facebook tracking Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Georgia: 9 hospitals compared (DRG 004)

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Georgia

What 9 hospitals in Georgia charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.

DRG 004 Inpatient 2024 Medicare data
Average charge $573,229 Hospital list price billed
Average payment $115,038 Medicare + patient + other payers
Medicare paid $96,536 Average per stay
State rank #10 of 24 1 = lowest average payment

Hospitals in Georgia billed an average of $573,229 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 5.0 times the average total payment of $115,038. That payment is 17% below the U.S. average of $139,119.

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 $115,038Billed $573,229

About 20¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou

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
Grady Memorial HospitalAtlanta 21 $847,860 $160,118 $118,428
Northeast Georgia Medical Center, INCGainesville 20 $535,575 $103,182 $96,029
Memorial Health Univ Med Cen, INCSavannah 19 $411,548 $79,461 $72,007
Emory University Hospital MidtownAtlanta 18 $549,428 $112,427 $104,894
Medical College of Ga Hospitals and ClinicsAugusta 15 $409,738 $111,519 $91,532
Piedmont Columbus Regional MidtownColumbus 13 $580,511 $82,325 $78,364
Doctors HospitalAugusta 13 $794,459 $59,661 $55,945
Phoebe Putney Memorial HospitalAlbany 11 $453,551 $152,486 $146,267
Emory University HospitalAtlanta 11 $508,167 $187,713 $110,896
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou: all states All Georgia hospitals Georgia hospital finances
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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.

Highest

Emory University HospitalAtlanta, GA$187,713
Grady Memorial HospitalAtlanta, GA$160,118
Phoebe Putney Memorial HospitalAlbany, GA$152,486
Emory University Hospital MidtownAtlanta, GA$112,427
Medical College of Ga Hospitals and ClinicsAugusta, GA$111,519

Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states

Alabama · $113,761 Colorado · $120,015 Delaware · $114,051 Michigan · $115,230 Nevada · $120,554 Ohio · $114,699 South Carolina · $117,468 Texas · $112,150

Questions

How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Georgia?

In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 9 hospitals in Georgia was billed at $573,229 on average, while the average total payment was $115,038, of which Medicare paid $96,536. 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 5.0 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.