facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Georgia: 14 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Georgia

What 14 hospitals in Georgia charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $274,100 Hospital list price billed
Average payment $51,134 Medicare + patient + other payers
Medicare paid $45,747 Average per stay
State rank #20 of 42 1 = lowest average payment

Hospitals in Georgia billed an average of $274,100 for endovascular cardiac valve replacement and supplement procedures with major complications, about 5.4 times the average total payment of $51,134. That payment is 11% below the U.S. average of $57,249.

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 $51,134Billed $274,100

About 19¢ 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: endovascular cardiac valve replacement and supplement procedures 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
Piedmont HospitalAtlanta 211 $317,527 $53,124 $42,667
Emory University Hospital MidtownAtlanta 147 $171,668 $52,000 $49,709
Saint Joseph's Hosp of AtlantaAtlanta 57 $156,958 $45,657 $41,888
Wellstar Kennestone HospitalMarietta 55 $313,044 $55,281 $53,839
Athens Regional Medical CenterAthens 52 $296,127 $49,670 $45,042
Piedmont Augusta HospitalAugusta 45 $237,332 $47,528 $36,600
Redmond Regional Medical CenterRome 45 $482,824 $49,762 $48,195
Northeast Georgia Medical Center, INCGainesville 42 $432,649 $57,984 $55,733
St Joseph's Hospital - SavannahSavannah 34 $194,896 $39,382 $35,853
Atrium Health Navicent the Medical CenterMacon 24 $258,514 $49,222 $46,440
Memorial Health Univ Med Cen, INCSavannah 17 $306,243 $46,595 $44,155
Gwinnett Medical CenterLawrenceville 14 $239,285 $52,724 $51,034
St Francis Hospital, INCColumbus 14 $164,171 $40,624 $39,329
Emory University HospitalAtlanta 11 $222,691 $69,031 $56,974
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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

Highest

Emory University HospitalAtlanta, GA$69,031
Northeast Georgia Medical Center, INCGainesville, GA$57,984
Wellstar Kennestone HospitalMarietta, GA$55,281
Piedmont HospitalAtlanta, GA$53,124
Gwinnett Medical CenterLawrenceville, GA$52,724

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 14 hospitals in Georgia was billed at $274,100 on average, while the average total payment was $51,134, of which Medicare paid $45,747. 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 5.4 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.