Pleural Effusion with Mcc in Georgia
MS-DRG 186: Pleural effusion with mcc
$98,145typical hospital bill
$14,061typical amount paid
$11,632–$20,104range paid across 4 hospitals
Georgia hospitals billed Medicare a typical $98,145 for this stay in 2024, about 7.0 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 | 11 | $71,978 | $11,632 | |
| Northside Hospital Cherokee | Canton | 11 | $107,462 | $12,351 | |
| Wellstar Kennestone Regional Medical Center | Marietta | 11 | $108,419 | $15,771 | |
| Northeast Georgia Medical Center, Inc | Gainesville | 12 | $88,827 | $20,104 |
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.