Lower extremity and humerus procedures except hip, foot and femur with complications in Georgia
What 8 hospitals in Georgia charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$147,599
Hospital list price billed
Average payment
$23,106
Medicare + patient + other payers
Medicare paid
$19,343
Average per stay
State rank
#30 of 40
1 = lowest average payment
Hospitals in Georgia billed an average of $147,599 for lower extremity and humerus procedures except hip, foot and femur with complications, about 6.4 times the average total payment of $23,106. That payment is 1% above the U.S. average of $22,820.
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 $23,106Billed $147,599
About 16¢ was paid for every $1 hospitals in Georgia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Georgia:
Georgia hospitals: lower extremity and humerus procedures except hip, foot and femur with complications
Every Georgia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Wellstar Kennestone HospitalMarietta | 45 | $150,749 | $23,431 | $19,841 |
| Memorial Health Univ Med Cen, INCSavannah | 33 | $139,096 | $20,531 | $16,051 |
| Atrium Health Navicent the Medical CenterMacon | 33 | $118,082 | $20,284 | $17,343 |
| Northeast Georgia Medical Center, INCGainesville | 30 | $143,613 | $20,726 | $16,448 |
| Grady Memorial HospitalAtlanta | 25 | $260,823 | $39,112 | $32,280 |
| Athens Regional Medical CenterAthens | 23 | $130,889 | $19,473 | $16,989 |
| Gwinnett Medical CenterLawrenceville | 16 | $93,712 | $21,515 | $19,286 |
| North Fulton Regional HospitalRoswell | 12 | $118,294 | $18,417 | $16,911 |
Lowest and highest payments in Georgia
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| North Fulton Regional HospitalRoswell, GA | $18,417 |
|---|---|
| Athens Regional Medical CenterAthens, GA | $19,473 |
| Atrium Health Navicent the Medical CenterMacon, GA | $20,284 |
| Memorial Health Univ Med Cen, INCSavannah, GA | $20,531 |
| Northeast Georgia Medical Center, INCGainesville, GA | $20,726 |
Highest
| Grady Memorial HospitalAtlanta, GA | $39,112 |
|---|---|
| Wellstar Kennestone HospitalMarietta, GA | $23,431 |
| Gwinnett Medical CenterLawrenceville, GA | $21,515 |
| Northeast Georgia Medical Center, INCGainesville, GA | $20,726 |
| Memorial Health Univ Med Cen, INCSavannah, GA | $20,531 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Georgia?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 8 hospitals in Georgia was billed at $147,599 on average, while the average total payment was $23,106, of which Medicare paid $19,343. 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 stay in Georgia, average charges were 6.4 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.