Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in Georgia
What 2 hospitals in Georgia charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542), from 2024 Medicare claims.
Average charge
$71,176
Hospital list price billed
Average payment
$14,912
Medicare + patient + other payers
Medicare paid
$13,204
Average per stay
Volume
28
Medicare hospital stays
Hospitals in Georgia billed an average of $71,176 for pathological fractures and musculoskeletal and connective tissue malignancy with major complications, about 4.8 times the average total payment of $14,912. That payment is 20% below the U.S. average of $18,732.
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 $14,912Billed $71,176
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: pathological fractures and musculoskeletal and connective tissue malignancy 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 | 14 | $100,892 | $17,803 | $15,496 |
| Saint Joseph's Hosp of AtlantaAtlanta | 14 | $41,459 | $12,020 | $10,911 |
Pathological fractures and musculoskeletal and connective tissue malignancy with major complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with major complications (DRG 542) at 2 hospitals in Georgia was billed at $71,176 on average, while the average total payment was $14,912, of which Medicare paid $13,204. 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.