facebook tracking Level 2 Musculoskeletal Procedures cost in Georgia: 89 hospitals compared (APC 5112)

Level 2 Musculoskeletal Procedures in Georgia

What 89 hospitals in Georgia charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.

APC 5112 Outpatient 2024 Medicare data
Average charge $15,555 Hospital list price billed
Average allowed $1,343 Medicare's payment + patient's share
Medicare paid $1,063 Average per service
State rank #8 of 49 1 = lowest average payment

Hospitals in Georgia billed an average of $15,555 for level 2 musculoskeletal procedures, about 11.6 times the average medicare-allowed amount of $1,343. That payment is 11% below the U.S. average of $1,511.

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 $1,343Billed $15,555

About 9¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 2 musculoskeletal 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
Northside Hospital CherokeeCanton 114 $12,037 $1,027 $812
Northeast Georgia Medical Center, INCGainesville 82 $17,166 $1,437 $1,137
Wellstar Kennestone HospitalMarietta 76 $20,356 $1,123 $886
St Joseph's Hospital - SavannahSavannah 70 $7,953 $968 $770
Southeast Georgia Reg Med CtrBrunswick 54 $7,553 $1,475 $1,165
Athens Regional Medical CenterAthens 48 $19,991 $1,394 $1,096
Piedmont HospitalAtlanta 48 $19,349 $1,166 $915
Burke Medical CenterWaynesboro 45 $8,860 $1,339 $1,063
Blue Ridge Medical CenterBlue Ridge 45 $25,571 $1,426 $1,150
Union General HospitalBlairsville 42 $9,142 $1,455 $1,159
Fairview Park HospitalDublin 38 $33,351 $1,421 $1,132
Northside Hospital ForsythCumming 37 $11,158 $1,492 $1,188
Southwell Medical, a Campus of TrmcAdel 37 $8,831 $1,329 $1,053
Sgmc HealthValdosta 37 $12,025 $1,358 $1,082
St Francis Hospital, INCColumbus 36 $15,485 $1,359 $1,080
Piedmont Augusta HospitalAugusta 26 $11,284 $1,318 $1,039
Gwinnett Medical CenterLawrenceville 25 $16,871 $1,492 $1,181
Piedmont Macon North HospitalMacon 25 $20,487 $1,380 $1,097
Wellstar Windy Hill HospitalMarietta 25 $22,773 $1,492 $1,188
Tift Regional Medical CenterTifton 23 $7,349 $1,329 $1,050
Northside Hospital DuluthDuluth 23 $17,549 $1,448 $1,134
St Mary's HospitalAthens 22 $16,187 $1,465 $1,168
Houston Medical CenterWarner Robins 22 $8,458 $1,373 $1,094
Coffee Regional Medical CenterDouglas 22 $13,981 $1,297 $1,001
Piedmont Fayette HospitalFayetteville 22 $16,876 $1,438 $1,126
Phoebe Putney Memorial HospitalAlbany 21 $9,228 $1,465 $1,148
Cartersville Medical CenterCartersville 21 $20,513 $1,492 $1,188
Walton Regional Medical CenterMonroe 21 $18,481 $1,379 $1,061
Northside HospitalAtlanta 21 $14,017 $1,492 $1,188
Memorial Health Univ Med Cen, INCSavannah 19 $14,583 $1,323 $1,044
Emory Decatur HospitalDecatur 19 $8,473 $1,429 $1,126
Piedmont Newnan Hospital, INCNewnan 19 $17,774 $1,492 $1,188
Southeast Georgia Health System- Camden CampusSt Marys 18 $8,897 $1,455 $1,149
Henry Medical Center, INCStockbridge 18 $19,726 $1,492 $1,188
Hamilton Medical CenterDalton 17 $12,609 $1,465 $1,168
Emory University HospitalAtlanta 17 $8,069 $1,492 $1,188
Newton Medical CenterCovington 17 $19,750 $1,422 $1,118
Piedmont Mountainside Hospital INCJasper 17 $19,812 $1,492 $1,188
Gordon HospitalCalhoun 16 $21,654 $1,465 $1,168
Medical College of Ga Hospitals and ClinicsAugusta 16 $29,966 $1,360 $1,076
