University HospitalAtlanta 13 $37,992 $18,050 $12,713
Athens Regional Medical CenterAthens 13 $62,622 $14,073 $12,368
Emory Johns Creek HospitalJohns Creek 12 $42,967 $11,326 $10,238
Saint Joseph's Hosp of AtlantaAtlanta 11 $40,255 $13,000 $9,079
Sgmc HealthValdosta 11 $25,819 $11,482 $9,963
Piedmont Fayette HospitalFayetteville 11 $70,826 $12,725 $11,352
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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

Emory Johns Creek HospitalJohns Creek, GA$11,326
Sgmc HealthValdosta, GA$11,482
Piedmont Fayette HospitalFayetteville, GA$12,725
Saint Joseph's Hosp of AtlantaAtlanta, GA$13,000
Athens Regional Medical CenterAthens, GA$14,073

Highest

Endocrine disorders with major complications in other states

Questions

How much does endocrine disorders with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for endocrine disorders with major complications (DRG 643) at 8 hospitals in Georgia was billed at $65,934 on average, while the average total payment was $15,322, of which Medicare paid $12,668. 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.