Georgia / Emory University Hospital Midtown

CMS certification 110078 · Atlanta, GA · 2 entries in CMS's price-transparency list

Emory University Hospital Midtown: charges and Medicare payments

Emory University Hospital Midtown reported 2,166 Medicare inpatient stays across 85 DRGs in 2024. Across them it charged 3.72 times what it was paid — among the lower ratios in Georgia, number 54 of 74 hospitals with at least 100 stays (state median 4.44×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 159 stays at an average charge of $54,452, 3% below the national average. It also billed 2,450 outpatient services, charging 5.45 times what Medicare paid.

1Medicare inpatient stays 2,166
2Charge ÷ paid, inpatient 3.72×
3Rank in GA (highest ratio = 1) 54 of 74
4CMS price-transparency actions 2

Average charge per stay at Emory University Hospital Midtown, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 85 DRGs that can be compared with the national average, Emory University Hospital Midtown charged more than the national average in 17 (20%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
291 Heart Failure and Shock with MCC	159	$54,452	-3%	$13,514
266 Endovascular Cardiac Valve Replacement and Supplement...	147	$171,668	-40%	$52,000
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	112	$86,102	-5%	$21,346
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	84	$50,146	-17%	$14,281
267 Endovascular Cardiac Valve Replacement and Supplement...	68	$140,312	-37%	$40,957
274 Percutaneous and Other Intracardiac Procedures without MCC	50	$61,438	-61%	$26,667
812 Red Blood Cell Disorders without MCC	45	$35,735	-19%	$10,988
460 Spinal Fusion except Cervical without MCC	43	$109,806	-36%	$33,010
177 Respiratory Infections and Inflammations with MCC	42	$58,156	-18%	$16,399
853 Infectious and Parasitic Diseases with O.R. Procedures with...	39	$235,256	+3%	$49,227
286 Circulatory Disorders except AMI, with Cardiac...	38	$131,541	+17%	$29,077
193 Simple Pneumonia and Pleurisy with MCC	36	$49,407	-17%	$13,840
252 Other Vascular Procedures with MCC	36	$87,953	-49%	$28,984
682 Renal Failure with MCC	35	$85,749	+30%	$19,366
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$33,103	-11%	$8,858
683 Renal Failure with CC	30	$33,295	-18%	$10,528
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	27	$88,497	-11%	$18,616
189 Pulmonary Edema and Respiratory Failure	27	$64,385	+12%	$13,227
689 Kidney and Urinary Tract Infections with MCC	27	$51,166	0%	$13,219
280 Acute Myocardial Infarction, Discharged Alive with MCC	26	$71,203	-6%	$16,790
190 Chronic Obstructive Pulmonary Disease with MCC	25	$50,984	+1%	$13,502
314 Other Circulatory System Diagnoses with MCC	25	$72,715	-23%	$21,325
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$31,172	-22%	$9,680
698 Other Kidney and Urinary Tract Diagnoses with MCC	25	$75,296	+3%	$16,720
811 Red Blood Cell Disorders with MCC	25	$54,232	-20%	$15,813
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	23	$30,879	-37%	$11,246
141 Major Head and Neck Procedures with CC	22	$139,996	+9%	$30,996
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	22	$47,926	-26%	$14,090
235 Coronary Bypass without Cardiac Catheterization with MCC	22	$288,170	-2%	$65,071
378 Gastrointestinal Hemorrhage with CC	22	$38,360	-21%	$10,932
454 Combined Anterior and Posterior Spinal Fusion with CC	22	$128,954	-54%	$49,627
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	21	$62,725	+13%	$10,130
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$106,259	+88%	$12,840
472 Cervical Spinal Fusion with CC	21	$88,843	-38%	$28,623
057 Degenerative Nervous System Disorders without MCC	20	$49,590	-12%	$13,978
091 Other Disorders of Nervous System with MCC	20	$56,798	-31%	$22,248
100 Seizures with MCC	20	$105,021	+11%	$28,694
377 Gastrointestinal Hemorrhage with MCC	20	$98,131	+15%	$21,483
637 Diabetes with MCC	20	$84,088	+26%	$20,282
012 Tracheostomy for Face, Mouth and Neck Diagnoses or...	19	$215,811	-10%	$51,417
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$61,151	0%	$14,176
699 Other Kidney and Urinary Tract Diagnoses with CC	19	$31,792	-33%	$12,398
004 Tracheostomy with MV >96 Hours or Principal Diagnosis except...	18	$549,428	-10%	$112,427
025 Craniotomy and Endovascular Intracranial Procedures with MCC	18	$250,132	+8%	$65,885
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	18	$335,740	-16%	$98,773
321 Percutaneous Cardiovascular Procedures with Intraluminal...	18	$148,117	-10%	$25,900
481 Hip and Femur Procedures except Major Joint with CC	18	$89,938	-11%	$19,161
638 Diabetes with CC	17	$30,886	-26%	$9,589
919 Complications of Treatment with MCC	17	$51,180	-42%	$18,645
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	16	$612,354	-42%	$203,007
389 Gastrointestinal Obstruction with CC	16	$26,562	-32%	$12,468
543 Pathological Fractures and Musculoskeletal and Connective...	16	$41,740	-15%	$12,075
690 Kidney and Urinary Tract Infections without MCC	16	$24,152	-36%	$10,619
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	16	$163,169	-25%	$48,115
208 Respiratory System Diagnosis with Ventilator Support <=96...	15	$156,738	+15%	$38,127
330 Major Small and Large Bowel Procedures with CC	15	$120,916	+2%	$23,418
948 Signs and Symptoms without MCC	15	$31,976	-16%	$9,874
322 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$67,680	-41%	$15,962
329 Major Small and Large Bowel Procedures with MCC	14	$265,074	+23%	$58,875
519 Back and Neck Procedures except Spinal Fusion with CC	14	$68,199	-35%	$19,785

