Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Georgia
MS-DRG 219: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$408,417typical hospital bill
$85,441typical amount paid
$63,682–$139,505range paid across 9 hospitals
Georgia hospitals billed Medicare a typical $408,417 for this stay in 2024, about 4.8 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 | |
|---|---|---|---|---|---|
| Saint Joseph's Hospital of Atlanta, Inc | Atlanta | 71 | $233,218 | $63,682 | |
| Northside Hospital Gwinnett | Lawrenceville | 23 | $408,417 | $68,817 | |
| Piedmont Augusta Hospital | Augusta | 11 | $282,648 | $70,415 | |
| AdventHealth Redmond | Rome | 12 | $747,389 | $78,525 | |
| Piedmont Hospital, Inc | Atlanta | 31 | $432,583 | $85,441 | |
| Wellstar Kennestone Regional Medical Center | Marietta | 47 | $504,485 | $91,416 | |
| Emory University Hospital | Atlanta | 45 | $358,050 | $95,918 | |
| Emory University Hospital Midtown | Atlanta | 18 | $335,740 | $98,773 | |
| Northeast Georgia Medical Center, Inc | Gainesville | 16 | $490,845 | $139,505 |
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.