facebook tracking Implantation of Drug Infusion Device cost in Georgia: 19 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Georgia

What 19 hospitals in Georgia charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $56,337 Hospital list price billed
Average allowed $16,516 Medicare's payment + patient's share
Medicare paid $14,884 Average per service
State rank #20 of 32 1 = lowest average payment

Hospitals in Georgia billed an average of $56,337 for implantation of drug infusion device, about 3.4 times the average medicare-allowed amount of $16,516. That payment is about the same as the U.S. average of $16,462.

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 $16,516Billed $56,337

About 29¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: implantation of drug infusion device

Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Emory University HospitalAtlanta 15 $56,337 $16,516 $14,884
Northside Hospital ForsythCumming – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Northeast Georgia Medical Center, INCGainesville – – – –
Cartersville Medical CenterCartersville – – – –
Medical College of Ga Hospitals and ClinicsAugusta – – – –
Wellstar Kennestone HospitalMarietta – – – –
Memorial Health Univ Med Cen, INCSavannah – – – –
St Joseph's Hospital - SavannahSavannah – – – –
Piedmont Columbus Regional MidtownColumbus – – – –
Emory Decatur HospitalDecatur – – – –
Emory University Hospital MidtownAtlanta – – – –
Piedmont HospitalAtlanta – – – –
Atrium Health Navicent the Medical CenterMacon – – – –
Northside HospitalAtlanta – – – –
Henry Medical Center, INCStockbridge – – – –
Emory Eastside Medical CenterSnellville – – – –
Piedmont Mountainside Hospital INCJasper – – – –
Southeastern Regional Medical Center, INCNewnan – – – –
Advertisement

Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Georgia?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 19 hospitals in Georgia was billed at $56,337 on average, while the average medicare-allowed amount was $16,516, of which Medicare paid $14,884. 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 service in Georgia, average charges were 3.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.