Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization in Georgia
MS-DRG 220: Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
$316,862typical hospital bill
$54,490typical amount paid
$42,393–$68,194range paid across 7 hospitals
Georgia hospitals billed Medicare a typical $316,862 for this stay in 2024, about 5.8 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 | |
|---|---|---|---|---|---|
| Piedmont Athens Regional Medical Center | Athens | 21 | $358,697 | $42,393 | |
| Saint Joseph's Hospital of Atlanta, Inc | Atlanta | 41 | $191,058 | $43,301 | |
| Northside Hospital Gwinnett | Lawrenceville | 32 | $260,690 | $45,169 | |
| Northeast Georgia Medical Center, Inc | Gainesville | 25 | $417,685 | $54,490 | |
| Wellstar Kennestone Regional Medical Center | Marietta | 31 | $364,766 | $58,217 | |
| Piedmont Hospital, Inc | Atlanta | 32 | $316,862 | $60,058 | |
| Piedmont Augusta Hospital | Augusta | 14 | $276,734 | $68,194 |
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.