facebook tracking Spinal fusion except cervical without major complications cost in Georgia: 20 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Georgia

What 20 hospitals in Georgia charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.

DRG 460 Inpatient 2024 Medicare data
Average charge $168,708 Hospital list price billed
Average payment $33,354 Medicare + patient + other payers
Medicare paid $25,946 Average per stay
State rank #29 of 43 1 = lowest average payment

Hospitals in Georgia billed an average of $168,708 for spinal fusion except cervical without major complications, about 5.1 times the average total payment of $33,354. That payment is 2% below the U.S. average of $34,025.

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 $33,354Billed $168,708

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: spinal fusion except cervical 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
Emory University HospitalAtlanta 66 $98,603 $39,022 $28,438
Emory University Hospital MidtownAtlanta 43 $109,806 $33,010 $27,343
Northside HospitalAtlanta 42 $250,741 $33,212 $31,697
Atrium Health Navicent the Medical CenterMacon 37 $157,455 $34,051 $23,325
Piedmont HospitalAtlanta 30 $199,407 $29,293 $23,797
Northside Hospital ForsythCumming 29 $177,153 $26,319 $24,912
St Joseph's Hospital - SavannahSavannah 26 $108,576 $22,521 $21,015
Northeast Georgia Medical Center, INCGainesville 23 $221,816 $34,605 $26,696
Piedmont Augusta HospitalAugusta 21 $132,540 $28,070 $21,096
Wellstar Kennestone HospitalMarietta 18 $166,106 $47,995 $22,848
Burke Medical CenterWaynesboro 18 $305,888 $37,032 $31,094
Gwinnett Medical CenterLawrenceville 17 $212,852 $33,033 $30,646
Piedmont Fayette HospitalFayetteville 16 $210,363 $26,733 $25,305
St Mary's HospitalAthens 15 $118,834 $29,432 $27,483
Northside Hospital CherokeeCanton 12 $221,453 $45,370 $23,679
Athens Regional Medical CenterAthens 12 $185,794 $33,333 $24,694
Wellstar Cobb HospitalAustell 12 $263,343 $51,631 $27,376
Emory Johns Creek HospitalJohns Creek 12 $92,557 $25,148 $23,652
Piedmont Columbus Regional MidtownColumbus 11 $174,144 $24,808 $23,180
Piedmont Columbus Regional NorthsideColumbus 11 $155,580 $31,557 $16,076
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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

St Joseph's Hospital - SavannahSavannah, GA$22,521
Piedmont Columbus Regional MidtownColumbus, GA$24,808
Emory Johns Creek HospitalJohns Creek, GA$25,148
Northside Hospital ForsythCumming, GA$26,319
Piedmont Fayette HospitalFayetteville, GA$26,733

Highest

Wellstar Cobb HospitalAustell, GA$51,631
Wellstar Kennestone HospitalMarietta, GA$47,995
Northside Hospital CherokeeCanton, GA$45,370
Emory University HospitalAtlanta, GA$39,022
Burke Medical CenterWaynesboro, GA$37,032

Spinal fusion except cervical without major complications in other states

Questions

How much does spinal fusion except cervical without major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 20 hospitals in Georgia was billed at $168,708 on average, while the average total payment was $33,354, of which Medicare paid $25,946. 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.