Level 4 Musculoskeletal Procedures in Georgia
What 86 hospitals in Georgia charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$55,004
Hospital list price billed
Average allowed
$6,231
Medicare's payment + patient's share
Medicare paid
$4,943
Average per service
State rank
#16 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $55,004 for level 4 musculoskeletal procedures, about 8.8 times the average medicare-allowed amount of $6,231. That payment is 7% below the U.S. average of $6,708.
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 $6,231Billed $55,004
About 11¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 4 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 | 289 | $55,794 | $6,024 | $4,791 |
| Northeast Georgia Medical Center, INCGainesville | 273 | $76,908 | $6,486 | $5,159 |
| Northside Hospital ForsythCumming | 200 | $47,712 | $6,517 | $5,168 |
| Wellstar Kennestone HospitalMarietta | 191 | $64,840 | $5,972 | $4,740 |
| St Joseph's Hospital - SavannahSavannah | 180 | $33,749 | $5,295 | $4,197 |
| Northside HospitalAtlanta | 164 | $68,264 | $6,591 | $5,248 |
| Piedmont HospitalAtlanta | 151 | $63,563 | $5,655 | $4,469 |
| Athens Regional Medical CenterAthens | 135 | $60,183 | $6,225 | $4,930 |
| Burke Medical CenterWaynesboro | 133 | $77,069 | $5,982 | $4,750 |
| St Mary's HospitalAthens | 127 | $40,742 | $6,441 | $5,114 |
| Northside Hospital DuluthDuluth | 118 | $62,415 | $6,505 | $5,151 |
| Piedmont Fayette HospitalFayetteville | 117 | $59,732 | $6,413 | $5,064 |
| Floyd Medical CenterRome | 92 | $77,107 | $6,134 | $4,807 |
| Atrium Health Navicent the Medical CenterMacon | 77 | $42,537 | $6,396 | $5,096 |
| Piedmont Augusta HospitalAugusta | 72 | $37,936 | $5,920 | $4,690 |
| Union General HospitalBlairsville | 71 | $26,189 | $6,476 | $5,157 |
| Redmond Regional Medical CenterRome | 70 | $63,117 | $6,412 | $5,084 |
| Phoebe Putney Memorial HospitalAlbany | 68 | $44,949 | $6,655 | $5,287 |
| Sgmc HealthValdosta | 68 | $42,269 | $5,834 | $4,605 |
| Southeast Georgia Reg Med CtrBrunswick | 65 | $21,303 | $6,499 | $5,156 |
| Tanner Medical Center - CarrolltonCarrollton | 63 | $32,570 | $6,471 | $5,122 |
| Wellstar Windy Hill HospitalMarietta | 60 | $63,881 | $6,551 | $5,202 |
| Cartersville Medical CenterCartersville | 59 | $83,274 | $6,550 | $5,198 |
| Houston Medical CenterWarner Robins | 59 | $27,561 | $6,110 | $4,859 |
| Henry Medical Center, INCStockbridge | 59 | $63,212 | $6,460 | $5,110 |
| Memorial Health Univ Med Cen, INCSavannah | 58 | $60,307 | $6,047 | $4,809 |
| St Francis Hospital, INCColumbus | 58 | $34,442 | $5,899 | $4,669 |
| Gwinnett Medical CenterLawrenceville | 57 | $58,005 | $6,639 | $5,290 |
| Piedmont Newnan Hospital, INCNewnan | 55 | $63,419 | $6,447 | $5,097 |
| Emory Johns Creek HospitalJohns Creek | 55 | $39,529 | $6,543 | $5,194 |
| Piedmont Mountainside Hospital INCJasper | 49 | $49,975 | $6,547 | $5,216 |
| Piedmont Columbus Regional MidtownColumbus | 48 | $44,229 | $5,849 | $4,620 |
| Emory Decatur HospitalDecatur | 47 | $33,899 | $6,421 | $5,067 |
| Southwell Medical, a Campus of TrmcAdel | 45 | $39,651 | $5,940 | $4,711 |
| Hamilton Medical CenterDalton | 44 | $34,608 | $6,286 | $4,961 |
| Emory University HospitalAtlanta | 44 | $35,871 | $6,433 | $5,084 |
| Emory University Hospital MidtownAtlanta | 44 | $41,516 | $6,639 | $5,290 |
| John D Archbold Memorial HospitalThomasville | 42 | $25,862 | $6,017 | $4,770 |
| Saint Joseph's Hosp of AtlantaAtlanta | 41 | $33,418 | $6,428 | $5,122 |
| Tift Regional Medical CenterTifton | 39 | $33,705 | $6,005 | $4,759 |
| Piedmont Macon North HospitalMacon | 39 | $57,219 | $5,418 | $4,265 |
| Northeast Georgia Medical Center LumpkinDahlonega | 39 | $69,318 | $6,353 | $5,062 |
