Level 6 Musculoskeletal Procedures in Georgia
What 74 hospitals in Georgia charged and were paid for level 6 musculoskeletal procedures (APC 5116), from 2024 Medicare claims.
Average charge
$114,576
Hospital list price billed
Average allowed
$16,409
Medicare's payment + patient's share
Medicare paid
$14,776
Average per service
State rank
#19 of 49
1 = lowest average payment
Hospitals in Georgia billed an average of $114,576 for level 6 musculoskeletal procedures, about 7.0 times the average medicare-allowed amount of $16,409. That payment is 6% below the U.S. average of $17,392.
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 $16,409Billed $114,576
About 14¢ was paid for every $1 hospitals in Georgia billed for this service.
Georgia hospitals: level 6 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 |
|---|---|---|---|---|
| St Joseph's Hospital - SavannahSavannah | 179 | $80,055 | $15,274 | $13,644 |
| Northside HospitalAtlanta | 164 | $103,953 | $17,257 | $15,625 |
| Burke Medical CenterWaynesboro | 126 | $216,180 | $15,296 | $13,664 |
| St Mary's HospitalAthens | 92 | $87,434 | $16,458 | $14,823 |
| Piedmont HospitalAtlanta | 84 | $118,960 | $16,885 | $15,253 |
| Emory University HospitalAtlanta | 76 | $49,627 | $17,257 | $15,625 |
| Atrium Health Navicent the Medical CenterMacon | 73 | $100,230 | $16,215 | $14,583 |
| Northside Hospital CherokeeCanton | 67 | $101,265 | $17,052 | $15,431 |
| Northside Hospital ForsythCumming | 66 | $117,202 | $17,257 | $15,624 |
| Sgmc HealthValdosta | 65 | $98,300 | $15,504 | $13,868 |
| Northeast Georgia Medical Center, INCGainesville | 60 | $154,916 | $16,188 | $14,556 |
| Athens Regional Medical CenterAthens | 51 | $111,579 | $16,772 | $15,137 |
| Union General HospitalBlairsville | 49 | $47,164 | $16,524 | $14,892 |
| Redmond Regional Medical CenterRome | 47 | $222,940 | $16,649 | $15,012 |
| Memorial Health Univ Med Cen, INCSavannah | 46 | $185,976 | $15,720 | $14,088 |
| Piedmont Fayette HospitalFayetteville | 46 | $114,333 | $16,918 | $15,286 |
| Wellstar Kennestone HospitalMarietta | 44 | $120,085 | $17,257 | $15,625 |
| Piedmont Augusta HospitalAugusta | 40 | $98,094 | $15,387 | $13,755 |
| Floyd Medical CenterRome | 39 | $193,351 | $16,169 | $14,537 |
| Houston Medical CenterWarner Robins | 32 | $43,858 | $15,883 | $14,250 |
| Piedmont Newnan Hospital, INCNewnan | 31 | $134,025 | $17,257 | $15,625 |
| Hamilton Medical CenterDalton | 28 | $82,716 | $16,955 | $15,323 |
| Cartersville Medical CenterCartersville | 28 | $189,718 | $16,699 | $15,059 |
| Saint Joseph's Hosp of AtlantaAtlanta | 27 | $55,729 | $16,308 | $14,676 |
| Wellstar Cobb HospitalAustell | 27 | $110,831 | $17,258 | $15,617 |
| Medical College of Ga Hospitals and ClinicsAugusta | 25 | $85,439 | $15,739 | $14,107 |
| Wellstar Windy Hill HospitalMarietta | 25 | $89,785 | $17,257 | $15,625 |
| Gwinnett Medical CenterLawrenceville | 24 | $140,772 | $17,258 | $15,616 |
| Henry Medical Center, INCStockbridge | 24 | $137,519 | $17,257 | $15,625 |
| Southwell Medical, a Campus of TrmcAdel | 23 | $56,349 | $15,720 | $14,088 |
| St Francis Hospital, INCColumbus | 21 | $66,189 | $15,137 | $13,505 |
| Tanner Medical Center - CarrolltonCarrollton | 19 | $112,965 | $17,257 | $15,625 |
| Northside Hospital DuluthDuluth | 19 | $95,686 | $17,257 | $15,625 |
| Piedmont Columbus Regional NorthsideColumbus | 18 | $154,000 | $14,155 | $12,523 |
