Simple pneumonia and pleurisy with major complications in Georgia
What 73 hospitals in Georgia charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$57,202
Hospital list price billed
Average payment
$12,085
Medicare + patient + other payers
Medicare paid
$9,652
Average per stay
State rank
#36 of 50
1 = lowest average payment
Hospitals in Georgia billed an average of $57,202 for simple pneumonia and pleurisy with major complications, about 4.7 times the average total payment of $12,085. That payment is about the same as the U.S. average of $12,020.
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 $12,085Billed $57,202
About 21¢ 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 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 | 265 | $64,034 | $13,592 | $10,026 |
| Wellstar Kennestone HospitalMarietta | 180 | $87,054 | $14,691 | $11,711 |
| Northside Hospital CherokeeCanton | 132 | $65,015 | $10,647 | $9,346 |
| Northside Hospital ForsythCumming | 129 | $68,705 | $10,191 | $8,932 |
| Hamilton Medical CenterDalton | 124 | $53,912 | $12,212 | $9,862 |
| Tanner Medical Center - CarrolltonCarrollton | 118 | $37,409 | $11,092 | $9,402 |
| Gwinnett Medical CenterLawrenceville | 94 | $77,880 | $16,269 | $11,242 |
| Houston Medical CenterWarner Robins | 88 | $28,822 | $9,960 | $8,312 |
| Sgmc HealthValdosta | 87 | $31,375 | $9,989 | $8,835 |
| Piedmont Augusta HospitalAugusta | 86 | $41,606 | $9,243 | $7,528 |
| Wellstar Paulding HospitalDallas | 86 | $87,637 | $10,213 | $8,009 |
| Athens Regional Medical CenterAthens | 84 | $49,470 | $11,479 | $9,409 |
| Southeast Georgia Reg Med CtrBrunswick | 80 | $32,417 | $12,321 | $11,037 |
| Fairview Park HospitalDublin | 78 | $94,943 | $10,065 | $7,952 |
| Floyd Medical CenterRome | 72 | $49,224 | $12,728 | $10,127 |
| Atrium Health Navicent the Medical CenterMacon | 70 | $66,820 | $13,915 | $11,337 |
| Memorial Health Univ Med Cen, INCSavannah | 69 | $50,926 | $12,327 | $8,996 |
| Piedmont Fayette HospitalFayetteville | 65 | $49,661 | $11,159 | $8,609 |
| North Fulton Regional HospitalRoswell | 62 | $91,254 | $12,129 | $9,692 |
| Cartersville Medical CenterCartersville | 60 | $70,370 | $11,186 | $8,805 |
| Henry Medical Center, INCStockbridge | 60 | $52,517 | $11,132 | $9,401 |
| Wellstar Cobb HospitalAustell | 59 | $119,594 | $13,655 | $11,389 |
| Northside HospitalAtlanta | 58 | $67,172 | $14,401 | $12,909 |
| Saint Joseph's Hosp of AtlantaAtlanta | 56 | $39,503 | $9,170 | $7,841 |
| Emory Eastside Medical CenterSnellville | 51 | $56,990 | $11,451 | $9,740 |
| Phoebe Putney Memorial HospitalAlbany | 48 | $48,377 | $13,685 | $11,046 |
| Candler HospitalSavannah | 46 | $40,058 | $10,812 | $8,986 |
| Tanner Medical Center Villa RicaVilla Rica | 45 | $38,481 | $13,028 | $10,696 |
| Piedmont HospitalAtlanta | 44 | $47,130 | $14,880 | $8,141 |
| Doctors HospitalAugusta | 44 | $84,193 | $9,846 | $8,241 |
| Walton Regional Medical CenterMonroe | 43 | $59,007 | $10,724 | $8,790 |
| Emory University HospitalAtlanta | 42 | $50,801 | $19,610 | $10,803 |
| Redmond Regional Medical CenterRome | 42 | $77,889 | $10,351 | $8,749 |
| Satilla Regional Medical CenterWaycross | 40 | $68,413 | $9,910 | $8,879 |
| St Joseph's Hospital - SavannahSavannah | 40 | $41,682 | $8,647 | $7,342 |
| Emory Johns Creek HospitalJohns Creek | 40 | $37,028 | $9,445 | $7,454 |
| Gordon HospitalCalhoun | 39 | $62,347 | $11,333 | $8,583 |
| Tift Regional Medical CenterTifton | 39 | $37,829 | $11,516 | $9,477 |
| Coliseum Medical CenterMacon | 39 | $50,740 | $11,627 | $8,884 |
