facebook tracking Hip and femur procedures except major joint with complications cost in Georgia: 52 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Georgia

What 52 hospitals in Georgia charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $108,872 Hospital list price billed
Average payment $18,178 Medicare + patient + other payers
Medicare paid $15,186 Average per stay
State rank #34 of 50 1 = lowest average payment

Hospitals in Georgia billed an average of $108,872 for hip and femur procedures except major joint with complications, about 6.0 times the average total payment of $18,178. That payment is 2% below the U.S. average of $18,473.

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 $18,178Billed $108,872

About 17¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: hip and femur procedures except major joint 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 168 $132,053 $19,508 $15,827
Wellstar Kennestone HospitalMarietta 139 $127,440 $19,680 $17,356
Athens Regional Medical CenterAthens 83 $111,353 $18,133 $14,907
Atrium Health Navicent the Medical CenterMacon 75 $101,310 $18,826 $15,527
North Fulton Regional HospitalRoswell 66 $103,719 $16,650 $14,270
Memorial Health Univ Med Cen, INCSavannah 58 $158,279 $17,802 $13,545
Gwinnett Medical CenterLawrenceville 56 $112,767 $23,977 $15,167
Northside Hospital CherokeeCanton 51 $97,143 $15,738 $14,004
Grady Memorial HospitalAtlanta 51 $217,947 $36,427 $29,742
Tanner Medical Center - CarrolltonCarrollton 42 $64,148 $15,925 $14,487
Floyd Medical CenterRome 41 $117,421 $20,313 $14,834
Northside Hospital ForsythCumming 40 $106,645 $14,995 $13,689
St Joseph's Hospital - SavannahSavannah 39 $81,972 $14,818 $13,521
Piedmont Fayette HospitalFayetteville 35 $97,166 $16,109 $13,589
Phoebe Putney Memorial HospitalAlbany 34 $90,365 $20,201 $18,058
Henry Medical Center, INCStockbridge 34 $106,031 $16,878 $14,092
Saint Joseph's Hosp of AtlantaAtlanta 33 $56,735 $14,106 $12,518
Sgmc HealthValdosta 33 $62,684 $15,201 $13,424
Piedmont Newnan Hospital, INCNewnan 31 $96,381 $15,570 $14,097
Piedmont Augusta HospitalAugusta 30 $79,972 $15,340 $11,946
St Mary's HospitalAthens 29 $67,340 $18,169 $15,157
Southeast Georgia Reg Med CtrBrunswick 29 $50,298 $20,146 $16,932
Doctors HospitalAugusta 28 $193,196 $14,391 $12,992
Hamilton Medical CenterDalton 27 $90,360 $18,252 $15,719
Houston Medical CenterWarner Robins 27 $59,131 $15,164 $13,410
Medical College of Ga Hospitals and ClinicsAugusta 26 $106,579 $24,987 $18,954
Walton Regional Medical CenterMonroe 25 $110,790 $15,443 $13,876
John D Archbold Memorial HospitalThomasville 24 $49,998 $16,375 $14,114
Piedmont HospitalAtlanta 24 $121,570 $20,493 $12,605
Northside HospitalAtlanta 22 $131,104 $19,793 $18,458
East Georgia Regional Medical CenterStatesboro 21 $139,885 $14,423 $12,399
Wellstar Cobb HospitalAustell 21 $114,699 $18,352 $16,859
Newton Medical CenterCovington 20 $125,565 $16,166 $14,697
Union General HospitalBlairsville 20 $47,139 $14,764 $13,132
Gordon HospitalCalhoun 19 $134,358 $15,104 $13,710
Emory University Hospital MidtownAtlanta 18 $89,938 $19,161 $14,318
Fairview Park HospitalDublin 17 $142,632 $14,084 $12,644
Tift Regional Medical CenterTifton 16 $66,782 $16,064 $14,534
Meadows Regional Medical Center INCVidalia 16 $95,671 $15,471 $14,043
Redmond Regional Medical CenterRome 16 $167,357 $16,579 $14,610
Coliseum Medical CenterMacon 15 $110,674 $16,021 $14,173
Piedmont Columbus Regional NorthsideColumbus 15 $74,914 $12,218 $10,912
Piedmont Macon North HospitalMacon 15 $98,470 $13,900 $12,486
Piedmont Mountainside Hospital INCJasper 15 $84,484 $15,408 $13,994
Emory Johns Creek HospitalJohns Creek 15 $58,561 $14,316 $12,795
Cartersville Medical CenterCartersville 14 $141,524 $15,800 $14,501
Piedmont Columbus Regional MidtownColumbus 14 $79,377 $15,915 $13,843
St Francis Hospital, INCColumbus 13 $68,279 $14,385 $12,474
Spalding Regional Medical CenterGriffin 12 $90,584 $20,821 $14,045
Emory Eastside Medical CenterSnellville 12 $100,560 $20,620 $13,622
Upson Regional Medical CenterThomaston 11 $53,875 $15,984 $14,500
Wellstar Paulding HospitalDallas 11 $110,573 $14,403 $13,071
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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

Grady Memorial HospitalAtlanta, GA$36,427
Medical College of Ga Hospitals and ClinicsAugusta, GA$24,987
Gwinnett Medical CenterLawrenceville, GA$23,977
Spalding Regional Medical CenterGriffin, GA$20,821
Emory Eastside Medical CenterSnellville, GA$20,620

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Georgia?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 52 hospitals in Georgia was billed at $108,872 on average, while the average total payment was $18,178, of which Medicare paid $15,186. 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.