facebook tracking Major chest procedures with complications cost in Georgia: 15 hospitals compared (DRG 164)

Major chest procedures with complications in Georgia

What 15 hospitals in Georgia charged and were paid for a Medicare hospital stay for major chest procedures with complications (DRG 164), from 2024 Medicare claims.

DRG 164 Inpatient 2024 Medicare data
Average charge $131,741 Hospital list price billed
Average payment $24,356 Medicare + patient + other payers
Medicare paid $18,326 Average per stay
State rank #24 of 41 1 = lowest average payment

Hospitals in Georgia billed an average of $131,741 for major chest procedures with complications, about 5.4 times the average total payment of $24,356. That payment is 4% below the U.S. average of $25,501.

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 $24,356Billed $131,741

About 18¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: major chest procedures 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
Piedmont HospitalAtlanta 41 $113,817 $25,242 $15,037
Wellstar Kennestone HospitalMarietta 36 $137,731 $33,447 $18,334
Emory University HospitalAtlanta 34 $94,055 $31,449 $18,853
Northside HospitalAtlanta 33 $165,857 $23,184 $21,700
Northeast Georgia Medical Center, INCGainesville 31 $166,772 $22,223 $20,193
Saint Joseph's Hosp of AtlantaAtlanta 17 $98,108 $17,473 $16,180
Medical College of Ga Hospitals and ClinicsAugusta 16 $105,286 $31,810 $24,453
Southeastern Regional Medical Center, INCNewnan 15 $132,950 $18,855 $17,441
Candler HospitalSavannah 13 $93,938 $18,431 $16,810
John D Archbold Memorial HospitalThomasville 13 $85,764 $19,678 $17,710
Piedmont Columbus Regional MidtownColumbus 13 $103,934 $20,058 $18,128
Athens Regional Medical CenterAthens 13 $185,752 $21,351 $18,864
Redmond Regional Medical CenterRome 13 $266,342 $21,566 $19,866
Piedmont Augusta HospitalAugusta 11 $142,206 $17,289 $15,653
St Joseph's Hospital - SavannahSavannah 11 $81,661 $17,725 $12,135
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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

Highest

Wellstar Kennestone HospitalMarietta, GA$33,447
Medical College of Ga Hospitals and ClinicsAugusta, GA$31,810
Emory University HospitalAtlanta, GA$31,449
Piedmont HospitalAtlanta, GA$25,242
Northside HospitalAtlanta, GA$23,184

Major chest procedures with complications in other states

Questions

How much does major chest procedures with complications cost in Georgia?

In 2024 Medicare data, a hospital stay for major chest procedures with complications (DRG 164) at 15 hospitals in Georgia was billed at $131,741 on average, while the average total payment was $24,356, of which Medicare paid $18,326. 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 5.4 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.