| Emory Johns Creek HospitalJohns Creek | 18 | $69,278 | $17,257 | $15,625 |
| Piedmont Macon North HospitalMacon | 17 | $153,352 | $15,967 | $14,335 |
| John D Archbold Memorial HospitalThomasville | 15 | $74,801 | $15,944 | $14,312 |
| Southeast Georgia Reg Med CtrBrunswick | 13 | $65,811 | $17,068 | $15,436 |
| Barrow Regional Medical CenterWinder | 13 | $156,039 | $16,055 | $14,423 |
| Walton Regional Medical CenterMonroe | 13 | $123,174 | $17,258 | $15,607 |
| North Fulton Regional HospitalRoswell | 13 | $113,632 | $17,257 | $15,625 |
| Emory Eastside Medical CenterSnellville | 11 | $124,755 | $15,837 | $14,197 |
| Upson Regional Medical CenterThomaston | – | – | – | – |
| Satilla Regional Medical CenterWaycross | – | – | – | – |
| Phoebe Putney Memorial HospitalAlbany | – | – | – | – |
| Tanner Medical Center Villa RicaVilla Rica | – | – | – | – |
| West Georgia Medical CenterLagrange | – | – | – | – |
| Newton Medical CenterCovington | – | – | – | – |
| Gordon HospitalCalhoun | – | – | – | – |
| Stephens County HospitalToccoa | – | – | – | – |
| Habersham County Med CenterDemorest | – | – | – | – |
| Wellstar Paulding HospitalDallas | – | – | – | – |
| Sumter Regional HospitalAmericus | – | – | – | – |
| Piedmont Columbus Regional MidtownColumbus | – | – | – | – |
| East Georgia Regional Medical CenterStatesboro | – | – | – | – |
| Emory Decatur HospitalDecatur | – | – | – | – |
| Emory University Hospital MidtownAtlanta | – | – | – | – |
| Grady Memorial HospitalAtlanta | – | – | – | – |
| Coffee Regional Medical CenterDouglas | – | – | – | – |
| Rockdale Medical CenterConyers | – | – | – | – |
| Dodge County HospitalEastman | – | – | – | – |
| Tift Regional Medical CenterTifton | – | – | – | – |
| Colquitt Reg Medical CenterMoultrie | – | – | – | – |
| McDuffie Regional Medical CenterThomson | – | – | – | – |
| Wayne Memorial HospitalJesup | – | – | – | – |
| Fairview Park HospitalDublin | – | – | – | – |
| Meadows Regional Medical Center INCVidalia | – | – | – | – |
| Southeast Georgia Health System- Camden CampusSt Marys | – | – | – | – |
| Navicent Health BaldwinMilledgeville | – | – | – | – |
| Coliseum Medical CenterMacon | – | – | – | – |
| Doctors HospitalAugusta | – | – | – | – |
| Wellstar Douglas HospitalDouglasville | – | – | – | – |
| Piedmont Mountainside Hospital INCJasper | – | – | – | – |
| Northeast Georgia Medical Center LumpkinDahlonega | – | – | – | – |
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
| Piedmont Columbus Regional NorthsideColumbus, GA | $14,155 |
|---|---|
| St Francis Hospital, INCColumbus, GA | $15,137 |
| St Joseph's Hospital - SavannahSavannah, GA | $15,274 |
| Burke Medical CenterWaynesboro, GA | $15,296 |
| Piedmont Augusta HospitalAugusta, GA | $15,387 |
Highest
| Walton Regional Medical CenterMonroe, GA | $17,258 |
|---|---|
| Gwinnett Medical CenterLawrenceville, GA | $17,258 |
| Wellstar Cobb HospitalAustell, GA | $17,258 |
| Northside Hospital ForsythCumming, GA | $17,257 |
| Emory University HospitalAtlanta, GA | $17,257 |
Level 6 Musculoskeletal Procedures in other states
Questions
How much does level 6 musculoskeletal procedures cost in Georgia?
In 2024 Medicare data, level 6 musculoskeletal procedures (APC 5116) at 74 hospitals in Georgia was billed at $114,576 on average, while the average medicare-allowed amount was $16,409, of which Medicare paid $14,776. 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.