What 34 hospitals in Georgia charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Hospitals in Georgia billed an average of $63,855 for pulmonary embolism with major complications or acute cor pulmonale, about 4.6 times the average total payment of $13,817. That payment is 3% above the U.S. average of $13,466.
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 22¢ 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 |
|---|---|---|---|---|
| Northeast Georgia Medical Center, INCGainesville | 67 | $71,197 | $13,795 | $11,075 |
| Wellstar Kennestone HospitalMarietta | 63 | $93,838 | $16,254 | $11,797 |
| Emory University HospitalAtlanta | 34 | $55,969 | $19,480 | $10,655 |
| Memorial Health Univ Med Cen, INCSavannah | 31 | $50,714 | $12,393 | $9,153 |
| Piedmont Fayette HospitalFayetteville | 30 | $62,986 | $11,094 | $8,871 |
| Northside Hospital CherokeeCanton | 29 | $69,887 | $10,948 | $9,878 |
| Gwinnett Medical CenterLawrenceville | 27 | $78,894 | $20,358 | $10,781 |
| Saint Joseph's Hosp of AtlantaAtlanta | 23 | $61,584 | $9,958 | $7,677 |
| Emory University Hospital MidtownAtlanta | 22 | $47,926 | $14,090 | $12,108 |
| Atrium Health Navicent the Medical CenterMacon | 21 | $52,383 | $12,567 | $10,510 |
| Piedmont Augusta HospitalAugusta | 20 | $37,835 | $10,744 | $8,250 |
| Wellstar Paulding HospitalDallas | 19 | $76,985 | $11,880 | $7,874 |
| Southeast Georgia Reg Med CtrBrunswick | 18 | $33,832 | $12,828 | $11,629 |
| Houston Medical CenterWarner Robins | 18 | $29,340 | $10,774 | $9,193 |
| Emory Decatur HospitalDecatur | 18 | $53,132 | $12,443 | $10,979 |
| Piedmont HospitalAtlanta | 18 | $60,241 | $16,173 | $9,077 |
| Medical College of Ga Hospitals and ClinicsAugusta | 17 | $82,568 | $21,794 | $15,884 |
| Grady Memorial HospitalAtlanta | 17 | $111,174 | $26,469 | $20,777 |
| Athens Regional Medical CenterAthens | 16 | $55,878 | $12,305 | $10,496 |
| Sgmc HealthValdosta | 16 | $31,652 | $12,207 | $9,078 |
| Wellstar Douglas HospitalDouglasville | 16 | $73,139 | $13,617 | $10,108 |
| Northside HospitalAtlanta | 15 | $68,009 | $15,076 | $13,662 |
| Coliseum Medical CenterMacon | 15 | $89,329 | $12,588 | $8,952 |
| Henry Medical Center, INCStockbridge | 15 | $54,193 | $11,179 | $9,982 |
| Emory Johns Creek HospitalJohns Creek | 15 | $44,169 | $9,748 | $8,688 |
| Piedmont Newnan Hospital, INCNewnan | 14 | $66,216 | $12,822 | $9,279 |
| Newton Medical CenterCovington | 13 | $47,524 | $10,912 | $9,531 |
| Piedmont Columbus Regional NorthsideColumbus | 13 | $50,516 | $10,760 | $6,779 |
| Northside Hospital ForsythCumming | 12 | $73,626 | $10,482 | $9,666 |
| St Francis Hospital, INCColumbus | 12 | $37,618 | $10,582 | $8,235 |
| Phoebe Putney Memorial HospitalAlbany | 11 | $48,777 | $13,706 | $11,758 |
| John D Archbold Memorial HospitalThomasville | 11 | $52,265 | $12,066 | $10,557 |
| Piedmont Columbus Regional MidtownColumbus | 11 | $49,940 | $11,536 | $10,107 |
| Redmond Regional Medical CenterRome | 11 | $103,728 | $10,947 | $9,252 |
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.
| Emory Johns Creek HospitalJohns Creek, GA | $9,748 |
|---|---|
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $9,958 |
| Northside Hospital ForsythCumming, GA | $10,482 |
| St Francis Hospital, INCColumbus, GA | $10,582 |
| Piedmont Augusta HospitalAugusta, GA | $10,744 |
| Grady Memorial HospitalAtlanta, GA | $26,469 |
|---|---|
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $21,794 |
| Gwinnett Medical CenterLawrenceville, GA | $20,358 |
| Emory University HospitalAtlanta, GA | $19,480 |
| Wellstar Kennestone HospitalMarietta, GA | $16,254 |
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 34 hospitals in Georgia was billed at $63,855 on average, while the average total payment was $13,817, of which Medicare paid $10,482. 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 4.6 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.