Other digestive system diagnoses with major complications in Georgia
What 24 hospitals in Georgia charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$80,667
Hospital list price billed
Average payment
$16,870
Medicare + patient + other payers
Medicare paid
$13,538
Average per stay
State rank
#33 of 44
1 = lowest average payment
Hospitals in Georgia billed an average of $80,667 for other digestive system diagnoses with major complications, about 4.8 times the average total payment of $16,870. That payment is 1% below the U.S. average of $17,117.
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 $16,870Billed $80,667
About 21¢ 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 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 |
|---|---|---|---|---|
| Wellstar Kennestone HospitalMarietta | 35 | $142,600 | $19,297 | $16,923 |
| Emory University HospitalAtlanta | 29 | $42,313 | $19,492 | $13,543 |
| Northeast Georgia Medical Center, INCGainesville | 20 | $85,268 | $16,506 | $13,080 |
| Saint Joseph's Hosp of AtlantaAtlanta | 20 | $94,195 | $19,164 | $13,027 |
| Gwinnett Medical CenterLawrenceville | 19 | $76,508 | $16,635 | $14,407 |
| Piedmont HospitalAtlanta | 18 | $59,684 | $17,324 | $10,456 |
| St Francis Hospital, INCColumbus | 18 | $47,254 | $11,823 | $9,887 |
| Northside HospitalAtlanta | 18 | $78,431 | $16,598 | $13,921 |
| Medical College of Ga Hospitals and ClinicsAugusta | 16 | $78,153 | $25,652 | $18,368 |
| Memorial Health Univ Med Cen, INCSavannah | 16 | $92,440 | $14,627 | $10,592 |
| Northside Hospital CherokeeCanton | 15 | $87,601 | $12,782 | $11,479 |
| Wellstar Cobb HospitalAustell | 15 | $94,305 | $15,262 | $14,351 |
| Athens Regional Medical CenterAthens | 14 | $81,130 | $14,720 | $12,650 |
| Grady Memorial HospitalAtlanta | 14 | $58,468 | $29,738 | $25,942 |
| Piedmont Fayette HospitalFayetteville | 14 | $67,951 | $14,432 | $10,288 |
| Wellstar Douglas HospitalDouglasville | 13 | $117,418 | $18,452 | $12,064 |
| Emory University Hospital MidtownAtlanta | 12 | $66,216 | $16,806 | $13,982 |
| Doctors HospitalAugusta | 12 | $100,740 | $11,848 | $11,168 |
| North Fulton Regional HospitalRoswell | 12 | $128,840 | $14,995 | $13,131 |
| Phoebe Putney Memorial HospitalAlbany | 11 | $43,993 | $15,878 | $14,594 |
| Floyd Medical CenterRome | 11 | $66,455 | $14,766 | $13,303 |
| Piedmont Columbus Regional MidtownColumbus | 11 | $55,084 | $12,550 | $10,910 |
| Houston Medical CenterWarner Robins | 11 | $29,298 | $11,774 | $9,698 |
| Redmond Regional Medical CenterRome | 11 | $79,655 | $13,051 | $11,781 |
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
| Houston Medical CenterWarner Robins, GA | $11,774 |
|---|---|
| St Francis Hospital, INCColumbus, GA | $11,823 |
| Doctors HospitalAugusta, GA | $11,848 |
| Piedmont Columbus Regional MidtownColumbus, GA | $12,550 |
| Northside Hospital CherokeeCanton, GA | $12,782 |
Highest
| Grady Memorial HospitalAtlanta, GA | $29,738 |
|---|---|
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $25,652 |
| Emory University HospitalAtlanta, GA | $19,492 |
| Wellstar Kennestone HospitalMarietta, GA | $19,297 |
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $19,164 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 24 hospitals in Georgia was billed at $80,667 on average, while the average total payment was $16,870, of which Medicare paid $13,538. 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.