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Traumatic stupor and coma <1 hour with major complications in Georgia

What 5 hospitals in Georgia charged and were paid for a Medicare hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085), from 2024 Medicare claims.

DRG 085 Inpatient 2024 Medicare data
Average charge $131,843 Hospital list price billed
Average payment $25,509 Medicare + patient + other payers
Medicare paid $21,443 Average per stay
State rank #23 of 27 1 = lowest average payment

Hospitals in Georgia billed an average of $131,843 for traumatic stupor and coma <1 hour with major complications, about 5.2 times the average total payment of $25,509. That payment is 15% above the U.S. average of $22,150.

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 $25,509Billed $131,843

About 19¢ was paid for every $1 hospitals in Georgia billed for this stay.

Georgia hospitals: traumatic stupor and coma <1 hour 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
Grady Memorial HospitalAtlanta 31 $179,374 $39,834 $32,382
Memorial Health Univ Med Cen, INCSavannah 25 $117,586 $18,190 $15,040
Athens Regional Medical CenterAthens 19 $69,457 $15,340 $13,757
Wellstar Kennestone HospitalMarietta 14 $171,523 $25,951 $23,424
Atrium Health Navicent the Medical CenterMacon 11 $87,552 $18,773 $15,922
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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.

Traumatic stupor and coma <1 hour with major complications in other states

Questions

How much does traumatic stupor and coma <1 hour with major complications cost in Georgia?

In 2024 Medicare data, a hospital stay for traumatic stupor and coma <1 hour with major complications (DRG 085) at 5 hospitals in Georgia was billed at $131,843 on average, while the average total payment was $25,509, of which Medicare paid $21,443. 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 5.2 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.