facebook tracking Extracranial procedures with complications cost in Georgia: 8 hospitals compared (DRG 038)

Extracranial procedures with complications in Georgia

What 8 hospitals in Georgia charged and were paid for a Medicare hospital stay for extracranial procedures with complications (DRG 038), from 2024 Medicare claims.

DRG 038 Inpatient 2024 Medicare data
Average charge $97,487 Hospital list price billed
Average payment $14,519 Medicare + patient + other payers
Medicare paid $11,159 Average per stay
State rank #20 of 29 1 = lowest average payment

Hospitals in Georgia billed an average of $97,487 for extracranial procedures with complications, about 6.7 times the average total payment of $14,519. That payment is 3% below the U.S. average of $14,903.

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 $14,519Billed $97,487

About 15¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: extracranial procedures 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
Northeast Georgia Medical Center, INCGainesville 32 $85,483 $15,559 $12,187
Wellstar Kennestone HospitalMarietta 28 $112,356 $15,369 $13,625
Saint Joseph's Hosp of AtlantaAtlanta 19 $57,084 $13,466 $8,015
Piedmont HospitalAtlanta 18 $93,216 $17,260 $8,792
Redmond Regional Medical CenterRome 17 $168,269 $12,450 $11,068
Northside Hospital ForsythCumming 13 $81,160 $11,768 $10,512
Piedmont Augusta HospitalAugusta 13 $52,769 $12,188 $9,203
Floyd Medical CenterRome 12 $131,035 $15,760 $14,135
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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

Piedmont HospitalAtlanta, GA$17,260
Floyd Medical CenterRome, GA$15,760
Northeast Georgia Medical Center, INCGainesville, GA$15,559
Wellstar Kennestone HospitalMarietta, GA$15,369
Saint Joseph's Hosp of AtlantaAtlanta, GA$13,466

Extracranial procedures with complications in other states

Questions

How much does extracranial procedures with complications cost in Georgia?

In 2024 Medicare data, a hospital stay for extracranial procedures with complications (DRG 038) at 8 hospitals in Georgia was billed at $97,487 on average, while the average total payment was $14,519, of which Medicare paid $11,159. 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 6.7 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.