Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Georgia
What 84 hospitals in Georgia charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$31,200
Hospital list price billed
Average allowed
$3,034
Medicare's payment + patient's share
Medicare paid
$2,406
Average per service
State rank
#15 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $31,200 for level 1 abdominal/peritoneal/biliary and related procedures, about 10.3 times the average medicare-allowed amount of $3,034. That payment is 9% below the U.S. average of $3,323.
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 $3,034Billed $31,200
About 10¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 |
|---|---|---|---|---|
| Piedmont HospitalAtlanta | 105 | $30,412 | $2,712 | $2,134 |
| Northeast Georgia Medical Center, INCGainesville | 84 | $44,913 | $3,154 | $2,513 |
| Northside Hospital ForsythCumming | 79 | $30,252 | $3,178 | $2,522 |
| Wellstar Kennestone HospitalMarietta | 79 | $33,355 | $2,927 | $2,317 |
| Northside HospitalAtlanta | 63 | $31,385 | $3,180 | $2,533 |
| Piedmont Augusta HospitalAugusta | 62 | $18,477 | $2,890 | $2,280 |
| Emory University HospitalAtlanta | 60 | $21,366 | $3,157 | $2,515 |
| Gwinnett Medical CenterLawrenceville | 58 | $27,415 | $3,211 | $2,558 |
| Northside Hospital CherokeeCanton | 48 | $30,006 | $3,158 | $2,500 |
| Phoebe Putney Memorial HospitalAlbany | 45 | $30,491 | $3,257 | $2,588 |
| Candler HospitalSavannah | 44 | $24,271 | $2,880 | $2,279 |
| Coliseum Medical CenterMacon | 44 | $37,420 | $2,970 | $2,366 |
| Emory University Hospital MidtownAtlanta | 42 | $25,092 | $3,290 | $2,637 |
| Athens Regional Medical CenterAthens | 40 | $31,854 | $3,068 | $2,444 |
| Emory Decatur HospitalDecatur | 40 | $17,851 | $3,083 | $2,430 |
| Saint Joseph's Hosp of AtlantaAtlanta | 40 | $20,858 | $2,953 | $2,351 |
| Piedmont Columbus Regional NorthsideColumbus | 40 | $27,773 | $2,754 | $2,150 |
| Sgmc HealthValdosta | 39 | $25,381 | $2,924 | $2,327 |
| Piedmont Fayette HospitalFayetteville | 34 | $29,082 | $3,164 | $2,508 |
| St Joseph's Hospital - SavannahSavannah | 32 | $24,450 | $2,760 | $2,191 |
| Atrium Health Navicent the Medical CenterMacon | 32 | $24,378 | $3,093 | $2,463 |
| St Mary's HospitalAthens | 28 | $35,929 | $3,098 | $2,468 |
| Piedmont Newnan Hospital, INCNewnan | 28 | $43,231 | $3,211 | $2,551 |
| Piedmont Columbus Regional MidtownColumbus | 27 | $27,201 | $2,924 | $2,330 |
| Houston Medical CenterWarner Robins | 27 | $23,503 | $2,867 | $2,270 |
| Gordon HospitalCalhoun | 26 | $64,698 | $3,065 | $2,416 |
| Union General HospitalBlairsville | 26 | $20,215 | $3,132 | $2,494 |
| Piedmont Mountainside Hospital INCJasper | 26 | $34,141 | $3,112 | $2,460 |
| Emory Johns Creek HospitalJohns Creek | 26 | $12,757 | $3,211 | $2,558 |
| John D Archbold Memorial HospitalThomasville | 25 | $14,561 | $2,966 | $2,361 |
| Tift Regional Medical CenterTifton | 24 | $23,990 | $2,965 | $2,357 |
| Doctors HospitalAugusta | 23 | $87,536 | $2,928 | $2,324 |
| Emory Eastside Medical CenterSnellville | 22 | $37,142 | $2,867 | $2,209 |
| Memorial Health Univ Med Cen, INCSavannah | 19 | $27,839 | $2,924 | $2,330 |
| St Francis Hospital, INCColumbus | 19 | $34,035 | $2,924 | $2,330 |
| Northside Hospital DuluthDuluth | 19 | $28,732 | $3,211 | $2,556 |
| Southeast Georgia Reg Med CtrBrunswick | 17 | $15,771 | $3,027 | $2,381 |
| Medical College of Ga Hospitals and ClinicsAugusta | 17 | $20,098 | $2,928 | $2,333 |
| Floyd Medical CenterRome | 17 | $43,445 | $3,006 | $2,365 |
| Tanner Medical Center - CarrolltonCarrollton | 16 | $23,689 | $3,211 | $2,558 |
