Georgia · 33533

Coronary Artery Bypass Using Artery Graft, 1 Graft in Georgia

Georgia Medicare Avg
$948.81
7% above national avg
National Medicare Avg
$890.08
All states combined
Billed Charge (GA)
$6,028.55
What providers submit
Est. Commercial (GA)
$2,675.53
National avg: $2,498.56
Est. Cash / Self-Pay (GA)
$2,549.69
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

1.8K
Services in GA
129
Providers
N/A
Min Payment
N/A
Max Payment

Georgia Pricing in Context

In Georgia, CPT code 33533 (Coronary Artery Bypass Using Artery Graft, 1 Graft) carries an average Medicare payment of $948.81 — 7% above the national benchmark of $890.08. 129 providers across the state submitted claims for this procedure in 2023, performing 1.8K total services. Individual payments in GA ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Georgia is $6,028.55, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Georgia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Cardiovascular Surgery procedures, the estimated commercial insurance price in Georgia lands near $2,675.53, with self-pay cash prices typically around $2,549.69. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Coronary Artery Bypass Using Artery Graft, 1 Graft cost in Georgia?

The average Medicare payment for Coronary Artery Bypass Using Artery Graft, 1 Graft in Georgia is $948.81, which is 7% above the national average of $890.08. Providers in GA typically bill $6,028.55 for this procedure.

What does Coronary Artery Bypass Using Artery Graft, 1 Graft cost with insurance in Georgia?

With commercial insurance in Georgia, Coronary Artery Bypass Using Artery Graft, 1 Graft costs an estimated $2,675.53. Without insurance, the estimated cash price is $2,549.69. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Coronary Artery Bypass Using Artery Graft, 1 Graft in Georgia?

129 providers in Georgia billed Medicare for Coronary Artery Bypass Using Artery Graft, 1 Graft in 2023, performing 1.8K total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Coronary Artery Bypass Using Artery Graft, 1 Graft cheaper in Georgia than the national average?

No — Coronary Artery Bypass Using Artery Graft, 1 Graft costs 7% above the national average in Georgia. The state average Medicare payment is $948.81 compared to $890.08 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial