Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Georgia
What 6 hospitals in Georgia charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$39,019
Hospital list price billed
Average payment
$11,055
Medicare + patient + other payers
Medicare paid
$8,848
Average per stay
State rank
#28 of 34
1 = lowest average payment
Hospitals in Georgia billed an average of $39,019 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 3.5 times the average total payment of $11,055. That payment is 7% above the U.S. average of $10,379.
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 $11,055Billed $39,019
About 28¢ 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: pathological fractures and musculoskeletal and connective tissue malignancy 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 |
|---|---|---|---|---|
| Southeast Georgia Reg Med CtrBrunswick | 21 | $19,326 | $9,897 | $8,576 |
| Wellstar Kennestone HospitalMarietta | 16 | $47,671 | $11,598 | $9,651 |
| Emory University Hospital MidtownAtlanta | 16 | $41,740 | $12,075 | $9,160 |
| Atrium Health Navicent the Medical CenterMacon | 13 | $37,347 | $11,104 | $7,994 |
| Northeast Georgia Medical Center, INCGainesville | 12 | $39,381 | $10,518 | $8,389 |
| Gwinnett Medical CenterLawrenceville | 11 | $61,649 | $11,516 | $9,254 |
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
| Southeast Georgia Reg Med CtrBrunswick, GA | $9,897 |
|---|---|
| Northeast Georgia Medical Center, INCGainesville, GA | $10,518 |
| Atrium Health Navicent the Medical CenterMacon, GA | $11,104 |
| Gwinnett Medical CenterLawrenceville, GA | $11,516 |
| Wellstar Kennestone HospitalMarietta, GA | $11,598 |
Highest
| Emory University Hospital MidtownAtlanta, GA | $12,075 |
|---|---|
| Wellstar Kennestone HospitalMarietta, GA | $11,598 |
| Gwinnett Medical CenterLawrenceville, GA | $11,516 |
| Atrium Health Navicent the Medical CenterMacon, GA | $11,104 |
| Northeast Georgia Medical Center, INCGainesville, GA | $10,518 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Georgia?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 6 hospitals in Georgia was billed at $39,019 on average, while the average total payment was $11,055, of which Medicare paid $8,848. 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 3.5 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.