Pulmonary edema and respiratory failure in Georgia
What 67 hospitals in Georgia charged and were paid for a Medicare hospital stay for pulmonary edema and respiratory failure (DRG 189), from 2024 Medicare claims.
Average charge
$56,466
Hospital list price billed
Average payment
$11,764
Medicare + patient + other payers
Medicare paid
$9,397
Average per stay
State rank
#33 of 50
1 = lowest average payment
Hospitals in Georgia billed an average of $56,466 for pulmonary edema and respiratory failure, about 4.8 times the average total payment of $11,764. That payment is 4% below the U.S. average of $12,197.
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 $11,764Billed $56,466
About 21¢ was paid for every $1 hospitals in Georgia billed for this stay.
Georgia hospitals: pulmonary edema and respiratory failure
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 | 102 | $47,151 | $12,385 | $9,816 |
| Northside Hospital CherokeeCanton | 99 | $62,431 | $10,029 | $8,834 |
| Wellstar Kennestone HospitalMarietta | 97 | $85,587 | $13,681 | $10,951 |
| Northside Hospital ForsythCumming | 87 | $72,005 | $12,132 | $8,444 |
| Phoebe Putney Memorial HospitalAlbany | 65 | $42,112 | $12,420 | $10,048 |
| Stephens County HospitalToccoa | 63 | $20,134 | $9,982 | $8,796 |
| Athens Regional Medical CenterAthens | 60 | $51,300 | $11,978 | $8,574 |
| Hamilton Medical CenterDalton | 57 | $64,071 | $12,708 | $10,311 |
| Emory Decatur HospitalDecatur | 56 | $54,008 | $13,998 | $11,947 |
| Sgmc HealthValdosta | 55 | $31,157 | $9,634 | $8,427 |
| St Joseph's Hospital - SavannahSavannah | 52 | $39,740 | $8,497 | $6,939 |
| Gwinnett Medical CenterLawrenceville | 52 | $99,889 | $13,762 | $11,176 |
| Atrium Health Navicent the Medical CenterMacon | 51 | $80,161 | $12,366 | $10,134 |
| Northside HospitalAtlanta | 51 | $77,054 | $15,664 | $12,662 |
| Candler HospitalSavannah | 49 | $38,339 | $10,098 | $8,745 |
| Saint Joseph's Hosp of AtlantaAtlanta | 49 | $39,679 | $8,402 | $7,127 |
| Walton Regional Medical CenterMonroe | 48 | $55,173 | $9,852 | $8,602 |
| Piedmont Augusta HospitalAugusta | 47 | $43,937 | $9,448 | $7,380 |
| Memorial Health Univ Med Cen, INCSavannah | 43 | $39,396 | $11,222 | $9,010 |
| Houston Medical CenterWarner Robins | 43 | $30,304 | $10,008 | $8,297 |
| Piedmont Fayette HospitalFayetteville | 40 | $52,824 | $10,616 | $8,188 |
| Coliseum Medical CenterMacon | 39 | $50,239 | $11,332 | $8,873 |
| Grady Memorial HospitalAtlanta | 38 | $79,101 | $26,357 | $22,130 |
| Piedmont Newnan Hospital, INCNewnan | 38 | $49,461 | $10,644 | $8,840 |
| Emory Johns Creek HospitalJohns Creek | 35 | $40,736 | $8,542 | $7,377 |
| Emory University HospitalAtlanta | 33 | $68,950 | $20,511 | $10,157 |
| Floyd Medical CenterRome | 33 | $45,934 | $12,056 | $9,667 |
| Piedmont HospitalAtlanta | 33 | $61,577 | $15,928 | $7,422 |
| Doctors HospitalAugusta | 32 | $90,050 | $9,344 | $7,911 |
| Southeast Georgia Reg Med CtrBrunswick | 31 | $33,517 | $11,239 | $10,028 |
| Wellstar Paulding HospitalDallas | 30 | $99,014 | $13,372 | $7,418 |
| Tift Regional Medical CenterTifton | 30 | $35,448 | $11,499 | $9,187 |
| St Francis Hospital, INCColumbus | 30 | $42,895 | $8,823 | $7,209 |
| Redmond Regional Medical CenterRome | 30 | $75,037 | $9,915 | $8,655 |
| Northside Hospital DuluthDuluth | 28 | $52,571 | $10,371 | $8,260 |
| Satilla Regional Medical CenterWaycross | 27 | $60,818 | $9,650 | $8,456 |
