facebook tracking Other disorders of nervous system with major complications cost in Georgia: 16 hospitals compared (DRG 091)

Other disorders of nervous system with major complications in Georgia

What 16 hospitals in Georgia charged and were paid for a Medicare hospital stay for other disorders of nervous system with major complications (DRG 091), from 2024 Medicare claims.

DRG 091 Inpatient 2024 Medicare data
Average charge $83,060 Hospital list price billed
Average payment $18,960 Medicare + patient + other payers
Medicare paid $14,115 Average per stay
State rank #30 of 39 1 = lowest average payment

Hospitals in Georgia billed an average of $83,060 for other disorders of nervous system with major complications, about 4.4 times the average total payment of $18,960. That payment is 2% above the U.S. average of $18,533.

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 $18,960Billed $83,060

About 23¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: other disorders of nervous system 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
Northeast Georgia Medical Center, INCGainesville 32 $83,545 $15,800 $13,408
Memorial Health Univ Med Cen, INCSavannah 26 $60,954 $15,184 $12,157
Wellstar Kennestone HospitalMarietta 24 $139,828 $21,773 $17,201
Emory University HospitalAtlanta 22 $92,969 $28,189 $15,515
Emory University Hospital MidtownAtlanta 20 $56,798 $22,248 $14,338
Grady Memorial HospitalAtlanta 19 $162,538 $34,066 $26,006
Northside Hospital CherokeeCanton 17 $93,465 $13,879 $12,343
Houston Medical CenterWarner Robins 15 $55,180 $13,618 $12,499
Piedmont HospitalAtlanta 15 $77,445 $20,888 $11,442
Sgmc HealthValdosta 15 $54,451 $13,559 $12,470
Piedmont Columbus Regional MidtownColumbus 14 $76,941 $16,348 $12,312
Athens Regional Medical CenterAthens 12 $46,196 $14,615 $12,981
Atrium Health Navicent the Medical CenterMacon 12 $65,960 $17,062 $14,707
Henry Medical Center, INCStockbridge 12 $66,769 $13,297 $11,801
Satilla Regional Medical CenterWaycross 11 $72,684 $13,575 $9,999
Emory Johns Creek HospitalJohns Creek 11 $64,109 $21,986 $10,674
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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

Henry Medical Center, INCStockbridge, GA$13,297
Sgmc HealthValdosta, GA$13,559
Satilla Regional Medical CenterWaycross, GA$13,575
Houston Medical CenterWarner Robins, GA$13,618
Northside Hospital CherokeeCanton, GA$13,879

Highest

Grady Memorial HospitalAtlanta, GA$34,066
Emory University HospitalAtlanta, GA$28,189
Emory University Hospital MidtownAtlanta, GA$22,248
Emory Johns Creek HospitalJohns Creek, GA$21,986
Wellstar Kennestone HospitalMarietta, GA$21,773

Other disorders of nervous system with major complications in other states

Questions

How much does other disorders of nervous system with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for other disorders of nervous system with major complications (DRG 091) at 16 hospitals in Georgia was billed at $83,060 on average, while the average total payment was $18,960, of which Medicare paid $14,115. 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 4.4 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.