Malignancy of hepatobiliary system or pancreas with major complications in Georgia
What 10 hospitals in Georgia charged and were paid for a Medicare hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435), from 2024 Medicare claims.
Average charge
$88,959
Hospital list price billed
Average payment
$18,579
Medicare + patient + other payers
Medicare paid
$13,532
Average per stay
State rank
#23 of 32
1 = lowest average payment
Hospitals in Georgia billed an average of $88,959 for malignancy of hepatobiliary system or pancreas with major complications, about 4.8 times the average total payment of $18,579. That payment is 4% below the U.S. average of $19,425.
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 $18,579Billed $88,959
About 21¢ was paid for every $1 hospitals in Georgia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Georgia:
Georgia hospitals: malignancy of hepatobiliary system or pancreas with major 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 |
|---|---|---|---|---|
| Emory University HospitalAtlanta | 31 | $61,028 | $22,773 | $15,018 |
| Northeast Georgia Medical Center, INCGainesville | 21 | $116,405 | $16,640 | $13,996 |
| Piedmont HospitalAtlanta | 20 | $82,226 | $19,990 | $9,902 |
| Saint Joseph's Hosp of AtlantaAtlanta | 19 | $57,423 | $12,327 | $11,141 |
| Northside HospitalAtlanta | 19 | $104,008 | $19,132 | $15,808 |
| Memorial Health Univ Med Cen, INCSavannah | 16 | $89,448 | $16,818 | $11,028 |
| Gwinnett Medical CenterLawrenceville | 14 | $92,355 | $18,840 | $13,742 |
| Wellstar Kennestone HospitalMarietta | 12 | $126,932 | $18,104 | $15,643 |
| Northside Hospital ForsythCumming | 11 | $114,317 | $19,112 | $12,198 |
| Emory University Hospital MidtownAtlanta | 11 | $84,187 | $19,954 | $17,669 |
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
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $12,327 |
|---|---|
| Northeast Georgia Medical Center, INCGainesville, GA | $16,640 |
| Memorial Health Univ Med Cen, INCSavannah, GA | $16,818 |
| Wellstar Kennestone HospitalMarietta, GA | $18,104 |
| Gwinnett Medical CenterLawrenceville, GA | $18,840 |
Highest
| Emory University HospitalAtlanta, GA | $22,773 |
|---|---|
| Piedmont HospitalAtlanta, GA | $19,990 |
| Emory University Hospital MidtownAtlanta, GA | $19,954 |
| Northside HospitalAtlanta, GA | $19,132 |
| Northside Hospital ForsythCumming, GA | $19,112 |
Malignancy of hepatobiliary system or pancreas with major complications in other states
Questions
How much does malignancy of hepatobiliary system or pancreas with major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for malignancy of hepatobiliary system or pancreas with major complications (DRG 435) at 10 hospitals in Georgia was billed at $88,959 on average, while the average total payment was $18,579, of which Medicare paid $13,532. 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 4.8 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.