| Sumter Regional HospitalAmericus | 27 | $45,953 | $11,295 | $10,554 |
| Emory University Hospital MidtownAtlanta | 27 | $64,385 | $13,227 | $10,658 |
| Fairview Park HospitalDublin | 26 | $93,036 | $9,673 | $7,235 |
| Tanner Medical Center - CarrolltonCarrollton | 25 | $47,429 | $12,222 | $9,727 |
| Henry Medical Center, INCStockbridge | 25 | $54,728 | $10,979 | $8,716 |
| North Fulton Regional HospitalRoswell | 25 | $78,801 | $10,365 | $9,247 |
| Newton Medical CenterCovington | 24 | $50,738 | $10,278 | $9,088 |
| Spalding Regional Medical CenterGriffin | 24 | $75,973 | $11,245 | $10,004 |
| Piedmont Columbus Regional MidtownColumbus | 24 | $58,248 | $11,057 | $9,455 |
| Cartersville Medical CenterCartersville | 23 | $74,347 | $10,926 | $8,558 |
| Wellstar Cobb HospitalAustell | 23 | $94,676 | $16,339 | $10,264 |
| West Georgia Medical CenterLagrange | 22 | $59,704 | $10,600 | $9,858 |
| Wellstar Douglas HospitalDouglasville | 21 | $98,782 | $13,573 | $10,185 |
| East Georgia Regional Medical CenterStatesboro | 20 | $50,556 | $9,420 | $7,713 |
| Piedmont Columbus Regional NorthsideColumbus | 20 | $43,566 | $7,532 | $6,797 |
| Emory Eastside Medical CenterSnellville | 19 | $71,442 | $10,455 | $9,082 |
| Medical College of Ga Hospitals and ClinicsAugusta | 18 | $48,809 | $18,601 | $11,606 |
| Northeast Georgia Medical Center LumpkinDahlonega | 17 | $36,738 | $11,304 | $9,960 |
| Gordon HospitalCalhoun | 15 | $55,986 | $10,478 | $8,304 |
| John D Archbold Memorial HospitalThomasville | 15 | $30,909 | $10,065 | $9,300 |
| Upson Regional Medical CenterThomaston | 14 | $38,292 | $10,270 | $9,105 |
| Southern Regional Medical CenterRiverdale | 14 | $34,791 | $13,874 | $12,796 |
| Habersham County Med CenterDemorest | 13 | $36,382 | $11,390 | $8,436 |
| St Mary's HospitalAthens | 12 | $33,388 | $13,670 | $7,636 |
| Murray Medical CenterChatsworth | 12 | $35,322 | $9,378 | $8,018 |
| Rockdale Medical CenterConyers | 12 | $63,690 | $10,847 | $9,895 |
| Dekalb Medical Center at HillandaleLithonia | 12 | $45,664 | $11,329 | $10,550 |
| Union General HospitalBlairsville | 11 | $31,656 | $9,058 | $7,871 |
| Wayne Memorial HospitalJesup | 11 | $39,946 | $10,941 | $9,902 |
| Navicent Health BaldwinMilledgeville | 11 | $24,695 | $10,240 | $9,205 |
| Commonspirit-Memorial Hospital-North GeorgiaRinggold | 11 | $28,116 | $10,456 | $8,975 |
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
| Piedmont Columbus Regional NorthsideColumbus, GA | $7,532 |
|---|---|
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $8,402 |
| St Joseph's Hospital - SavannahSavannah, GA | $8,497 |
| Emory Johns Creek HospitalJohns Creek, GA | $8,542 |
| St Francis Hospital, INCColumbus, GA | $8,823 |
Highest
| Grady Memorial HospitalAtlanta, GA | $26,357 |
|---|---|
| Emory University HospitalAtlanta, GA | $20,511 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $18,601 |
| Wellstar Cobb HospitalAustell, GA | $16,339 |
| Piedmont HospitalAtlanta, GA | $15,928 |
Pulmonary edema and respiratory failure in other states
Questions
How much does pulmonary edema and respiratory failure cost in Georgia?
In 2024 Medicare data, a hospital stay for pulmonary edema and respiratory failure (DRG 189) at 67 hospitals in Georgia was billed at $56,466 on average, while the average total payment was $11,764, of which Medicare paid $9,397. 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.