Level 5 Musculoskeletal Procedures in Georgia
What 85 hospitals in Georgia charged and were paid for level 5 musculoskeletal procedures (APC 5115), from 2024 Medicare claims.
Average charge
$81,507
Hospital list price billed
Average allowed
$11,645
Medicare's payment + patient's share
Medicare paid
$10,015
Average per service
State rank
#18 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $81,507 for level 5 musculoskeletal procedures, about 7.0 times the average medicare-allowed amount of $11,645. That payment is 6% below the U.S. average of $12,402.
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 $11,645Billed $81,507
About 14¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 5 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 |
|---|---|---|---|---|
| Burke Medical CenterWaynesboro | 594 | $136,959 | $11,045 | $9,411 |
| Northside Hospital CherokeeCanton | 470 | $79,134 | $12,128 | $10,498 |
| Emory University HospitalAtlanta | 454 | $37,977 | $11,996 | $10,362 |
| St Joseph's Hospital - SavannahSavannah | 453 | $58,919 | $11,018 | $9,390 |
| Piedmont HospitalAtlanta | 419 | $93,221 | $11,513 | $9,929 |
| St Mary's HospitalAthens | 369 | $56,994 | $11,873 | $10,240 |
| Northside Hospital ForsythCumming | 349 | $89,998 | $12,082 | $10,451 |
| Northeast Georgia Medical Center, INCGainesville | 333 | $106,615 | $11,663 | $10,030 |
| Saint Joseph's Hosp of AtlantaAtlanta | 323 | $38,289 | $11,748 | $10,115 |
| Piedmont Fayette HospitalFayetteville | 260 | $107,587 | $12,075 | $10,443 |
| Wellstar Windy Hill HospitalMarietta | 254 | $75,258 | $12,114 | $10,482 |
| Northside HospitalAtlanta | 234 | $91,732 | $12,107 | $10,474 |
| Memorial Health Univ Med Cen, INCSavannah | 226 | $105,109 | $10,944 | $9,312 |
| Emory Johns Creek HospitalJohns Creek | 220 | $38,074 | $12,053 | $10,421 |
| Piedmont Augusta HospitalAugusta | 218 | $58,646 | $10,777 | $9,145 |
| Wellstar Kennestone HospitalMarietta | 197 | $89,293 | $11,978 | $10,356 |
| Atrium Health Navicent the Medical CenterMacon | 197 | $66,447 | $11,495 | $9,863 |
| Southeast Georgia Reg Med CtrBrunswick | 191 | $38,635 | $12,009 | $10,376 |
| Piedmont Newnan Hospital, INCNewnan | 173 | $106,154 | $12,014 | $10,382 |
| Northside Hospital DuluthDuluth | 154 | $105,362 | $11,993 | $10,356 |
| Redmond Regional Medical CenterRome | 152 | $135,231 | $11,711 | $10,077 |
| Tanner Medical Center - CarrolltonCarrollton | 145 | $56,891 | $11,834 | $10,198 |
| Southwell Medical, a Campus of TrmcAdel | 138 | $58,582 | $10,996 | $9,364 |
| Athens Regional Medical CenterAthens | 128 | $109,058 | $11,857 | $10,224 |
| Tift Regional Medical CenterTifton | 122 | $60,303 | $11,009 | $9,377 |
| Union General HospitalBlairsville | 120 | $38,214 | $11,898 | $10,265 |
| Floyd Medical CenterRome | 114 | $122,101 | $11,529 | $9,897 |
| Hamilton Medical CenterDalton | 110 | $71,885 | $11,607 | $9,975 |
| Houston Medical CenterWarner Robins | 105 | $42,303 | $10,905 | $9,272 |
| Sgmc HealthValdosta | 103 | $66,299 | $11,020 | $9,388 |
| Gwinnett Medical CenterLawrenceville | 102 | $100,188 | $11,990 | $10,356 |
| Doctors HospitalAugusta | 98 | $129,853 | $11,028 | $9,395 |
| Piedmont Columbus Regional NorthsideColumbus | 92 | $89,552 | $10,922 | $9,285 |
| Piedmont Mountainside Hospital INCJasper | 85 | $114,292 | $11,948 | $10,316 |
| Wellstar Cobb HospitalAustell | 75 | $99,544 | $11,579 | $9,965 |
| Henry Medical Center, INCStockbridge | 74 | $98,157 | $12,054 | $10,422 |
| Emory Eastside Medical CenterSnellville | 74 | $105,229 | $12,054 | $10,419 |
| Emory Decatur HospitalDecatur | 70 | $38,290 | $11,895 | $10,262 |
| Cartersville Medical CenterCartersville | 54 | $138,776 | $11,414 | $9,782 |
| Fairview Park HospitalDublin | 54 | $123,072 | $11,506 | $9,871 |
| Wayne Memorial HospitalJesup | 50 | $76,196 | $11,520 | $9,908 |
| Wellstar Douglas HospitalDouglasville | 48 | $76,161 | $12,197 | $10,565 |
| St Francis Hospital, INCColumbus | 47 | $50,545 | $10,708 | $9,076 |
