facebook tracking Respiratory neoplasms with major complications cost in Georgia: 12 hospitals compared (DRG 180)

Respiratory neoplasms with major complications in Georgia

What 12 hospitals in Georgia charged and were paid for a Medicare hospital stay for respiratory neoplasms with major complications (DRG 180), from 2024 Medicare claims.

DRG 180 Inpatient 2024 Medicare data
Average charge $89,992 Hospital list price billed
Average payment $17,789 Medicare + patient + other payers
Medicare paid $13,211 Average per stay
State rank #25 of 35 1 = lowest average payment

Hospitals in Georgia billed an average of $89,992 for respiratory neoplasms with major complications, about 5.1 times the average total payment of $17,789. That payment is 2% below the U.S. average of $18,205.

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 $17,789Billed $89,992

About 20¢ 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: respiratory neoplasms with 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
Northeast Georgia Medical Center, INCGainesville 22 $101,883 $16,803 $13,834
Wellstar Kennestone HospitalMarietta 20 $92,442 $20,060 $14,811
Memorial Health Univ Med Cen, INCSavannah 20 $100,599 $15,061 $11,997
Emory University HospitalAtlanta 16 $118,649 $28,743 $19,578
Atrium Health Navicent the Medical CenterMacon 16 $76,885 $16,891 $12,238
Piedmont HospitalAtlanta 15 $79,537 $20,767 $11,806
Northside Hospital ForsythCumming 14 $115,074 $12,725 $11,559
Candler HospitalSavannah 14 $73,647 $13,371 $12,615
Northside Hospital CherokeeCanton 12 $134,222 $15,146 $14,061
Southeast Georgia Reg Med CtrBrunswick 11 $38,199 $15,952 $14,616
Piedmont Augusta HospitalAugusta 11 $59,818 $12,177 $10,218
Emory Johns Creek HospitalJohns Creek 11 $56,705 $24,306 $8,852
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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 Augusta HospitalAugusta, GA$12,177
Northside Hospital ForsythCumming, GA$12,725
Candler HospitalSavannah, GA$13,371
Memorial Health Univ Med Cen, INCSavannah, GA$15,061
Northside Hospital CherokeeCanton, GA$15,146

Highest

Emory University HospitalAtlanta, GA$28,743
Emory Johns Creek HospitalJohns Creek, GA$24,306
Piedmont HospitalAtlanta, GA$20,767
Wellstar Kennestone HospitalMarietta, GA$20,060
Atrium Health Navicent the Medical CenterMacon, GA$16,891

Respiratory neoplasms with major complications in other states

Questions

How much does respiratory neoplasms with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for respiratory neoplasms with major complications (DRG 180) at 12 hospitals in Georgia was billed at $89,992 on average, while the average total payment was $17,789, of which Medicare paid $13,211. 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 5.1 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.