Simple pneumonia and pleurisy with complications in Georgia
What 45 hospitals in Georgia charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$36,487
Hospital list price billed
Average payment
$8,231
Medicare + patient + other payers
Medicare paid
$6,159
Average per stay
State rank
#37 of 47
1 = lowest average payment
Hospitals in Georgia billed an average of $36,487 for simple pneumonia and pleurisy with complications, about 4.4 times the average total payment of $8,231. That payment is 4% above the U.S. average of $7,941.
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 $8,231Billed $36,487
About 23¢ was paid for every $1 hospitals in Georgia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Georgia:
Georgia hospitals: simple pneumonia and pleurisy with 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 | 90 | $44,901 | $8,966 | $6,586 |
| Union General HospitalBlairsville | 56 | $20,626 | $6,492 | $4,820 |
| Wellstar Kennestone HospitalMarietta | 51 | $46,601 | $10,562 | $7,848 |
| Piedmont Augusta HospitalAugusta | 40 | $30,346 | $6,235 | $4,508 |
| Northside Hospital ForsythCumming | 34 | $47,349 | $6,623 | $5,232 |
| Coffee Regional Medical CenterDouglas | 32 | $23,427 | $7,572 | $5,418 |
| Atrium Health Navicent the Medical CenterMacon | 30 | $40,641 | $9,214 | $6,668 |
| Habersham County Med CenterDemorest | 29 | $38,797 | $8,096 | $6,270 |
| Floyd Medical CenterRome | 27 | $35,364 | $8,513 | $6,433 |
| Gwinnett Medical CenterLawrenceville | 26 | $50,280 | $9,756 | $7,691 |
| Sgmc HealthValdosta | 25 | $25,486 | $6,826 | $5,401 |
| Northside HospitalAtlanta | 25 | $76,853 | $14,200 | $12,830 |
| Wellstar Paulding HospitalDallas | 24 | $49,270 | $6,420 | $4,068 |
| St Mary's HospitalAthens | 23 | $21,978 | $8,254 | $5,672 |
| Athens Regional Medical CenterAthens | 22 | $32,331 | $7,822 | $5,982 |
| Hamilton Medical CenterDalton | 21 | $32,671 | $7,984 | $6,199 |
| Houston Medical CenterWarner Robins | 21 | $24,872 | $6,997 | $5,333 |
| Wayne Memorial HospitalJesup | 21 | $27,000 | $7,790 | $6,682 |
| Piedmont HospitalAtlanta | 20 | $30,934 | $9,238 | $4,286 |
| Dodge County HospitalEastman | 20 | $19,410 | $8,177 | $5,512 |
| Tanner Medical Center - CarrolltonCarrollton | 19 | $47,792 | $7,585 | $6,297 |
| Emory University HospitalAtlanta | 18 | $32,939 | $11,957 | $6,507 |
| Medical College of Ga Hospitals and ClinicsAugusta | 18 | $54,589 | $15,284 | $10,196 |
| Saint Joseph's Hosp of AtlantaAtlanta | 18 | $24,015 | $5,696 | $4,708 |
| Northside Hospital CherokeeCanton | 17 | $50,917 | $7,172 | $5,636 |
| Barrow Regional Medical CenterWinder | 17 | $38,247 | $9,051 | $7,516 |
| North Fulton Regional HospitalRoswell | 17 | $50,705 | $7,528 | $6,399 |
| Tift Regional Medical CenterTifton | 16 | $27,425 | $8,778 | $6,159 |
| Henry Medical Center, INCStockbridge | 15 | $38,620 | $7,555 | $6,140 |
| Piedmont Mountainside Hospital INCJasper | 15 | $33,407 | $6,748 | $5,442 |
| Southeast Georgia Reg Med CtrBrunswick | 14 | $22,188 | $7,590 | $6,191 |
| Walton Regional Medical CenterMonroe | 14 | $31,732 | $6,944 | $5,778 |
| Piedmont Fayette HospitalFayetteville | 14 | $37,935 | $7,008 | $5,376 |
| Colquitt Reg Medical CenterMoultrie | 13 | $18,138 | $7,417 | $5,698 |
| Upson Regional Medical CenterThomaston | 12 | $21,800 | $7,431 | $5,799 |
| Cartersville Medical CenterCartersville | 12 | $48,482 | $7,126 | $5,485 |
| John D Archbold Memorial HospitalThomasville | 12 | $27,290 | $8,478 | $5,531 |
| East Georgia Regional Medical CenterStatesboro | 12 | $41,962 | $6,317 | $5,501 |
| Piedmont Columbus Regional NorthsideColumbus | 12 | $23,547 | $5,857 | $3,401 |
| Piedmont Macon North HospitalMacon | 12 | $33,030 | $6,808 | $5,451 |
| Newton Medical CenterCovington | 11 | $34,329 | $7,526 | $6,190 |
| Emory University Hospital MidtownAtlanta | 11 | $31,961 | $9,810 | $7,487 |
| Emory Eastside Medical CenterSnellville | 11 | $37,105 | $7,283 | $6,096 |
| Piedmont Newnan Hospital, INCNewnan | 11 | $33,555 | $8,428 | $4,856 |
| Northeast Georgia Medical Center LumpkinDahlonega | 11 | $36,208 | $8,193 | $6,857 |
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
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $5,696 |
|---|---|
| Piedmont Columbus Regional NorthsideColumbus, GA | $5,857 |
| Piedmont Augusta HospitalAugusta, GA | $6,235 |
| East Georgia Regional Medical CenterStatesboro, GA | $6,317 |
| Wellstar Paulding HospitalDallas, GA | $6,420 |
Highest
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $15,284 |
|---|---|
| Northside HospitalAtlanta, GA | $14,200 |
| Emory University HospitalAtlanta, GA | $11,957 |
| Wellstar Kennestone HospitalMarietta, GA | $10,562 |
| Emory University Hospital MidtownAtlanta, GA | $9,810 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Georgia?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 45 hospitals in Georgia was billed at $36,487 on average, while the average total payment was $8,231, of which Medicare paid $6,159. 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.