facebook tracking Major small and large bowel procedures without complications cost in Georgia: 14 hospitals compared (DRG 331)

Major small and large bowel procedures without complications in Georgia

What 14 hospitals in Georgia charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.

DRG 331 Inpatient 2024 Medicare data
Average charge $85,270 Hospital list price billed
Average payment $15,588 Medicare + patient + other payers
Medicare paid $11,129 Average per stay
State rank #25 of 42 1 = lowest average payment

Hospitals in Georgia billed an average of $85,270 for major small and large bowel procedures without complications, about 5.5 times the average total payment of $15,588. That payment is 3% below the U.S. average of $16,035.

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 $15,588Billed $85,270

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

Georgia hospitals: major small and large bowel procedures without 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
Northeast Georgia Medical Center, INCGainesville 45 $110,127 $16,654 $12,581
Piedmont HospitalAtlanta 41 $87,388 $19,228 $8,719
Northside Hospital CherokeeCanton 32 $94,665 $14,055 $11,177
Athens Regional Medical CenterAthens 31 $81,372 $15,735 $11,104
Piedmont Augusta HospitalAugusta 24 $59,741 $12,728 $9,399
Candler HospitalSavannah 23 $49,784 $13,710 $10,096
Piedmont Fayette HospitalFayetteville 22 $84,901 $13,769 $10,916
Gwinnett Medical CenterLawrenceville 20 $87,197 $15,703 $13,676
Northside HospitalAtlanta 17 $83,696 $16,926 $15,486
Northside Hospital ForsythCumming 15 $77,397 $13,131 $10,566
Wellstar Kennestone HospitalMarietta 14 $108,505 $18,526 $13,408
Atrium Health Navicent the Medical CenterMacon 12 $63,851 $17,262 $9,726
Memorial Health Univ Med Cen, INCSavannah 11 $114,973 $16,402 $10,741
Piedmont Columbus Regional NorthsideColumbus 11 $63,732 $10,211 $8,875
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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

Piedmont Columbus Regional NorthsideColumbus, GA$10,211
Piedmont Augusta HospitalAugusta, GA$12,728
Northside Hospital ForsythCumming, GA$13,131
Candler HospitalSavannah, GA$13,710
Piedmont Fayette HospitalFayetteville, GA$13,769

Highest

Piedmont HospitalAtlanta, GA$19,228
Wellstar Kennestone HospitalMarietta, GA$18,526
Atrium Health Navicent the Medical CenterMacon, GA$17,262
Northside HospitalAtlanta, GA$16,926
Northeast Georgia Medical Center, INCGainesville, GA$16,654

Major small and large bowel procedures without complications in other states

Questions

How much does major small and large bowel procedures without complications cost in Georgia?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 14 hospitals in Georgia was billed at $85,270 on average, while the average total payment was $15,588, of which Medicare paid $11,129. 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 5.5 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.