facebook tracking Heart failure and shock with major complications cost in Georgia: 78 hospitals compared (DRG 291)

Heart failure and shock with major complications in Georgia

What 78 hospitals in Georgia charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.

DRG 291 Inpatient 2024 Medicare data
Average charge $53,013 Hospital list price billed
Average payment $11,997 Medicare + patient + other payers
Medicare paid $9,714 Average per stay
State rank #37 of 50 1 = lowest average payment

Hospitals in Georgia billed an average of $53,013 for heart failure and shock with major complications, about 4.4 times the average total payment of $11,997. That payment is about the same as the U.S. average of $12,050.

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 $11,997Billed $53,013

About 23¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: heart failure and shock 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 424 $87,141 $14,055 $11,866
Northeast Georgia Medical Center, INCGainesville 382 $52,081 $12,514 $10,144
Piedmont Augusta HospitalAugusta 381 $40,875 $9,900 $7,920
Athens Regional Medical CenterAthens 378 $48,261 $11,529 $9,442
Piedmont Fayette HospitalFayetteville 290 $58,272 $10,640 $8,757
Piedmont HospitalAtlanta 255 $59,152 $17,888 $8,112
Saint Joseph's Hosp of AtlantaAtlanta 227 $42,461 $9,329 $7,877
Gwinnett Medical CenterLawrenceville 204 $72,108 $14,721 $11,138
Houston Medical CenterWarner Robins 203 $28,165 $9,754 $8,333
Northside Hospital ForsythCumming 202 $65,921 $10,738 $8,625
Hamilton Medical CenterDalton 198 $54,370 $12,131 $9,860
Emory University HospitalAtlanta 191 $55,739 $18,419 $11,234
Piedmont Newnan Hospital, INCNewnan 189 $52,932 $10,514 $9,260
Memorial Health Univ Med Cen, INCSavannah 187 $40,946 $11,592 $8,841
Northside Hospital CherokeeCanton 186 $70,394 $11,322 $9,484
Atrium Health Navicent the Medical CenterMacon 186 $57,451 $12,414 $10,057
Southeast Georgia Reg Med CtrBrunswick 185 $32,131 $11,972 $10,594
Sgmc HealthValdosta 181 $26,498 $9,808 $8,645
Henry Medical Center, INCStockbridge 170 $44,952 $10,908 $9,549
Wellstar Paulding HospitalDallas 165 $77,669 $9,082 $7,765
Emory University Hospital MidtownAtlanta 159 $54,452 $13,514 $10,332
Grady Memorial HospitalAtlanta 158 $71,888 $26,754 $22,339
St Joseph's Hospital - SavannahSavannah 157 $32,460 $8,605 $7,170
Phoebe Putney Memorial HospitalAlbany 153 $36,168 $12,713 $10,454
Tanner Medical Center - CarrolltonCarrollton 139 $42,955 $10,936 $8,812
Emory Decatur HospitalDecatur 135 $47,289 $12,013 $10,465
Floyd Medical CenterRome 127 $49,232 $11,726 $9,949
Redmond Regional Medical CenterRome 126 $84,534 $10,590 $8,701
Rockdale Medical CenterConyers 119 $52,767 $11,460 $9,916
West Georgia Medical CenterLagrange 109 $72,627 $10,959 $9,990
Emory Eastside Medical CenterSnellville 107 $62,494 $10,981 $9,605
St Francis Hospital, INCColumbus 105 $38,700 $9,877 $7,221
Emory Johns Creek HospitalJohns Creek 105 $42,464 $8,885 $7,996
Walton Regional Medical CenterMonroe 104 $53,674 $10,242 $9,427
Spalding Regional Medical CenterGriffin 102 $87,548 $12,070 $10,322
Colquitt Reg Medical CenterMoultrie 100 $27,047 $10,917 $9,382
Northside HospitalAtlanta 99 $82,920 $16,166 $14,712
Piedmont Mountainside Hospital INCJasper 99 $43,780 $10,058 $8,645