Showing the 60 most frequent of 85 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	477	$12,920	$2,528
Level 2 Excision/ Biopsy/ Incision and Drainage	212	$11,106	$1,472
Level 4 Airway Endoscopy	132	$17,081	$3,412
Level 3 Excision/ Biopsy/ Incision and Drainage	122	$22,171	$2,620
Level 5 Urology and Related Services	104	$32,409	$4,741
Level 1 Endovascular Procedures	97	$20,960	$2,964
Level 3 Vascular Procedures	93	$18,816	$2,926
Level 3 Electrophysiologic Procedures	89	$50,824	$21,756
Level 3 Airway Endoscopy	78	$5,491	$1,559
Level 4 Vascular Procedures	78	$38,476	$4,969
Level 5 ENT Procedures	73	$39,505	$5,273
Level 3 Endovascular Procedures	70	$40,520	$10,201
Level 4 Urology and Related Services	65	$17,879	$3,196
Level 1 Laparoscopy and Related Services	54	$35,109	$5,355
Level 5 Airway Endoscopy	52	$38,407	$6,254
Level 3 Urology and Related Services	50	$11,218	$1,862
Level 4 Musculoskeletal Procedures	44	$41,516	$6,639
Level 3 Pacemaker and Similar Procedures	42	$22,055	$9,705
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	42	$25,092	$3,290
Level 4 Endovascular Procedures	38	$52,619	$16,240
Level 2 Upper GI Procedures	38	$11,844	$1,715
Level 5 Musculoskeletal Procedures	37	$51,156	$11,912
Level 6 Urology and Related Services	34	$32,245	$8,140
Level 2 Endovascular Procedures	33	$22,022	$5,304
Level 4 Pacemaker and Similar Procedures	31	$44,443	$18,042

Against the Georgia average

For Heart Failure and Shock with MCC (DRG 291), Emory University Hospital Midtown charged $54,452 on average, 3% more than the Georgia average of $52,781, and was paid $13,514 against a state average of $12,005. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Emory University Hospital Midtown charged $171,668 on average, 37% less than the Georgia average of $273,267, and was paid $52,000 against a state average of $51,133. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Emory University Hospital Midtown charged $86,102 on average, 1% more than the Georgia average of $85,396, and was paid $21,346 against a state average of $17,147. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Emory University Hospital Midtown charged $50,146 on average, 11% less than the Georgia average of $56,443, and was paid $14,281 against a state average of $12,676. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,920 was 38% below the state average of $20,900. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,106 was 14% below the state average of $12,974. For Level 4 Airway Endoscopy (outpatient APC 5154), its average charge of $17,081 was 40% below the state average of $28,647. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $22,171 was 10% below the state average of $24,766.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Emory University Hospital Midtown in Atlanta, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2025-03-24 (CMS case 3363)
Closure Notice — 2025-06-26 (CMS case 3363)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.