facebook tracking Postoperative and post-traumatic infections without major complications cost in Georgia: 2 hospitals compared (DRG 863)

Postoperative and post-traumatic infections without major complications in Georgia

What 2 hospitals in Georgia charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections without major complications (DRG 863), from 2024 Medicare claims.

DRG 863 Inpatient 2024 Medicare data
Average charge $43,102 Hospital list price billed
Average payment $18,578 Medicare + patient + other payers
Medicare paid $6,388 Average per stay
Volume 27 Medicare hospital stays

Hospitals in Georgia billed an average of $43,102 for postoperative and post-traumatic infections without major complications, about 2.3 times the average total payment of $18,578. That payment is 64% above the U.S. average of $11,307.

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 $18,578Billed $43,102

About 43¢ was paid for every $1 hospitals in Georgia billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Georgia:

Georgia hospitals: postoperative and post-traumatic infections without 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
Piedmont HospitalAtlanta 15 $32,006 $11,979 $5,531
Wellstar Kennestone HospitalMarietta 12 $56,971 $26,827 $7,458
Advertisement

Postoperative and post-traumatic infections without major complications in other states

Questions

How much does postoperative and post-traumatic infections without major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections without major complications (DRG 863) at 2 hospitals in Georgia was billed at $43,102 on average, while the average total payment was $18,578, of which Medicare paid $6,388. 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 2.3 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.