Simple Pneumonia and Pleurisy Without Cc/Mcc in Georgia
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$19,802typical hospital bill
$6,466typical amount paid
$4,812–$6,876range paid across 3 hospitals
Georgia hospitals billed Medicare a typical $19,802 for this stay in 2024, about 3.1 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 | |
|---|---|---|---|---|---|
| Union General Hospital | Blairsville | 15 | $16,039 | $4,812 | |
| Wayne Memorial Hospital | Jesup | 11 | $19,802 | $6,466 | |
| Northeast Georgia Medical Center, Inc | Gainesville | 20 | $36,949 | $6,876 |
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.