| Phoebe Putney Memorial HospitalAlbany | 42 | $70,241 | $12,371 | $10,739 |
| Medical College of Ga Hospitals and ClinicsAugusta | 42 | $59,020 | $10,898 | $9,262 |
| Gordon HospitalCalhoun | 38 | $133,712 | $11,983 | $10,351 |
| Habersham County Med CenterDemorest | 38 | $88,683 | $10,613 | $8,981 |
| Colquitt Reg Medical CenterMoultrie | 38 | $41,808 | $11,444 | $9,861 |
| Piedmont Macon North HospitalMacon | 38 | $116,663 | $11,032 | $9,400 |
| Emory University Hospital MidtownAtlanta | 37 | $51,156 | $11,912 | $10,280 |
| McDuffie Regional Medical CenterThomson | 35 | $48,587 | $11,125 | $9,493 |
| Southeast Georgia Health System- Camden CampusSt Marys | 34 | $56,132 | $11,898 | $10,266 |
| North Fulton Regional HospitalRoswell | 34 | $77,289 | $12,197 | $10,565 |
| Barrow Regional Medical CenterWinder | 33 | $109,475 | $12,197 | $10,565 |
| East Georgia Regional Medical CenterStatesboro | 30 | $125,502 | $11,898 | $10,266 |
| Coffee Regional Medical CenterDouglas | 30 | $76,565 | $11,214 | $9,582 |
| Newton Medical CenterCovington | 29 | $120,397 | $12,197 | $10,565 |
| Tanner Medical Center Villa RicaVilla Rica | 28 | $51,184 | $12,197 | $10,562 |
| Walton Regional Medical CenterMonroe | 27 | $88,491 | $11,806 | $10,165 |
| Southeastern Regional Medical Center, INCNewnan | 27 | $52,526 | $12,197 | $10,565 |
| Coliseum Medical CenterMacon | 26 | $92,023 | $11,286 | $9,654 |
| Cobb Memorial HospitalRoyston | 21 | $39,097 | $11,112 | $9,471 |
| Satilla Regional Medical CenterWaycross | 19 | $98,240 | $11,792 | $10,160 |
| John D Archbold Memorial HospitalThomasville | 18 | $50,713 | $11,269 | $9,637 |
| Sumter Regional HospitalAmericus | 18 | $58,786 | $11,165 | $9,533 |
| Spalding Regional Medical CenterGriffin | 17 | $76,115 | $11,576 | $9,933 |
| Stephens County HospitalToccoa | 13 | $89,140 | $11,112 | $9,480 |
| Rockdale Medical CenterConyers | 13 | $118,033 | $12,197 | $10,565 |
| Piedmont Columbus Regional MidtownColumbus | 12 | $68,415 | $11,112 | $9,480 |
| Upson Regional Medical CenterThomaston | 11 | $72,770 | $12,832 | $11,200 |
| Blue Ridge Medical CenterBlue Ridge | 11 | $100,643 | $11,666 | $10,034 |
| West Georgia Medical CenterLagrange | – | – | – | – |
| Candler HospitalSavannah | – | – | – | – |
| Wellstar Paulding HospitalDallas | – | – | – | – |
| Grady Memorial HospitalAtlanta | – | – | – | – |
| Dodge County HospitalEastman | – | – | – | – |
| Crisp Regional HospitalCordele | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Memorial Hospital and ManorBainbridge | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
| Navicent Health BaldwinMilledgeville | – | – | – | – |
| Southern Regional Medical CenterRiverdale | – | – | – | – |
| Dekalb Medical Center at HillandaleLithonia | – | – | – | – |
| Northeast Georgia Medical Center LumpkinDahlonega | – | – | – | – |
| Taylor Regional HospitalHawkinsville | – | – | – | – |
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
| Habersham County Med CenterDemorest, GA | $10,613 |
|---|---|
| St Francis Hospital, INCColumbus, GA | $10,708 |
| Piedmont Augusta HospitalAugusta, GA | $10,777 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $10,898 |
| Houston Medical CenterWarner Robins, GA | $10,905 |
Highest
| Upson Regional Medical CenterThomaston, GA | $12,832 |
|---|---|
| Phoebe Putney Memorial HospitalAlbany, GA | $12,371 |
| Tanner Medical Center Villa RicaVilla Rica, GA | $12,197 |
| Newton Medical CenterCovington, GA | $12,197 |
| Barrow Regional Medical CenterWinder, GA | $12,197 |
Level 5 Musculoskeletal Procedures in other states
Questions
How much does level 5 musculoskeletal procedures cost in Georgia?
In 2024 Medicare data, level 5 musculoskeletal procedures (APC 5115) at 85 hospitals in Georgia was billed at $81,507 on average, while the average medicare-allowed amount was $11,645, of which Medicare paid $10,015. 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 7.0 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.