Pulmonary embolism without major complications in Georgia
What 15 hospitals in Georgia charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$40,340
Hospital list price billed
Average payment
$9,190
Medicare + patient + other payers
Medicare paid
$6,470
Average per stay
State rank
#34 of 39
1 = lowest average payment
Hospitals in Georgia billed an average of $40,340 for pulmonary embolism without major complications, about 4.4 times the average total payment of $9,190. That payment is 11% above the U.S. average of $8,294.
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 $9,190Billed $40,340
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:
Georgia hospitals: pulmonary embolism 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 |
|---|---|---|---|---|
| Wellstar Kennestone HospitalMarietta | 44 | $49,589 | $10,790 | $7,379 |
| Northeast Georgia Medical Center, INCGainesville | 31 | $44,380 | $8,714 | $6,387 |
| Saint Joseph's Hosp of AtlantaAtlanta | 22 | $26,308 | $5,742 | $4,163 |
| Emory University HospitalAtlanta | 19 | $34,778 | $11,554 | $6,461 |
| Piedmont Fayette HospitalFayetteville | 17 | $33,821 | $7,578 | $5,265 |
| Piedmont Newnan Hospital, INCNewnan | 17 | $35,037 | $8,123 | $5,226 |
| Northside Hospital CherokeeCanton | 16 | $42,673 | $7,090 | $6,070 |
| Piedmont Augusta HospitalAugusta | 16 | $29,237 | $6,823 | $4,416 |
| Gwinnett Medical CenterLawrenceville | 15 | $47,645 | $9,534 | $7,664 |
| Atrium Health Navicent the Medical CenterMacon | 15 | $47,407 | $8,995 | $6,950 |
| Athens Regional Medical CenterAthens | 14 | $29,872 | $8,867 | $5,694 |
| Memorial Health Univ Med Cen, INCSavannah | 13 | $31,918 | $7,815 | $5,887 |
| Grady Memorial HospitalAtlanta | 13 | $62,265 | $20,271 | $16,904 |
| Northside Hospital ForsythCumming | 11 | $47,323 | $9,852 | $4,407 |
| Emory Johns Creek HospitalJohns Creek | 11 | $31,447 | $5,658 | $4,174 |
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 | $5,658 |
|---|---|
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $5,742 |
| Piedmont Augusta HospitalAugusta, GA | $6,823 |
| Northside Hospital CherokeeCanton, GA | $7,090 |
| Piedmont Fayette HospitalFayetteville, GA | $7,578 |
Highest
| Grady Memorial HospitalAtlanta, GA | $20,271 |
|---|---|
| Emory University HospitalAtlanta, GA | $11,554 |
| Wellstar Kennestone HospitalMarietta, GA | $10,790 |
| Northside Hospital ForsythCumming, GA | $9,852 |
| Gwinnett Medical CenterLawrenceville, GA | $9,534 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 15 hospitals in Georgia was billed at $40,340 on average, while the average total payment was $9,190, of which Medicare paid $6,470. 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 4.4 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.