Level 3 Musculoskeletal Procedures in Georgia
What 87 hospitals in Georgia charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$28,659
Hospital list price billed
Average allowed
$2,723
Medicare's payment + patient's share
Medicare paid
$2,155
Average per service
State rank
#9 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $28,659 for level 3 musculoskeletal procedures, about 10.5 times the average medicare-allowed amount of $2,723. That payment is 9% below the U.S. average of $2,995.
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 $2,723Billed $28,659
About 10¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 3 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 |
|---|---|---|---|---|
| Northeast Georgia Medical Center, INCGainesville | 117 | $38,021 | $2,891 | $2,291 |
| St Joseph's Hospital - SavannahSavannah | 111 | $18,007 | $1,878 | $1,481 |
| Northside Hospital CherokeeCanton | 106 | $30,153 | $2,296 | $1,824 |
| Northside Hospital DuluthDuluth | 101 | $27,112 | $2,934 | $2,318 |
| Athens Regional Medical CenterAthens | 92 | $34,045 | $2,809 | $2,220 |
| Wellstar Kennestone HospitalMarietta | 90 | $34,767 | $2,152 | $1,698 |
| Northside Hospital ForsythCumming | 85 | $26,812 | $3,004 | $2,391 |
| Southeast Georgia Reg Med CtrBrunswick | 84 | $10,184 | $2,943 | $2,337 |
| Northside HospitalAtlanta | 83 | $30,209 | $2,830 | $2,250 |
| Floyd Medical CenterRome | 79 | $39,998 | $2,832 | $2,227 |
| St Mary's HospitalAthens | 78 | $28,091 | $2,921 | $2,321 |
| St Francis Hospital, INCColumbus | 70 | $23,386 | $2,533 | $1,991 |
| Piedmont HospitalAtlanta | 69 | $38,959 | $2,212 | $1,758 |
| Union General HospitalBlairsville | 60 | $16,195 | $2,852 | $2,255 |
| Piedmont Fayette HospitalFayetteville | 58 | $35,210 | $2,800 | $2,184 |
| Houston Medical CenterWarner Robins | 52 | $16,169 | $2,680 | $2,117 |
| Emory Decatur HospitalDecatur | 49 | $16,931 | $2,906 | $2,296 |
| Southwell Medical, a Campus of TrmcAdel | 44 | $17,831 | $2,686 | $2,130 |
| Burke Medical CenterWaynesboro | 44 | $24,533 | $2,581 | $2,037 |
| Doctors HospitalAugusta | 43 | $71,031 | $2,653 | $2,096 |
| Phoebe Putney Memorial HospitalAlbany | 39 | $21,606 | $2,985 | $2,365 |
| Memorial Health Univ Med Cen, INCSavannah | 37 | $31,434 | $2,736 | $2,173 |
| Saint Joseph's Hosp of AtlantaAtlanta | 37 | $19,560 | $2,846 | $2,252 |
| Piedmont Newnan Hospital, INCNewnan | 37 | $38,575 | $2,923 | $2,323 |
| Wellstar Cobb HospitalAustell | 35 | $35,626 | $2,425 | $1,870 |
| Sgmc HealthValdosta | 33 | $25,260 | $2,670 | $2,114 |
| Hamilton Medical CenterDalton | 32 | $24,116 | $2,951 | $2,351 |
| Tanner Medical Center - CarrolltonCarrollton | 31 | $15,851 | $2,927 | $2,305 |
| Wellstar Windy Hill HospitalMarietta | 31 | $42,381 | $3,004 | $2,393 |
| East Georgia Regional Medical CenterStatesboro | 30 | $40,874 | $2,930 | $2,335 |
| Candler HospitalSavannah | 29 | $18,192 | $2,586 | $2,026 |
| Newton Medical CenterCovington | 28 | $32,407 | $2,918 | $2,308 |
| Blue Ridge Medical CenterBlue Ridge | 28 | $56,818 | $2,872 | $2,316 |
| Barrow Regional Medical CenterWinder | 26 | $43,557 | $3,004 | $2,393 |
| Redmond Regional Medical CenterRome | 26 | $37,637 | $2,951 | $2,351 |
| Northeast Georgia Medical Center LumpkinDahlonega | 25 | $26,925 | $2,874 | $2,290 |
| Wellstar Paulding HospitalDallas | 24 | $26,542 | $3,004 | $2,393 |
| Coffee Regional Medical CenterDouglas | 24 | $30,948 | $2,930 | $2,335 |
| Dekalb Medical Center at HillandaleLithonia | 24 | $17,065 | $2,904 | $2,294 |
| Gwinnett Medical CenterLawrenceville | 23 | $41,088 | $2,900 | $2,265 |
| Emory Eastside Medical CenterSnellville | 23 | $30,630 | $2,273 | $1,769 |
| Emory Johns Creek HospitalJohns Creek | 23 | $16,965 | $3,004 | $2,385 |
