Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Georgia
What 18 hospitals in Georgia charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$45,315
Hospital list price billed
Average payment
$10,122
Medicare + patient + other payers
Medicare paid
$7,534
Average per stay
State rank
#35 of 39
1 = lowest average payment
Hospitals in Georgia billed an average of $45,315 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 4.5 times the average total payment of $10,122. That payment is 16% above the U.S. average of $8,749.
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 $10,122Billed $45,315
About 22¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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 |
|---|---|---|---|---|
| Wellstar Kennestone HospitalMarietta | 36 | $50,693 | $10,688 | $8,019 |
| Northeast Georgia Medical Center, INCGainesville | 30 | $48,979 | $9,440 | $7,112 |
| Grady Memorial HospitalAtlanta | 26 | $73,783 | $23,153 | $19,154 |
| Gwinnett Medical CenterLawrenceville | 23 | $50,892 | $11,087 | $7,325 |
| Piedmont Fayette HospitalFayetteville | 21 | $41,067 | $7,423 | $5,948 |
| Northside Hospital ForsythCumming | 19 | $41,850 | $7,885 | $5,399 |
| Atrium Health Navicent the Medical CenterMacon | 18 | $49,709 | $10,524 | $6,806 |
| St Joseph's Hospital - SavannahSavannah | 15 | $17,667 | $6,137 | $4,614 |
| Athens Regional Medical CenterAthens | 15 | $39,544 | $8,233 | $6,128 |
| North Fulton Regional HospitalRoswell | 15 | $50,635 | $7,546 | $6,120 |
| Wellstar Cobb HospitalAustell | 14 | $53,188 | $10,268 | $8,395 |
| Piedmont Newnan Hospital, INCNewnan | 14 | $38,605 | $7,892 | $5,896 |
| Piedmont Augusta HospitalAugusta | 12 | $25,268 | $6,670 | $5,155 |
| Memorial Health Univ Med Cen, INCSavannah | 12 | $35,952 | $8,437 | $6,477 |
| Sgmc HealthValdosta | 12 | $21,408 | $7,556 | $5,774 |
| Northside Hospital CherokeeCanton | 11 | $51,578 | $7,693 | $6,112 |
| Piedmont HospitalAtlanta | 11 | $33,288 | $12,566 | $5,138 |
| Henry Medical Center, INCStockbridge | 11 | $46,446 | $8,228 | $6,272 |
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 | $6,137 |
|---|---|
| Piedmont Augusta HospitalAugusta, GA | $6,670 |
| Piedmont Fayette HospitalFayetteville, GA | $7,423 |
| North Fulton Regional HospitalRoswell, GA | $7,546 |
| Sgmc HealthValdosta, GA | $7,556 |
Highest
| Grady Memorial HospitalAtlanta, GA | $23,153 |
|---|---|
| Piedmont HospitalAtlanta, GA | $12,566 |
| Gwinnett Medical CenterLawrenceville, GA | $11,087 |
| Wellstar Kennestone HospitalMarietta, GA | $10,688 |
| Atrium Health Navicent the Medical CenterMacon, GA | $10,524 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 18 hospitals in Georgia was billed at $45,315 on average, while the average total payment was $10,122, of which Medicare paid $7,534. 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 4.5 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.