facebook tracking Major gastrointestinal disorders and peritoneal infections with complications cost in Georgia: 17 hospitals compared (DRG 372)

Major gastrointestinal disorders and peritoneal infections with complications in Georgia

What 17 hospitals in Georgia charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.

DRG 372 Inpatient 2024 Medicare data
Average charge $45,630 Hospital list price billed
Average payment $10,193 Medicare + patient + other payers
Medicare paid $7,627 Average per stay
State rank #24 of 34 1 = lowest average payment

Hospitals in Georgia billed an average of $45,630 for major gastrointestinal disorders and peritoneal infections with complications, about 4.5 times the average total payment of $10,193. That payment is about the same as the U.S. average of $10,109.

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 $10,193Billed $45,630

About 22¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: major gastrointestinal disorders and peritoneal infections 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
Northside Hospital ForsythCumming 26 $58,911 $8,165 $7,100
Northeast Georgia Medical Center, INCGainesville 26 $48,562 $10,698 $8,578
Wellstar Kennestone HospitalMarietta 24 $50,020 $12,032 $9,776
Northside Hospital CherokeeCanton 16 $50,354 $8,643 $7,625
Saint Joseph's Hosp of AtlantaAtlanta 15 $28,999 $8,752 $5,487
Sgmc HealthValdosta 15 $28,378 $8,640 $7,594
Piedmont Augusta HospitalAugusta 14 $40,620 $8,061 $6,194
North Fulton Regional HospitalRoswell 14 $58,318 $9,085 $7,786
Piedmont HospitalAtlanta 13 $47,861 $13,005 $6,317
Emory University HospitalAtlanta 12 $31,197 $13,894 $8,948
Candler HospitalSavannah 12 $22,809 $8,936 $7,000
Gwinnett Medical CenterLawrenceville 12 $52,789 $14,002 $8,613
Emory Johns Creek HospitalJohns Creek 12 $30,511 $7,938 $5,345
Wellstar Paulding HospitalDallas 11 $59,546 $10,210 $4,762
Floyd Medical CenterRome 11 $40,971 $10,619 $8,052
Atrium Health Navicent the Medical CenterMacon 11 $54,487 $10,035 $7,554
Northside HospitalAtlanta 11 $55,868 $12,278 $11,240
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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

Emory Johns Creek HospitalJohns Creek, GA$7,938
Piedmont Augusta HospitalAugusta, GA$8,061
Northside Hospital ForsythCumming, GA$8,165
Sgmc HealthValdosta, GA$8,640
Northside Hospital CherokeeCanton, GA$8,643

Highest

Gwinnett Medical CenterLawrenceville, GA$14,002
Emory University HospitalAtlanta, GA$13,894
Piedmont HospitalAtlanta, GA$13,005
Northside HospitalAtlanta, GA$12,278
Wellstar Kennestone HospitalMarietta, GA$12,032

Major gastrointestinal disorders and peritoneal infections with complications in other states

Questions

How much does major gastrointestinal disorders and peritoneal infections with complications cost in Georgia?

In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 17 hospitals in Georgia was billed at $45,630 on average, while the average total payment was $10,193, of which Medicare paid $7,627. 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 4.5 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.