What 6 hospitals in Georgia charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856), from 2024 Medicare claims.
Hospitals in Georgia billed an average of $209,921 for postoperative or post-traumatic infections with operating room procedures with major complications, about 4.4 times the average total payment of $47,909. That payment is 5% below the U.S. average of $50,617.
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.
About 23¢ 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:
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 |
|---|---|---|---|---|
| Emory University HospitalAtlanta | 15 | $266,751 | $82,638 | $44,942 |
| Northeast Georgia Medical Center, INCGainesville | 14 | $256,947 | $38,666 | $35,064 |
| Athens Regional Medical CenterAthens | 13 | $231,004 | $36,510 | $33,709 |
| Piedmont Augusta HospitalAugusta | 12 | $108,136 | $33,434 | $18,298 |
| Piedmont HospitalAtlanta | 12 | $157,875 | $50,521 | $22,644 |
| Atrium Health Navicent the Medical CenterMacon | 11 | $215,472 | $38,731 | $32,896 |
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.
| Piedmont Augusta HospitalAugusta, GA | $33,434 |
|---|---|
| Athens Regional Medical CenterAthens, GA | $36,510 |
| Northeast Georgia Medical Center, INCGainesville, GA | $38,666 |
| Atrium Health Navicent the Medical CenterMacon, GA | $38,731 |
| Piedmont HospitalAtlanta, GA | $50,521 |
| Emory University HospitalAtlanta, GA | $82,638 |
|---|---|
| Piedmont HospitalAtlanta, GA | $50,521 |
| Atrium Health Navicent the Medical CenterMacon, GA | $38,731 |
| Northeast Georgia Medical Center, INCGainesville, GA | $38,666 |
| Athens Regional Medical CenterAthens, GA | $36,510 |
In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856) at 6 hospitals in Georgia was billed at $209,921 on average, while the average total payment was $47,909, of which Medicare paid $31,901. Your own cost depends on your insurance, deductible and the hospital.
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.