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Inpatient stay · MS-DRG 637

Diabetes with MCC

In 2024, Medicare and patients paid an average of $14,037 per stay at 1,057 hospitals. Half of hospitals averaged between $11,078 and $15,136.

National figures, 2024

Average payment per case
$14,037
Typical range (middle half of hospitals)
$11,078–$15,136
Medicare’s share
$11,46482% of the payment
Average billed charge
$69,906
Hospitals reporting
1,05720,859 stays

Hospitals in Georgia

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Georgia
Specific hospitals up to 10
Average payment across these 40 hospitals
$14,000National $14,037 · Georgia $14,000
Median hospital
$12,828
Lowest to highest
$8,975–$30,088
Medicare stays
718

40 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Diabetes with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Wellstar Paulding Medical CenterHiram, GA · CCN 11004213$8,97536% below the national average$7,517$51,470
St Joseph's Hospital - SavannahSavannah, GA · CCN 11004313$9,41433% below the national average$8,535$45,859
SGMC HealthValdosta, GA · CCN 11012217$9,53732% below the national average$8,293$35,521
Saint Joseph's Hospital Of Atlanta, IncAtlanta, GA · CCN 11008215$9,99529% below the national average$7,695$32,314
Emory Johns Creek HospitalJohns Creek, GA · CCN 11023015$10,09228% below the national average$8,787$46,528
Doctors HospitalAugusta, GA · CCN 11017711$10,52925% below the national average$9,342$100,206
Northside Hospital ForsythCumming, GA · CCN 11000517$10,69124% below the national average$9,563$68,324
Piedmont Eastside Medical CenterSnellville, GA · CCN 11019212$10,88822% below the national average$10,072$55,932
Emory Houston Hospital Warner RobinsWarner Robins, GA · CCN 11006918$11,00422% below the national average$9,514$28,003
Piedmont Fayette HospitalFayetteville, GA · CCN 11021524$11,35719% below the national average$10,371$64,676
Piedmont Newnan Hospital, IncNewnan, GA · CCN 11022913$11,39319% below the national average$10,639$61,627
AdventHealth RedmondRome, GA · CCN 11016819$11,41719% below the national average$9,770$109,674
Northside Hospital CherokeeCanton, GA · CCN 11000827$11,60817% below the national average$9,978$77,134
Northeast Georgia Medical Center, IncGainesville, GA · CCN 11002924$11,66117% below the national average$9,743$75,766
Wellstar West Georgia Medical CenterLagrange, GA · CCN 11001612$11,86315% below the national average$11,455$95,210
Piedmont Augusta HospitalAugusta, GA · CCN 11002823$11,98115% below the national average$8,571$55,800
Hamilton Medical CenterDalton, GA · CCN 11000115$12,30012% below the national average$10,425$54,991
Piedmont Henry HospitalStockbridge, GA · CCN 11019126$12,36712% below the national average$10,683$64,786
Coliseum Medical CentersMacon, GA · CCN 11016412$12,51911% below the national average$8,690$131,506
Atrium Health Floyd Medical CenterRome, GA · CCN 11005417$12,720About average$11,019$44,446
Wellstar Spalding Medical CenterGriffin, GA · CCN 11003114$12,937About average$11,554$82,900
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 11003626$12,995About average$10,168$49,411
Phoebe Putney Memorial HospitalAlbany, GA · CCN 11000711$13,088About average$11,837$55,083
Emory Decatur HospitalDecatur, GA · CCN 11007622$13,127About average$11,052$44,274
St Mary's HospitalAthens, GA · CCN 11000612$13,129About average$10,785$26,933
Southeast Georgia Health System- Brunswick CampusBrunswick, GA · CCN 11002511$13,313About average$12,348$25,581
Wellstar Douglas Medical CenterDouglasville, GA · CCN 11018419$13,371About average$11,653$93,996
Piedmont Rockdale HospitalConyers, GA · CCN 11009113$13,430About average$10,257$61,894
Atrium Health Navicent The Medical CenterMacon, GA · CCN 11010717$13,525About average$10,263$71,758
Southern Regional Medical CenterRiverdale, GA · CCN 11016513$14,877About average$13,059$34,282
Northside Hospital GwinnettLawrenceville, GA · CCN 11008731$14,986About average$11,845$85,676
Northside HospitalAtlanta, GA · CCN 11016112$15,177About average$13,885$73,784
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 11003538$15,315About average$13,233$88,780
Wellstar Cobb Medical CenterAustell, GA · CCN 11014325$16,07014% above the national average$11,492$74,729
Piedmont Hospital, IncAtlanta, GA · CCN 11008317$16,86720% above the national average$8,488$50,528
Piedmont Athens Regional Medical CenterAthens, GA · CCN 11007418$18,03428% above the national average$8,713$53,194
Emory University HospitalAtlanta, GA · CCN 11001014$19,12336% above the national average$11,863$64,541
Emory University Hospital MidtownAtlanta, GA · CCN 11007820$20,28244% above the national average$17,054$84,088
Wellstar McG Health, Affiliated With Medical ColAugusta, GA · CCN 11003411$22,38759% above the national average$15,350$65,628
Grady Memorial HospitalAtlanta, GA · CCN 11007931$30,088114% above the national average$21,956$122,637

