facebook tracking Hip and femur procedures except major joint with major complications cost in Georgia: 26 hospitals compared (DRG 480)

Hip and femur procedures except major joint with major complications in Georgia

What 26 hospitals in Georgia charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.

DRG 480 Inpatient 2024 Medicare data
Average charge $156,357 Hospital list price billed
Average payment $26,806 Medicare + patient + other payers
Medicare paid $22,625 Average per stay
State rank #33 of 46 1 = lowest average payment

Hospitals in Georgia billed an average of $156,357 for hip and femur procedures except major joint with major complications, about 5.8 times the average total payment of $26,806. That payment is 2% above the U.S. average of $26,284.

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 $26,806Billed $156,357

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

Georgia hospitals: hip and femur procedures except major joint 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 66 $174,843 $31,694 $22,857
Northeast Georgia Medical Center, INCGainesville 63 $155,987 $25,897 $22,553
Gwinnett Medical CenterLawrenceville 43 $144,609 $26,287 $23,226
Grady Memorial HospitalAtlanta 41 $290,215 $46,358 $38,457
Atrium Health Navicent the Medical CenterMacon 39 $128,242 $24,774 $22,097
Memorial Health Univ Med Cen, INCSavannah 38 $181,423 $24,970 $21,236
Northside Hospital CherokeeCanton 26 $119,317 $21,445 $20,004
Athens Regional Medical CenterAthens 26 $137,743 $23,786 $21,546
North Fulton Regional HospitalRoswell 22 $174,570 $23,972 $22,471
St Joseph's Hospital - SavannahSavannah 19 $95,247 $17,861 $16,658
Tanner Medical Center - CarrolltonCarrollton 17 $68,154 $23,232 $19,309
Northside Hospital ForsythCumming 16 $161,696 $22,177 $20,751
Southeast Georgia Reg Med CtrBrunswick 15 $55,072 $26,934 $25,411
Floyd Medical CenterRome 14 $141,705 $21,234 $19,607
Sgmc HealthValdosta 14 $77,241 $20,829 $19,244
Wellstar Cobb HospitalAustell 14 $162,941 $22,519 $21,102
Doctors HospitalAugusta 14 $326,278 $19,571 $17,939
Phoebe Putney Memorial HospitalAlbany 13 $110,098 $28,811 $26,906
Piedmont HospitalAtlanta 13 $147,970 $30,837 $18,858
Piedmont Newnan Hospital, INCNewnan 12 $176,707 $22,727 $21,503
Medical College of Ga Hospitals and ClinicsAugusta 11 $161,725 $38,200 $26,930
John D Archbold Memorial HospitalThomasville 11 $65,259 $22,577 $20,250
Emory University Hospital MidtownAtlanta 11 $107,695 $31,354 $20,062
Redmond Regional Medical CenterRome 11 $226,661 $20,066 $15,590
Henry Medical Center, INCStockbridge 11 $122,354 $26,109 $18,005
Piedmont Mountainside Hospital INCJasper 11 $110,176 $20,798 $19,317
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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

St Joseph's Hospital - SavannahSavannah, GA$17,861
Doctors HospitalAugusta, GA$19,571
Redmond Regional Medical CenterRome, GA$20,066
Piedmont Mountainside Hospital INCJasper, GA$20,798
Sgmc HealthValdosta, GA$20,829

Highest

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

Questions

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

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 26 hospitals in Georgia was billed at $156,357 on average, while the average total payment was $26,806, of which Medicare paid $22,625. 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 5.8 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.