facebook tracking Hip replacement with principal diagnosis of hip fracture without major complications cost in Georgia: 44 hospitals compared (DRG 522)

Hip replacement with principal diagnosis of hip fracture without major complications in Georgia

What 44 hospitals in Georgia charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.

DRG 522 Inpatient 2024 Medicare data
Average charge $103,183 Hospital list price billed
Average payment $18,252 Medicare + patient + other payers
Medicare paid $15,090 Average per stay
State rank #32 of 50 1 = lowest average payment

Hospitals in Georgia billed an average of $103,183 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.7 times the average total payment of $18,252. That payment is about the same as the U.S. average of $18,301.

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 $18,252Billed $103,183

About 18¢ 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: hip replacement with principal diagnosis of hip fracture 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
Northeast Georgia Medical Center, INCGainesville 96 $124,121 $21,275 $15,694
Wellstar Kennestone HospitalMarietta 53 $115,026 $21,726 $17,594
Memorial Health Univ Med Cen, INCSavannah 41 $120,836 $17,443 $13,966
Athens Regional Medical CenterAthens 40 $114,609 $19,110 $14,556
Northside Hospital CherokeeCanton 37 $111,606 $16,700 $14,262
Atrium Health Navicent the Medical CenterMacon 37 $79,485 $18,456 $16,130
Northside Hospital ForsythCumming 36 $120,171 $15,153 $13,658
St Joseph's Hospital - SavannahSavannah 36 $65,362 $13,454 $10,997
Gwinnett Medical CenterLawrenceville 33 $119,786 $21,280 $16,658
Southeast Georgia Reg Med CtrBrunswick 32 $50,141 $20,047 $17,286
Piedmont Augusta HospitalAugusta 30 $86,484 $14,868 $13,148
Union General HospitalBlairsville 30 $45,288 $14,978 $13,347
Houston Medical CenterWarner Robins 30 $52,171 $15,583 $13,683
Henry Medical Center, INCStockbridge 29 $106,918 $16,303 $14,784
Sgmc HealthValdosta 27 $69,437 $14,981 $13,328
Northside HospitalAtlanta 27 $135,573 $19,989 $18,538
Grady Memorial HospitalAtlanta 26 $195,130 $35,430 $30,375
Hamilton Medical CenterDalton 25 $94,503 $18,432 $15,953
Floyd Medical CenterRome 25 $117,391 $19,198 $15,237
Piedmont HospitalAtlanta 25 $114,679 $22,102 $12,843
Phoebe Putney Memorial HospitalAlbany 22 $69,983 $22,072 $17,677
Doctors HospitalAugusta 22 $174,227 $15,145 $12,606
Saint Joseph's Hosp of AtlantaAtlanta 21 $59,074 $15,502 $12,785
Piedmont Columbus Regional NorthsideColumbus 21 $87,711 $17,389 $9,831
Piedmont Newnan Hospital, INCNewnan 21 $127,047 $16,098 $14,623
St Mary's HospitalAthens 20 $68,207 $18,305 $14,587
North Fulton Regional HospitalRoswell 20 $90,604 $16,286 $14,890
Piedmont Fayette HospitalFayetteville 20 $124,886 $17,567 $13,642
Upson Regional Medical CenterThomaston 19 $76,885 $16,306 $14,847
East Georgia Regional Medical CenterStatesboro 17 $121,051 $14,546 $13,010
Tift Regional Medical CenterTifton 16 $80,105 $16,273 $14,845
Redmond Regional Medical CenterRome 16 $175,990 $15,629 $13,899
Tanner Medical Center - CarrolltonCarrollton 15 $60,201 $18,763 $13,953
Piedmont Columbus Regional MidtownColumbus 15 $87,277 $16,642 $14,628
Coliseum Medical CenterMacon 15 $119,510 $17,344 $15,477
John D Archbold Memorial HospitalThomasville 14 $55,721 $16,549 $14,806
Cartersville Medical CenterCartersville 13 $164,406 $16,284 $14,885
Spalding Regional Medical CenterGriffin 13 $91,960 $17,111 $15,409
Medical College of Ga Hospitals and ClinicsAugusta 13 $111,153 $26,274 $20,534
Meadows Regional Medical Center INCVidalia 13 $88,553 $15,987 $14,483
Walton Regional Medical CenterMonroe 11 $121,436 $15,854 $14,222
Coffee Regional Medical CenterDouglas 11 $81,406 $15,169 $13,834
Fairview Park HospitalDublin 11 $151,655 $14,686 $13,202
St Francis Hospital, INCColumbus 11 $67,399 $14,402 $12,371
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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$13,454
St Francis Hospital, INCColumbus, GA$14,402
East Georgia Regional Medical CenterStatesboro, GA$14,546
Fairview Park HospitalDublin, GA$14,686
Piedmont Augusta HospitalAugusta, GA$14,868

Highest

Hip replacement with principal diagnosis of hip fracture without major complications in other states

Questions

How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 44 hospitals in Georgia was billed at $103,183 on average, while the average total payment was $18,252, of which Medicare paid $15,090. 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 5.7 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.