facebook tracking Pulmonary embolism with major complications or acute cor pulmonale cost in Georgia: 34 hospitals compared (DRG 175)

Pulmonary embolism with major complications or acute cor pulmonale in Georgia

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.

DRG 175 Inpatient 2024 Medicare data
Average charge $63,855 Hospital list price billed
Average payment $13,817 Medicare + patient + other payers
Medicare paid $10,482 Average per stay
State rank #38 of 48 1 = lowest average payment

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.

Paid $13,817Billed $63,855

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:

Georgia hospitals: pulmonary embolism with major complications or acute cor pulmonale

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
Advertisement

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

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

Highest

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

Pulmonary embolism with major complications or acute cor pulmonale in other states

Questions

How much does pulmonary embolism with major complications or acute cor pulmonale cost in Georgia?

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.

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 4.6 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.