GA CMS Medicare PUF 2023 Avg payment #14 of 56

Georgia procedure costs

148 hospitals · 5,114 Medicare providers · 4,747 procedure codes with Georgia locality adjustments.

The short answer

Georgia has 148 hospitals and 5,114 Medicare-billing providers across 4,747 procedure codes. The average Medicare payment per procedure is $260.01; the average submitted (billed) charge is $1,605.93.

Procedure codes
4,747
Providers per hospital
34.6
Billed-to-Medicare ratio
6.2x
Markup rank
#13 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

148
Hospitals
5,114
Providers
$260.01
Avg Medicare Payment
$1,605.93
Avg Billed Charge

Georgia against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$260 higher than 75% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). This entry sits in this band. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Georgia

Highest average Medicare payment per procedure billed in Georgia. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Georgia

Sipuleucel-T, Minimum Of 50 …42023Fusion Of Sacroiliac Joint B…9514Injection Of Cell Or Tissue-…6955Arthroscopy, Shoulder, Surgi…6240Insertion Of Spinal Neurosti…5771Removal Of Plaque And Insert…5731Removal Of Plaque And Insert…5591Cystourethroscopy, With Inse…5395
Top procedures by Medicare payment - Georgia-Average Medicare payment per procedure (CMS 2023)

The cost spread in Georgia

The highest- and lowest-paying procedures Medicare reimbursed in Georgia, side by side.

Top Procedures by Volume

Procedure Medicare Services
Ground Mileage, Per Statute Mile $6.95 5.1M
Injection, Daptomycin, 1 Mg $0.04 4.7M
Injection, Testosterone Cypionate, 1 Mg $0.02 3.5M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $81.47 3.0M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $56.53 2.2M
Injection, Denosumab, 1 Mg $18.07 1.7M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $17.13 1.6M
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.51 1.5M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.11 1.5M
Injection, Ferric Carboxymaltose, 1 Mg $0.86 1.5M
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled $1.09 1.4M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.87 1.4M
Injection, Tocilizumab, 1 Mg $4.65 1.3M
Injection, Onabotulinumtoxina, 1 Unit $4.79 1.3M
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.32 1.2M
Therapy Procedure Using Functional Activities $24.04 1.0M
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.38 974.6K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $59.71 934.8K
Injection, Pembrolizumab, 1 Mg $42.17 920.6K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 889.5K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $20.24 835.0K
Injection, Romosozumab-Aqqg, 1 Mg $7.85 806.7K
Injection, Faricimab-Svoa, 0.1 Mg $28.95 774.9K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.38 736.0K
Blood Test, Comprehensive Group Of Blood Chemicals $10.33 728.7K
Injection, Dexamethasone Sodium Phosphate, 1 Mg $0.09 711.2K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.59 705.7K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $90.33 615.2K
Therapy Procedure Using Manual Technique, Each 15 Minutes $15.65 614.6K
Destruction Of Precancer Skin Growth, 2-14 Growths $4.41 589.1K

Georgia Healthcare Cost Landscape

CMS lists 148 hospitals in Georgia across 116 cities. ATLANTA holds 9 (6%). The three densest cities together hold 13% of the state roster. Statewide that is 5,114 Medicare-billing providers, 34.6 per listed hospital.

79 hospitals carry a CMS overall star rating (4 five-star, 14 four-star, 22 three-star, 28 two-star, 11 one-star) ; five-star share among rated facilities is 5%. 69 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 94 (64%); Critical Access Hospitals 30 (20%); Psychiatric 13 (9%); Acute Care - Department of Defense 3 (2%).

Among the 30 highest-volume procedure codes billed in Georgia, Drugs (Administered) leads with 19.3M services (43% of this top-volume slice) across 12 codes. Next is Medical Supplies at 13%.

Submitted charges average $1,605.93 against $260.01 Medicare payment (6.2x billed-to-Medicare). That ratio ranks #13 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #14 of 56.

Volume leaders are not the high-payment codes. Ground Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Georgia, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Georgia hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 116 distinct cities appear on 148 listed facilities.

City Hospitals Share of state roster
ATLANTA 9 6%
AUGUSTA 5 3%
SAVANNAH 5 3%
COLUMBUS 4 3%
DECATUR 3 2%
MACON 3 2%
ATHENS 2 1%
DUBLIN 2 1%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Georgia: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (148 here).

Similar average Medicare payment

Nearest states with published averages ($260.01 here).

How Georgia Compares Nationally

Georgia's average Medicare payment is #14 of 56 in this extract. Submitted-over-Medicare markup ranks #13 of 56 (6.2x). Hospital-count peers (nearest CMS roster size to 148): Michigan 148, Indiana 150, Wisconsin 142, Kansas 138. Payment peers (nearest average Medicare payment to $260.01): Alaska $257.79, Tennessee $263.44, Ohio $255.69, Missouri $255.25.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Georgia, not an out-of-pocket quote.

Related registry pages

Georgia averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Georgia CMS averages, not a quote for any patient, plan, or visit.

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

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.