facebook tracking Level 2 ICD and Similar Procedures cost in Georgia: 49 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Georgia

What 49 hospitals in Georgia charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $157,491 Hospital list price billed
Average allowed $29,131 Medicare's payment + patient's share
Medicare paid $27,498 Average per service
State rank #19 of 47 1 = lowest average payment

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.

Paid $29,131Billed $157,491

About 18¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 2 icd and similar 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
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 – – – –
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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

Highest

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

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Georgia?

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.

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 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.