| Medical College of Ga Hospitals and ClinicsAugusta | 38 | $64,820 | $21,121 | $13,066 |
| St Francis Hospital, INCColumbus | 38 | $41,488 | $12,513 | $7,344 |
| Spalding Regional Medical CenterGriffin | 36 | $81,097 | $11,186 | $9,796 |
| Emory University Hospital MidtownAtlanta | 36 | $49,407 | $13,840 | $11,355 |
| Piedmont Columbus Regional MidtownColumbus | 34 | $37,964 | $11,434 | $9,146 |
| East Georgia Regional Medical CenterStatesboro | 34 | $49,924 | $11,515 | $7,854 |
| Habersham County Med CenterDemorest | 33 | $40,918 | $11,375 | $8,884 |
| Piedmont Columbus Regional NorthsideColumbus | 33 | $34,071 | $7,890 | $6,704 |
| John D Archbold Memorial HospitalThomasville | 32 | $32,321 | $10,636 | $9,185 |
| Rockdale Medical CenterConyers | 32 | $53,197 | $11,918 | $9,534 |
| Piedmont Newnan Hospital, INCNewnan | 32 | $55,392 | $11,079 | $9,043 |
| Grady Memorial HospitalAtlanta | 31 | $87,581 | $27,924 | $22,267 |
| Meadows Regional Medical Center INCVidalia | 31 | $42,960 | $11,386 | $9,069 |
| Cobb Memorial HospitalRoyston | 27 | $19,395 | $10,706 | $8,961 |
| St Mary's HospitalAthens | 25 | $30,568 | $12,356 | $9,411 |
| Emory Decatur HospitalDecatur | 25 | $40,925 | $11,723 | $10,108 |
| Northeast Georgia Medical Center LumpkinDahlonega | 24 | $40,394 | $12,263 | $10,039 |
| Newton Medical CenterCovington | 23 | $52,492 | $10,637 | $9,289 |
| West Georgia Medical CenterLagrange | 22 | $64,676 | $10,969 | $9,559 |
| Union General HospitalBlairsville | 22 | $27,518 | $9,538 | $8,425 |
| Navicent Health BaldwinMilledgeville | 22 | $30,794 | $10,791 | $9,383 |
| Sumter Regional HospitalAmericus | 21 | $49,515 | $13,459 | $11,421 |
| Barrow Regional Medical CenterWinder | 21 | $46,609 | $12,232 | $10,833 |
| Colquitt Reg Medical CenterMoultrie | 21 | $33,451 | $11,295 | $9,557 |
| Northside Hospital DuluthDuluth | 21 | $60,788 | $9,566 | $8,711 |
| Wellstar Douglas HospitalDouglasville | 18 | $90,676 | $13,057 | $11,691 |
| Piedmont Mountainside Hospital INCJasper | 18 | $39,852 | $11,870 | $8,150 |
| Commonspirit-Memorial Hospital-North GeorgiaRinggold | 14 | $27,678 | $10,787 | $9,388 |
| Murray Medical CenterChatsworth | 13 | $49,499 | $9,857 | $8,604 |
| Wayne Memorial HospitalJesup | 13 | $28,558 | $11,646 | $10,644 |
| Piedmont Macon North HospitalMacon | 13 | $38,150 | $10,942 | $7,486 |
| Evans Memorial HospitalClaxton | 12 | $49,739 | $10,626 | $9,541 |
| Coffee Regional Medical CenterDouglas | 11 | $45,222 | $10,108 | $9,069 |
| Southeast Georgia Health System- Camden CampusSt Marys | 11 | $19,243 | $16,713 | $15,230 |
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 Columbus Regional NorthsideColumbus, GA | $7,890 |
|---|---|
| St Joseph's Hospital - SavannahSavannah, GA | $8,647 |
| Saint Joseph's Hosp of AtlantaAtlanta, GA | $9,170 |
| Piedmont Augusta HospitalAugusta, GA | $9,243 |
| Emory Johns Creek HospitalJohns Creek, GA | $9,445 |
Highest
| Grady Memorial HospitalAtlanta, GA | $27,924 |
|---|---|
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $21,121 |
| Emory University HospitalAtlanta, GA | $19,610 |
| Southeast Georgia Health System- Camden CampusSt Marys, GA | $16,713 |
| Gwinnett Medical CenterLawrenceville, GA | $16,269 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Georgia?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 73 hospitals in Georgia was billed at $57,202 on average, while the average total payment was $12,085, of which Medicare paid $9,652. 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 4.7 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.