Floyd Medical CenterRome 16 $22,285 $1,465 $1,168
John D Archbold Memorial HospitalThomasville 15 $8,085 $1,378 $1,096
Habersham County Med CenterDemorest 15 $17,621 $1,358 $1,082
Piedmont Columbus Regional NorthsideColumbus 15 $12,872 $1,214 $926
Atrium Health Navicent the Medical CenterMacon 14 $13,458 $1,437 $1,145
Doctors HospitalAugusta 14 $50,410 $1,360 $1,084
North Fulton Regional HospitalRoswell 14 $15,413 $1,492 $1,162
Emory Johns Creek HospitalJohns Creek 14 $6,582 $1,492 $1,188
Stephens County HospitalToccoa 13 $17,077 $1,359 $1,075
Saint Joseph's Hosp of AtlantaAtlanta 13 $8,173 $1,444 $1,151
Northeast Georgia Medical Center LumpkinDahlonega 13 $12,854 $1,340 $1,050
Piedmont Columbus Regional MidtownColumbus 12 $15,616 $1,358 $1,082
Grady Memorial HospitalAtlanta 12 $31,918 $1,492 $1,188
Candler HospitalSavannah 11 $14,126 $1,260 $984
Upson Regional Medical CenterThomaston – – – –
Satilla Regional Medical CenterWaycross – – – –
Tanner Medical Center - CarrolltonCarrollton – – – –
Tanner Medical Center Villa RicaVilla Rica – – – –
West Georgia Medical CenterLagrange – – – –
Cobb Memorial HospitalRoyston – – – –
Spalding Regional Medical CenterGriffin – – – –
Wellstar Paulding HospitalDallas – – – –
Sumter Regional HospitalAmericus – – – –
Barrow Regional Medical CenterWinder – – – –
Murray Medical CenterChatsworth – – – –
East Georgia Regional Medical CenterStatesboro – – – –
Emory University Hospital MidtownAtlanta – – – –
Washington County Regional Medical CenterSandersville – – – –
Rockdale Medical CenterConyers – – – –
Dodge County HospitalEastman – – – –
Crisp Regional HospitalCordele – – – –
Colquitt Reg Medical CenterMoultrie – – – –
Emanuel Medical CenterSwainsboro – – – –
McDuffie Regional Medical CenterThomson – – – –
Grady General HospitalCairo – – – –
Wayne Memorial HospitalJesup – – – –
Meadows Regional Medical Center INCVidalia – – – –
Memorial Hospital and ManorBainbridge – – – –
Taylor Regional HospitalHawkinsville – – – –
Wellstar Cobb HospitalAustell – – – –
Navicent Health BaldwinMilledgeville – – – –
Coliseum Medical CenterMacon – – – –
Redmond Regional Medical CenterRome – – – –
Wellstar Douglas HospitalDouglasville – – – –
Emory Eastside Medical CenterSnellville – – – –
Donalsonville HospitalDonalsonville – – – –
Dekalb Medical Center at HillandaleLithonia – – – –
Commonspirit-Memorial Hospital-North GeorgiaRinggold – – – –
Taylor Regional HospitalHawkinsville – – – –
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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

North Fulton Regional HospitalRoswell, GA$1,492
Gwinnett Medical CenterLawrenceville, GA$1,492
Northside Hospital ForsythCumming, GA$1,492
Emory University HospitalAtlanta, GA$1,492
Cartersville Medical CenterCartersville, GA$1,492

Level 2 Musculoskeletal Procedures in other states

Questions

How much does level 2 musculoskeletal procedures cost in Georgia?

In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 89 hospitals in Georgia was billed at $15,555 on average, while the average medicare-allowed amount was $1,343, of which Medicare paid $1,063. 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 11.6 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.