| North Fulton Regional HospitalRoswell | 38 | $65,401 | $6,361 | $5,011 |
| Doctors HospitalAugusta | 36 | $102,216 | $6,054 | $4,818 |
| Piedmont Columbus Regional NorthsideColumbus | 33 | $41,898 | $6,047 | $4,817 |
| Emory Eastside Medical CenterSnellville | 29 | $55,874 | $6,459 | $5,107 |
| East Georgia Regional Medical CenterStatesboro | 28 | $79,354 | $6,476 | $5,160 |
| Wellstar Cobb HospitalAustell | 28 | $60,922 | $5,312 | $4,194 |
| Gordon HospitalCalhoun | 26 | $72,755 | $6,323 | $4,996 |
| Barrow Regional Medical CenterWinder | 25 | $85,040 | $6,428 | $5,078 |
| Newton Medical CenterCovington | 24 | $67,817 | $6,363 | $5,069 |
| Candler HospitalSavannah | 23 | $46,357 | $5,837 | $4,608 |
| Medical College of Ga Hospitals and ClinicsAugusta | 23 | $36,746 | $6,054 | $4,824 |
| Colquitt Reg Medical CenterMoultrie | 22 | $29,627 | $6,242 | $4,925 |
| Blue Ridge Medical CenterBlue Ridge | 21 | $79,212 | $6,348 | $5,110 |
| Coffee Regional Medical CenterDouglas | 20 | $64,620 | $6,476 | $5,160 |
| Coliseum Medical CenterMacon | 20 | $62,961 | $6,142 | $4,894 |
| Wellstar Paulding HospitalDallas | 19 | $70,435 | $6,639 | $5,290 |
| Tanner Medical Center Villa RicaVilla Rica | 18 | $44,171 | $6,345 | $4,996 |
| Rockdale Medical CenterConyers | 18 | $80,495 | $6,639 | $5,290 |
| Wellstar Douglas HospitalDouglasville | 17 | $57,624 | $6,639 | $5,290 |
| Wayne Memorial HospitalJesup | 16 | $47,978 | $6,476 | $5,160 |
| Southeast Georgia Health System- Camden CampusSt Marys | 16 | $27,752 | $6,476 | $5,156 |
| West Georgia Medical CenterLagrange | 15 | $83,402 | $6,523 | $5,197 |
| Grady Memorial HospitalAtlanta | 15 | $110,268 | $6,287 | $4,937 |
| Navicent Health BaldwinMilledgeville | 15 | $31,082 | $5,673 | $4,455 |
| Habersham County Med CenterDemorest | 14 | $77,024 | $6,047 | $4,818 |
| Washington County Regional Medical CenterSandersville | 13 | $52,585 | $6,476 | $5,160 |
| Upson Regional Medical CenterThomaston | 12 | $31,385 | $6,986 | $5,566 |
| Satilla Regional Medical CenterWaycross | 12 | $60,312 | $6,726 | $5,359 |
| Walton Regional Medical CenterMonroe | 12 | $67,277 | $6,639 | $5,290 |
| Dekalb Medical Center at HillandaleLithonia | 12 | $29,416 | $6,639 | $5,290 |
| Sumter Regional HospitalAmericus | 11 | $36,288 | $6,076 | $4,841 |
| Cobb Memorial HospitalRoyston | – | – | – | – |
| Spalding Regional Medical CenterGriffin | – | – | – | – |
| Stephens County HospitalToccoa | – | – | – | – |
| Dodge County HospitalEastman | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| McDuffie Regional Medical CenterThomson | – | – | – | – |
| Grady General HospitalCairo | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Memorial Hospital and ManorBainbridge | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Southeastern Regional Medical Center, INCNewnan | – | – | – | – |
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 | $5,295 |
|---|---|
| Wellstar Cobb HospitalAustell, GA | $5,312 |
| Piedmont Macon North HospitalMacon, GA | $5,418 |
| Piedmont HospitalAtlanta, GA | $5,655 |
| Navicent Health BaldwinMilledgeville, GA | $5,673 |
Highest
| Upson Regional Medical CenterThomaston, GA | $6,986 |
|---|---|
| Satilla Regional Medical CenterWaycross, GA | $6,726 |
| Phoebe Putney Memorial HospitalAlbany, GA | $6,655 |
| Wellstar Paulding HospitalDallas, GA | $6,639 |
| Walton Regional Medical CenterMonroe, GA | $6,639 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Georgia?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 86 hospitals in Georgia was billed at $55,004 on average, while the average medicare-allowed amount was $6,231, of which Medicare paid $4,943. 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 8.8 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.