Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc in Georgia

MS-DRG 521: Hip replacement with principal diagnosis of hip fracture with mcc

$138,337typical hospital bill

$25,852typical amount paid

$20,500–$30,263range paid across 7 hospitals

Georgia hospitals billed Medicare a typical $138,337 for this stay in 2024, about 5.4 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
Northside Hospital Forsyth	Cumming	16	$138,337	$20,500
Wellstar North Fulton Medical Center	Roswell	12	$107,395	$21,655
Piedmont Athens Regional Medical Center	Athens	18	$128,885	$23,835
Northeast Georgia Medical Center, Inc	Gainesville	20	$146,608	$25,852
Northside Hospital Gwinnett	Lawrenceville	21	$174,257	$26,172
Wellstar Kennestone Regional Medical Center	Marietta	29	$147,020	$29,174
Southeast Georgia Health System- Brunswick Campus	Brunswick	12	$62,374	$30,263

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.