Other digestive system diagnoses with complications in Georgia
What 28 hospitals in Georgia charged and were paid for a Medicare hospital stay for other digestive system diagnoses with complications (DRG 394), from 2024 Medicare claims.
Average charge
$45,483
Hospital list price billed
Average payment
$10,657
Medicare + patient + other payers
Medicare paid
$7,939
Average per stay
State rank
#42 of 46
1 = lowest average payment
Hospitals in Georgia billed an average of $45,483 for other digestive system diagnoses with complications, about 4.3 times the average total payment of $10,657. That payment is 12% above the U.S. average of $9,547.
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 $10,657Billed $45,483
About 23¢ 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: other digestive system diagnoses 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 | 53 | $49,169 | $11,023 | $9,090 |
| Emory University HospitalAtlanta | 40 | $38,283 | $13,854 | $8,061 |
| Northeast Georgia Medical Center, INCGainesville | 39 | $39,727 | $10,300 | $7,446 |
| Piedmont HospitalAtlanta | 28 | $32,940 | $10,991 | $5,839 |
| Saint Joseph's Hosp of AtlantaAtlanta | 27 | $36,718 | $6,874 | $4,882 |
| Athens Regional Medical CenterAthens | 21 | $33,520 | $8,770 | $7,125 |
| Northside Hospital CherokeeCanton | 19 | $61,514 | $9,238 | $6,407 |
| Grady Memorial HospitalAtlanta | 19 | $56,341 | $23,726 | $19,584 |
| Northside Hospital ForsythCumming | 18 | $46,444 | $8,893 | $6,162 |
| Wellstar Cobb HospitalAustell | 17 | $52,014 | $11,307 | $8,572 |
| North Fulton Regional HospitalRoswell | 17 | $105,864 | $13,401 | $12,241 |
| Piedmont Augusta HospitalAugusta | 16 | $20,956 | $7,194 | $5,139 |
| Memorial Health Univ Med Cen, INCSavannah | 16 | $35,555 | $8,695 | $6,744 |
| Northside HospitalAtlanta | 15 | $80,060 | $11,731 | $10,860 |
| Piedmont Fayette HospitalFayetteville | 15 | $36,550 | $8,917 | $6,377 |
| Medical College of Ga Hospitals and ClinicsAugusta | 13 | $34,879 | $15,293 | $11,015 |
| Emory Decatur HospitalDecatur | 13 | $33,864 | $10,091 | $7,094 |
| Gwinnett Medical CenterLawrenceville | 13 | $43,859 | $10,950 | $7,641 |
| Phoebe Putney Memorial HospitalAlbany | 12 | $21,868 | $9,904 | $7,073 |
| Wellstar Paulding HospitalDallas | 12 | $69,403 | $6,566 | $5,614 |
| Atrium Health Navicent the Medical CenterMacon | 12 | $54,872 | $10,334 | $8,003 |
| Emory Eastside Medical CenterSnellville | 12 | $48,610 | $9,459 | $6,620 |
| Piedmont Newnan Hospital, INCNewnan | 12 | $31,458 | $8,035 | $6,675 |
| Hamilton Medical CenterDalton | 11 | $44,090 | $9,413 | $7,419 |
| Floyd Medical CenterRome | 11 | $33,193 | $9,203 | $7,229 |
| Emory University Hospital MidtownAtlanta | 11 | $24,171 | $10,610 | $8,837 |
| Redmond Regional Medical CenterRome | 11 | $71,577 | $7,480 | $6,122 |
| Doctors HospitalAugusta | 11 | $52,723 | $7,453 | $5,969 |
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
| Wellstar Paulding HospitalDallas, GA | $6,566 |
|---|---|
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $6,874 |
| Piedmont Augusta HospitalAugusta, GA | $7,194 |
| Doctors HospitalAugusta, GA | $7,453 |
| Redmond Regional Medical CenterRome, GA | $7,480 |
Highest
| Grady Memorial HospitalAtlanta, GA | $23,726 |
|---|---|
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $15,293 |
| Emory University HospitalAtlanta, GA | $13,854 |
| North Fulton Regional HospitalRoswell, GA | $13,401 |
| Northside HospitalAtlanta, GA | $11,731 |
Other digestive system diagnoses with complications in other states
Questions
How much does other digestive system diagnoses with complications cost in Georgia?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with complications (DRG 394) at 28 hospitals in Georgia was billed at $45,483 on average, while the average total payment was $10,657, of which Medicare paid $7,939. 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 4.3 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.