Other Circulatory System O.r. Procedures in Georgia
MS-DRG 264: Other circulatory system o.r. procedures
$223,078typical hospital bill
$34,353typical amount paid
$30,943–$44,603range paid across 3 hospitals
Georgia hospitals billed Medicare a typical $223,078 for this stay in 2024, about 6.5 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Doctors Hospital | Augusta | 17 | $265,769 | $30,943 | – | – | |
| Wellstar Kennestone Regional Medical Center | Marietta | 15 | $201,261 | $34,353 | – | $94,890$56,292–$138,406 · 12 plans | |
| Northeast Georgia Medical Center, Inc | Gainesville | 13 | $223,078 | $44,603 | – | $77,167$37,988–$97,871 · 34 plans |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.