Medical College of Ga Hospitals and ClinicsAugusta 96 $61,824 $19,238 $13,600
Wellstar Cobb HospitalAustell 95 $100,797 $14,938 $12,467
Fairview Park HospitalDublin 92 $80,059 $9,456 $7,913
Tift Regional Medical CenterTifton 89 $29,589 $11,086 $9,515
Satilla Regional Medical CenterWaycross 85 $53,774 $10,504 $8,185
St Mary's HospitalAthens 84 $29,171 $12,179 $9,150
North Fulton Regional HospitalRoswell 81 $83,911 $10,624 $9,546
Candler HospitalSavannah 80 $37,335 $10,525 $8,686
Cartersville Medical CenterCartersville 78 $60,114 $11,736 $8,671
Doctors HospitalAugusta 78 $75,775 $9,893 $8,153
John D Archbold Memorial HospitalThomasville 76 $39,441 $11,057 $9,361
Newton Medical CenterCovington 75 $45,742 $10,629 $9,312
Union General HospitalBlairsville 75 $18,155 $9,344 $8,290
Meadows Regional Medical Center INCVidalia 75 $31,560 $10,714 $9,639
Wellstar Douglas HospitalDouglasville 70 $78,836 $12,541 $10,772
East Georgia Regional Medical CenterStatesboro 64 $47,969 $9,717 $8,172
Coliseum Medical CenterMacon 62 $65,455 $11,750 $9,210
Piedmont Columbus Regional MidtownColumbus 59 $42,739 $11,242 $9,025
Dekalb Medical Center at HillandaleLithonia 58 $40,726 $13,183 $11,638
Piedmont Columbus Regional NorthsideColumbus 57 $36,983 $7,724 $6,551
Tanner Medical Center Villa RicaVilla Rica 54 $40,306 $12,078 $11,020
Northside Hospital DuluthDuluth 51 $58,164 $10,259 $8,076
Coffee Regional Medical CenterDouglas 46 $36,405 $9,837 $8,844
Gordon HospitalCalhoun 41 $50,772 $11,153 $8,510
Piedmont Macon North HospitalMacon 38 $37,395 $9,460 $8,214
Sumter Regional HospitalAmericus 37 $28,913 $11,349 $9,596
Habersham County Med CenterDemorest 36 $30,276 $10,469 $9,291
Murray Medical CenterChatsworth 30 $43,143 $10,431 $8,216
Crisp Regional HospitalCordele 29 $20,651 $9,979 $9,135
Navicent Health BaldwinMilledgeville 28 $27,316 $10,358 $9,309
Southern Regional Medical CenterRiverdale 28 $42,621 $14,531 $13,119
Upson Regional Medical CenterThomaston 25 $36,267 $11,608 $9,164
Barrow Regional Medical CenterWinder 23 $34,309 $11,839 $11,130
Cobb Memorial HospitalRoyston 21 $23,684 $10,033 $8,868
Commonspirit-Memorial Hospital-North GeorgiaRinggold 20 $20,630 $10,033 $8,973
Northeast Georgia Medical Center LumpkinDahlonega 19 $38,678 $13,101 $10,041
Southeast Georgia Health System- Camden CampusSt Marys 17 $19,434 $16,054 $14,710
Emanuel Medical CenterSwainsboro 16 $19,137 $12,939 $11,919
McDuffie Regional Medical CenterThomson 16 $18,680 $13,698 $11,858
Dodge County HospitalEastman 15 $18,465 $11,245 $10,050
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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.

Highest

Grady Memorial HospitalAtlanta, GA$26,754
Medical College of Ga Hospitals and ClinicsAugusta, GA$19,238
Emory University HospitalAtlanta, GA$18,419
Piedmont HospitalAtlanta, GA$17,888
Northside HospitalAtlanta, GA$16,166

Heart failure and shock with major complications in other states

Questions

How much does heart failure and shock with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 78 hospitals in Georgia was billed at $53,013 on average, while the average total payment was $11,997, of which Medicare paid $9,714. 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 4.4 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.