Fractures of hip and pelvis with major complications in Georgia
What 2 hospitals in Georgia charged and were paid for a Medicare hospital stay for fractures of hip and pelvis with major complications (DRG 535), from 2024 Medicare claims.
Average charge
$83,321
Hospital list price billed
Average payment
$13,685
Medicare + patient + other payers
Medicare paid
$10,981
Average per stay
Volume
28
Medicare hospital stays
Hospitals in Georgia billed an average of $83,321 for fractures of hip and pelvis with major complications, about 6.1 times the average total payment of $13,685. That payment is 13% above the U.S. average of $12,153.
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 $13,685Billed $83,321
About 16¢ 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: fractures of hip and pelvis 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 | 17 | $92,130 | $13,967 | $11,578 |
| Northeast Georgia Medical Center, INCGainesville | 11 | $69,707 | $13,250 | $10,059 |
Fractures of hip and pelvis with major complications in other states
Questions
How much does fractures of hip and pelvis with major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis with major complications (DRG 535) at 2 hospitals in Georgia was billed at $83,321 on average, while the average total payment was $13,685, of which Medicare paid $10,981. 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 6.1 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.