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 25,245 stays at 1,180 hospitals · 2021: 23,396 stays at 1,131 hospitals · 2022: 23,255 stays at 1,129 hospitals · 2023: 21,445 stays at 1,077 hospitals · 2024: 20,859 stays at 1,057 hospitals
View data as a table
National average payment and billed charge for Diabetes with MCC
Year of careAverage paymentAverage billed charge
2020$12K$52K
2021$13K$57K
2022$13K$61K
2023$13K$65K
2024$14K$70K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 51 states
Average payment by state for Diabetes with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Arkansas13258$10,387$9,458–$10,836
Louisiana10178$10,710$9,580–$11,663
Mississippi13278$10,806$10,109–$10,823
Kentucky10199$10,945$10,003–$11,861
Montana334$11,321$11,022–$11,535
Indiana21361$11,409$10,606–$11,610
Oklahoma14312$11,469$10,073–$11,627
Iowa6103$11,476$10,164–$12,000
Kansas11179$11,490$10,779–$11,932
Tennessee25498$11,516$10,157–$11,554
Alabama15247$11,575$9,751–$11,695
Vermont230$11,641$11,407–$11,741
West Virginia10144$11,699$9,978–$11,983
Idaho240$12,030$11,633–$12,515
Florida921,974$12,129$10,485–$12,418
South Carolina18355$12,173$9,739–$13,088
Colorado9155$12,389$11,201–$12,409
Texas851,703$12,396$10,830–$13,072
Arizona15238$12,493$10,998–$12,645
South Dakota356$12,583$12,031–$12,919
Nebraska571$12,603$10,651–$14,378
Missouri23443$12,672$10,724–$12,417
Ohio39689$12,772$10,438–$13,416
North Dakota112$12,795$12,795–$12,795
North Carolina28613$12,903$11,227–$12,924
Michigan35657$12,973$11,582–$13,401
Illinois49936$13,016$11,444–$13,527
Virginia32646$13,061$10,708–$13,141
Nevada13300$13,117$11,934–$13,620
Pennsylvania40768$13,208$11,398–$14,335
New Hampshire6103$13,372$11,251–$13,227
Delaware4123$13,436$12,316–$13,765
Wisconsin11202$13,564$11,790–$14,027
Utah574$13,675$12,378–$14,230
New Mexico6106$13,779$11,815–$14,955
Georgia40718$14,000$11,384–$14,904
Washington20322$14,352$12,686–$14,117
New Jersey40830$14,432$12,244–$15,691
Minnesota15287$14,746$11,154–$16,360
Massachusetts31814$14,848$11,650–$16,037
Oregon8126$15,238$14,388–$15,788
Wyoming125$15,261$15,261–$15,261
Hawaii118$15,417$15,417–$15,417
Alaska234$15,993$15,093–$17,132
Rhode Island354$16,217$15,770–$16,510
California1192,205$16,938$14,697–$17,107
Connecticut9222$17,178$15,103–$16,700
Maine243$18,505$14,716–$19,439
New York611,452$19,844$13,878–$22,642
District of Columbia485$20,553$16,907–$23,798
Maryland27539$20,965$17,443–$24,000

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.