What 49 hospitals in Georgia charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Hospitals in Georgia billed an average of $157,491 for level 2 icd and similar procedures, about 5.4 times the average medicare-allowed amount of $29,131. That payment is 6% below the U.S. average of $31,009.
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.
About 18¢ was paid for every $1 hospitals in Georgia billed for this service.
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 |
|---|---|---|---|---|
| Wellstar Kennestone HospitalMarietta | 76 | $190,383 | $30,061 | $28,429 |
| Atrium Health Navicent the Medical CenterMacon | 64 | $111,093 | $28,463 | $26,825 |
| Northeast Georgia Medical Center, INCGainesville | 61 | $148,929 | $29,906 | $28,274 |
| Coliseum Medical CenterMacon | 55 | $168,641 | $27,680 | $26,048 |
| Piedmont HospitalAtlanta | 52 | $146,092 | $29,337 | $27,698 |
| Redmond Regional Medical CenterRome | 51 | $332,310 | $29,906 | $28,269 |
| Piedmont Augusta HospitalAugusta | 49 | $133,779 | $27,760 | $26,127 |
| Piedmont Fayette HospitalFayetteville | 44 | $130,298 | $30,440 | $28,808 |
| Saint Joseph's Hosp of AtlantaAtlanta | 37 | $49,890 | $29,474 | $27,842 |
| St Francis Hospital, INCColumbus | 35 | $56,267 | $27,727 | $26,095 |
| Memorial Health Univ Med Cen, INCSavannah | 34 | $273,160 | $27,727 | $26,095 |
| Medical College of Ga Hospitals and ClinicsAugusta | 32 | $183,506 | $26,943 | $25,311 |
| Athens Regional Medical CenterAthens | 31 | $143,714 | $29,376 | $27,744 |
| Emory University HospitalAtlanta | 29 | $51,785 | $29,447 | $27,815 |
| Wellstar Cobb HospitalAustell | 29 | $170,955 | $30,440 | $28,808 |
| Henry Medical Center, INCStockbridge | 28 | $134,154 | $29,411 | $27,779 |
| Gwinnett Medical CenterLawrenceville | 26 | $211,290 | $30,440 | $28,804 |
| Emory University Hospital MidtownAtlanta | 25 | $54,159 | $28,136 | $26,504 |
| St Joseph's Hospital - SavannahSavannah | 16 | $102,322 | $27,727 | $26,095 |
| Hamilton Medical CenterDalton | 15 | $169,534 | $29,906 | $28,274 |
| Northside Hospital ForsythCumming | 15 | $218,584 | $30,440 | $28,808 |
| Northside Hospital CherokeeCanton | 15 | $207,538 | $30,262 | $28,620 |
| Phoebe Putney Memorial HospitalAlbany | 14 | $218,395 | $30,876 | $29,244 |
| Wellstar Paulding HospitalDallas | 14 | $173,785 | $30,440 | $28,808 |
| Tift Regional Medical CenterTifton | 13 | $125,438 | $28,109 | $26,477 |
| West Georgia Medical CenterLagrange | 12 | $174,793 | $29,906 | $28,274 |
| St Mary's HospitalAthens | 11 | $237,544 | $29,906 | $28,274 |
| John D Archbold Memorial HospitalThomasville | 11 | $129,964 | $28,122 | $26,490 |
| Sgmc HealthValdosta | 11 | $130,071 | $27,727 | $26,095 |
| Upson Regional Medical CenterThomaston | – | – | – | – |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| Tanner Medical Center - CarrolltonCarrollton | – | – | – | – |
| Southeast Georgia Reg Med CtrBrunswick | – | – | – | – |
| Spalding Regional Medical CenterGriffin | – | – | – | – |
| Piedmont Columbus Regional MidtownColumbus | – | – | – | – |
| Houston Medical CenterWarner Robins | – | – | – | – |
| East Georgia Regional Medical CenterStatesboro | – | – | – | – |
| Emory Decatur HospitalDecatur | – | – | – | – |
| Grady Memorial HospitalAtlanta | – | – | – | – |
| Colquitt Reg Medical CenterMoultrie | – | – | – | – |
| Burke Medical CenterWaynesboro | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Northside HospitalAtlanta | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Doctors HospitalAugusta | – | – | – | – |
| Emory Eastside Medical CenterSnellville | – | – | – | – |
| North Fulton Regional HospitalRoswell | – | – | – | – |
| Piedmont Newnan Hospital, INCNewnan | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $26,943 |
|---|---|
| Coliseum Medical CenterMacon, GA | $27,680 |
| Memorial Health Univ Med Cen, INCSavannah, GA | $27,727 |
| St Joseph's Hospital - SavannahSavannah, GA | $27,727 |
| Sgmc HealthValdosta, GA | $27,727 |
| Phoebe Putney Memorial HospitalAlbany, GA | $30,876 |
|---|---|
| Gwinnett Medical CenterLawrenceville, GA | $30,440 |
| Northside Hospital ForsythCumming, GA | $30,440 |
| Wellstar Paulding HospitalDallas, GA | $30,440 |
| Wellstar Cobb HospitalAustell, GA | $30,440 |
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 49 hospitals in Georgia was billed at $157,491 on average, while the average medicare-allowed amount was $29,131, of which Medicare paid $27,498. Your own cost depends on your insurance, deductible and the hospital.
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 5.4 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.