facebook tracking Level 1 Nerve Procedures cost in Georgia: 83 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Georgia

What 83 hospitals in Georgia charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $16,281 Hospital list price billed
Average allowed $1,682 Medicare's payment + patient's share
Medicare paid $1,333 Average per service
State rank #17 of 49 1 = lowest average payment

Hospitals in Georgia billed an average of $16,281 for level 1 nerve procedures, about 9.7 times the average medicare-allowed amount of $1,682. That payment is 5% below the U.S. average of $1,774.

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 $1,682Billed $16,281

About 10¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 1 nerve 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
Southeast Georgia Reg Med CtrBrunswick 117 $7,207 $1,760 $1,398
Northside Hospital ForsythCumming 100 $17,230 $1,763 $1,391
Piedmont HospitalAtlanta 94 $18,877 $1,613 $1,285
Northside Hospital CherokeeCanton 93 $19,753 $1,647 $1,300
Piedmont Augusta HospitalAugusta 84 $12,086 $1,587 $1,255
Sgmc HealthValdosta 82 $9,184 $1,616 $1,284
Tift Regional Medical CenterTifton 72 $11,032 $1,600 $1,263
Northside HospitalAtlanta 71 $18,955 $1,777 $1,410
St Francis Hospital, INCColumbus 64 $7,295 $1,591 $1,260
Emory University HospitalAtlanta 57 $16,215 $1,792 $1,428
Northside Hospital DuluthDuluth 57 $17,692 $1,746 $1,375
Colquitt Reg Medical CenterMoultrie 53 $6,428 $1,748 $1,391
Northeast Georgia Medical Center, INCGainesville 52 $26,755 $1,679 $1,322
Union General HospitalBlairsville 48 $6,813 $1,748 $1,389
Emory Eastside Medical CenterSnellville 47 $25,444 $1,731 $1,364
Athens Regional Medical CenterAthens 46 $26,937 $1,701 $1,338
Gordon HospitalCalhoun 44 $23,496 $1,760 $1,403
Piedmont Columbus Regional MidtownColumbus 44 $15,341 $1,602 $1,271
East Georgia Regional Medical CenterStatesboro 42 $14,268 $1,715 $1,358
Gwinnett Medical CenterLawrenceville 42 $18,931 $1,792 $1,426
Wellstar Kennestone HospitalMarietta 39 $22,363 $910 $725
Piedmont Fayette HospitalFayetteville 37 $23,551 $1,753 $1,389
McDuffie Regional Medical CenterThomson 35 $13,268 $1,634 $1,302
North Fulton Regional HospitalRoswell 34 $20,967 $1,792 $1,428
Barrow Regional Medical CenterWinder 26 $21,401 $1,737 $1,365
Phoebe Putney Memorial HospitalAlbany 25 $9,767 $1,818 $1,448
Wellstar Windy Hill HospitalMarietta 25 $21,840 $1,792 $1,428
Coffee Regional Medical CenterDouglas 23 $20,640 $1,687 $1,332
Floyd Medical CenterRome 22 $26,734 $1,760 $1,403
Henry Medical Center, INCStockbridge 22 $21,832 $1,792 $1,428
St Joseph's Hospital - SavannahSavannah 21 $16,763 $1,188 $941
Burke Medical CenterWaynesboro 21 $16,725 $1,634 $1,302
St Mary's HospitalAthens 20 $27,733 $1,760 $1,403
Fairview Park HospitalDublin 20 $32,959 $1,713 $1,365
Houston Medical CenterWarner Robins 18 $9,304 $1,649 $1,311
Shepherd CenterAtlanta 17 $4,386 $1,792 $1,414
Newton Medical CenterCovington 16 $20,347 $1,703 $1,338
Medical College of Ga Hospitals and ClinicsAugusta 16 $12,951 $1,634 $1,302
Murray Medical CenterChatsworth 15 $17,389 $1,661 $1,319
Southeastern Regional Medical Center, INCNewnan 15 $12,834 $1,792 $1,428
Northeast Georgia Medical Center LumpkinDahlonega 15 $17,110 $1,715 $1,366
Southwell Medical, a Campus of TrmcAdel 14 $12,777 $1,543 $1,207
Emory Johns Creek HospitalJohns Creek 14 $10,743 $1,792 $1,426
Grady Memorial HospitalAtlanta 13 $14,755 $1,792 $1,421
Upson Regional Medical CenterThomaston 12 $12,495 $1,885 $1,502
Piedmont Mountainside Hospital INCJasper 12 $26,043 $1,792 $1,428
Tanner Medical Center - CarrolltonCarrollton 11 $10,661 $1,662 $1,298
Hamilton Medical CenterDalton – – – –
Satilla Regional Medical CenterWaycross – – – –
Tanner Medical Center Villa RicaVilla Rica – – – –
Candler HospitalSavannah – – – –
Cartersville Medical CenterCartersville – – – –
Memorial Health Univ Med Cen, INCSavannah – – – –
John D Archbold Memorial HospitalThomasville – – – –
Habersham County Med CenterDemorest – – – –
Wellstar Paulding HospitalDallas – – – –
Sumter Regional HospitalAmericus – – – –
Walton Regional Medical CenterMonroe – – – –
Emory Decatur HospitalDecatur – – – –
Emory University Hospital MidtownAtlanta – – – –
Saint Joseph's Hosp of AtlantaAtlanta – – – –
Washington County Regional Medical CenterSandersville – – – –
Rockdale Medical CenterConyers – – – –
Dodge County HospitalEastman – – – –
Crisp Regional HospitalCordele – – – –
Atrium Health Navicent the Medical CenterMacon – – – –
Emanuel Medical CenterSwainsboro – – – –
Grady General HospitalCairo – – – –
Wayne Memorial HospitalJesup – – – –
Meadows Regional Medical Center INCVidalia – – – –
Memorial Hospital and ManorBainbridge – – – –
Evans Memorial HospitalClaxton – – – –
Wellstar Cobb HospitalAustell – – – –
Southeast Georgia Health System- Camden CampusSt Marys – – – –
Navicent Health BaldwinMilledgeville – – – –
Coliseum Medical CenterMacon – – – –
Redmond Regional Medical CenterRome – – – –
Doctors HospitalAugusta – – – –
Wellstar Douglas HospitalDouglasville – – – –
Piedmont Columbus Regional NorthsideColumbus – – – –
Piedmont Macon North HospitalMacon – – – –
Piedmont Newnan Hospital, INCNewnan – – – –
Blue Ridge Medical CenterBlue Ridge – – – –
Advertisement

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.

Highest

Upson Regional Medical CenterThomaston, GA$1,885
Phoebe Putney Memorial HospitalAlbany, GA$1,818
Shepherd CenterAtlanta, GA$1,792
Grady Memorial HospitalAtlanta, GA$1,792
Gwinnett Medical CenterLawrenceville, GA$1,792

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Georgia?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 83 hospitals in Georgia was billed at $16,281 on average, while the average medicare-allowed amount was $1,682, of which Medicare paid $1,333. 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 9.7 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.