| Medical College of Ga Hospitals and ClinicsAugusta | 22 | $20,208 | $2,739 | $2,182 |
| Tift Regional Medical CenterTifton | 21 | $15,089 | $2,774 | $2,209 |
| Tanner Medical Center Villa RicaVilla Rica | 20 | $20,122 | $3,004 | $2,393 |
| Walton Regional Medical CenterMonroe | 20 | $26,617 | $2,765 | $2,154 |
| Piedmont Mountainside Hospital INCJasper | 20 | $34,483 | $3,004 | $2,393 |
| Cartersville Medical CenterCartersville | 19 | $38,016 | $2,752 | $2,141 |
| Colquitt Reg Medical CenterMoultrie | 19 | $14,178 | $2,930 | $2,328 |
| Atrium Health Navicent the Medical CenterMacon | 18 | $24,074 | $2,766 | $2,178 |
| Piedmont Macon North HospitalMacon | 17 | $35,633 | $2,649 | $2,084 |
| Gordon HospitalCalhoun | 16 | $45,728 | $2,673 | $2,072 |
| Southeast Georgia Health System- Camden CampusSt Marys | 16 | $16,810 | $2,930 | $2,323 |
| Piedmont Augusta HospitalAugusta | 15 | $22,457 | $2,739 | $2,182 |
| Piedmont Columbus Regional NorthsideColumbus | 15 | $25,719 | $2,371 | $1,889 |
| Upson Regional Medical CenterThomaston | 14 | $20,512 | $2,981 | $2,338 |
| Satilla Regional Medical CenterWaycross | 13 | $37,106 | $3,043 | $2,425 |
| John D Archbold Memorial HospitalThomasville | 13 | $15,822 | $2,775 | $2,211 |
| Emory University Hospital MidtownAtlanta | 13 | $19,911 | $2,820 | $2,209 |
| Sumter Regional HospitalAmericus | 11 | $16,378 | $2,749 | $2,190 |
| McDuffie Regional Medical CenterThomson | 11 | $13,154 | $2,739 | $2,182 |
| Wellstar Douglas HospitalDouglasville | 11 | $22,520 | $3,004 | $2,393 |
| Emory University HospitalAtlanta | – | – | – | – |
| West Georgia Medical CenterLagrange | – | – | – | – |
| Cobb Memorial HospitalRoyston | – | – | – | – |
| Spalding Regional Medical CenterGriffin | – | – | – | – |
| Stephens County HospitalToccoa | – | – | – | – |
| Habersham County Med CenterDemorest | – | – | – | – |
| Piedmont Columbus Regional MidtownColumbus | – | – | – | – |
| Dorminy Medical CenterFitzgerald | – | – | – | – |
| Grady Memorial HospitalAtlanta | – | – | – | – |
| Washington County Regional Medical CenterSandersville | – | – | – | – |
| Rockdale Medical CenterConyers | – | – | – | – |
| Dodge County HospitalEastman | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| Grady General HospitalCairo | – | – | – | – |
| Wayne Memorial HospitalJesup | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Memorial Hospital and ManorBainbridge | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Evans Memorial HospitalClaxton | – | – | – | – |
| Navicent Health BaldwinMilledgeville | – | – | – | – |
| Coliseum Medical CenterMacon | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Henry Medical Center, INCStockbridge | – | – | – | – |
| North Fulton Regional HospitalRoswell | – | – | – | – |
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
| St Joseph's Hospital - SavannahSavannah, GA | $1,878 |
|---|---|
| Wellstar Kennestone HospitalMarietta, GA | $2,152 |
| Piedmont HospitalAtlanta, GA | $2,212 |
| Emory Eastside Medical CenterSnellville, GA | $2,273 |
| Northside Hospital CherokeeCanton, GA | $2,296 |
Highest
| Satilla Regional Medical CenterWaycross, GA | $3,043 |
|---|---|
| Emory Johns Creek HospitalJohns Creek, GA | $3,004 |
| Northside Hospital ForsythCumming, GA | $3,004 |
| Tanner Medical Center Villa RicaVilla Rica, GA | $3,004 |
| Wellstar Paulding HospitalDallas, GA | $3,004 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Georgia?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 87 hospitals in Georgia was billed at $28,659 on average, while the average medicare-allowed amount was $2,723, of which Medicare paid $2,155. 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 10.5 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.