| Cartersville Medical CenterCartersville | 16 | $39,815 | $3,211 | $2,558 |
| West Georgia Medical CenterLagrange | 15 | $33,530 | $3,154 | $2,513 |
| Fairview Park HospitalDublin | 15 | $68,312 | $3,025 | $2,408 |
| Wellstar Cobb HospitalAustell | 15 | $65,642 | $3,211 | $2,558 |
| Rockdale Medical CenterConyers | 14 | $48,059 | $3,211 | $2,557 |
| Navicent Health BaldwinMilledgeville | 14 | $11,024 | $2,650 | $2,047 |
| Henry Medical Center, INCStockbridge | 13 | $44,382 | $3,014 | $2,361 |
| North Fulton Regional HospitalRoswell | 13 | $57,604 | $3,210 | $2,570 |
| Redmond Regional Medical CenterRome | 12 | $60,319 | $3,155 | $2,497 |
| Hamilton Medical CenterDalton | 11 | $31,000 | $2,926 | $2,274 |
| Wellstar Paulding HospitalDallas | 11 | $32,198 | $2,763 | $2,089 |
| Southeast Georgia Health System- Camden CampusSt Marys | 11 | $11,837 | $2,905 | $2,261 |
| Wellstar Douglas HospitalDouglasville | 11 | $29,141 | $3,211 | $2,558 |
| Upson Regional Medical CenterThomaston | – | – | – | – |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| Tanner Medical Center Villa RicaVilla Rica | – | – | – | – |
| Newton Medical CenterCovington | – | – | – | – |
| Spalding Regional Medical CenterGriffin | – | – | – | – |
| Stephens County HospitalToccoa | – | – | – | – |
| Habersham County Med CenterDemorest | – | – | – | – |
| Sumter Regional HospitalAmericus | – | – | – | – |
| Walton Regional Medical CenterMonroe | – | – | – | – |
| East Georgia Regional Medical CenterStatesboro | – | – | – | – |
| Grady Memorial HospitalAtlanta | – | – | – | – |
| Coffee Regional Medical CenterDouglas | – | – | – | – |
| Dodge County HospitalEastman | – | – | – | – |
| Jefferson HospitalLouisville | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| Colquitt Reg Medical CenterMoultrie | – | – | – | – |
| Emanuel Medical CenterSwainsboro | – | – | – | – |
| McDuffie Regional Medical CenterThomson | – | – | – | – |
| Wayne Memorial HospitalJesup | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Memorial Hospital and ManorBainbridge | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Evans Memorial HospitalClaxton | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Piedmont Macon North HospitalMacon | – | – | – | – |
| Dekalb Medical Center at HillandaleLithonia | – | – | – | – |
| Southeastern Regional Medical Center, INCNewnan | – | – | – | – |
| Blue Ridge Medical CenterBlue Ridge | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Wellstar Windy Hill HospitalMarietta | – | – | – | – |
| Athur M Blank HospitalAtlanta | – | – | – | – |
Lowest and highest allowed amounts in Georgia
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Navicent Health BaldwinMilledgeville, GA | $2,650 |
|---|---|
| Piedmont HospitalAtlanta, GA | $2,712 |
| Piedmont Columbus Regional NorthsideColumbus, GA | $2,754 |
| St Joseph's Hospital - SavannahSavannah, GA | $2,760 |
| Wellstar Paulding HospitalDallas, GA | $2,763 |
Highest
| Emory University Hospital MidtownAtlanta, GA | $3,290 |
|---|---|
| Phoebe Putney Memorial HospitalAlbany, GA | $3,257 |
| Piedmont Newnan Hospital, INCNewnan, GA | $3,211 |
| Northside Hospital DuluthDuluth, GA | $3,211 |
| Rockdale Medical CenterConyers, GA | $3,211 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Georgia?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 84 hospitals in Georgia was billed at $31,200 on average, while the average medicare-allowed amount was $3,034, of which Medicare paid $2,406. 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 10.3 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.