facebook tracking Endovascular cardiac valve replacement and supplement procedures without major complications cost in Georgia: 15 hospitals compared (DRG 267)

Endovascular cardiac valve replacement and supplement procedures without major complications in Georgia

What 15 hospitals in Georgia charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267), from 2024 Medicare claims.

DRG 267 Inpatient 2024 Medicare data
Average charge $237,823 Hospital list price billed
Average payment $39,520 Medicare + patient + other payers
Medicare paid $35,606 Average per stay
State rank #21 of 43 1 = lowest average payment

Hospitals in Georgia billed an average of $237,823 for endovascular cardiac valve replacement and supplement procedures without major complications, about 6.0 times the average total payment of $39,520. That payment is 10% below the U.S. average of $44,077.

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 $39,520Billed $237,823

About 17¢ 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 without 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 153 $269,894 $40,203 $31,216
Northeast Georgia Medical Center, INCGainesville 100 $312,365 $42,336 $38,155
Wellstar Kennestone HospitalMarietta 77 $250,198 $41,304 $38,926
Gwinnett Medical CenterLawrenceville 71 $161,616 $39,174 $37,685
Emory University Hospital MidtownAtlanta 68 $140,312 $40,957 $36,455
Memorial Health Univ Med Cen, INCSavannah 65 $236,286 $36,880 $33,941
Atrium Health Navicent the Medical CenterMacon 58 $202,395 $38,429 $36,998
Redmond Regional Medical CenterRome 36 $414,786 $38,051 $36,826
Medical College of Ga Hospitals and ClinicsAugusta 23 $182,689 $46,122 $43,721
Sgmc HealthValdosta 22 $150,352 $33,064 $31,658
Saint Joseph's Hosp of AtlantaAtlanta 15 $123,201 $33,062 $31,522
St Joseph's Hospital - SavannahSavannah 13 $175,110 $29,881 $28,375
Athens Regional Medical CenterAthens 13 $288,294 $37,864 $36,413
Piedmont Augusta HospitalAugusta 12 $218,744 $34,397 $33,133
Hamilton Medical CenterDalton 11 $220,690 $38,291 $36,877
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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

St Joseph's Hospital - SavannahSavannah, GA$29,881
Saint Joseph's Hosp of AtlantaAtlanta, GA$33,062
Sgmc HealthValdosta, GA$33,064
Piedmont Augusta HospitalAugusta, GA$34,397
Memorial Health Univ Med Cen, INCSavannah, GA$36,880

Endovascular cardiac valve replacement and supplement procedures without major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures without major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267) at 15 hospitals in Georgia was billed at $237,823 on average, while the average total payment was $39,520, of which Medicare paid $35,606. 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 6.0 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.