Medical Procedure Costs in Georgia
Georgia Medicare physician rates are generally near the national average. CMS uses 2 localities here, so a ZIP matters.
Look up any CPT in Georgia
Featured table below is 59 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Georgia averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Georgia
Georgia divides into an Atlanta metro locality and a rest-of-state locality, so the fee schedule itself recognizes the cost gap between the capital region and the rest of the state. Atlanta's higher wages and rents translate into higher Medicare-approved amounts inside its locality, while Savannah, Augusta, Columbus, Macon, and rural Georgia share the lower rest-of-state pricing. The split is one of the cleaner examples of a two-tier state in the fee schedule. Patients near the locality boundary can see different approved amounts a short drive apart.
Metro Atlanta concentrates the state's academic medicine and most of its subspecialists, drawing referrals from across the Southeast. Outside the metro, south Georgia has seen repeated rural hospital closures, leaving longer trips for even routine procedures in some counties. Augusta and Savannah serve as important secondary hubs, and border residents sometimes cross into Chattanooga, Tallahassee, or Jacksonville for care.
Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.
Georgia payment localities (GPCI)
| Locality | Work | PE |
|---|---|---|
| atlanta | 1.003 | 1.016 |
| rest of georgia | 1.000 | 0.892 |
GPCI of 1.000 equals the national average. Higher PE GPCI raises office-based procedures more than hospital physician lines.
Featured physician rates in Georgia
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Georgia: questions
Across the 59 featured procedures on this page, Georgia sits near the national average. Examples: incision & drainage of abscess $126, skin biopsy (tangential) $93, skin biopsy (punch) $118. Search any other CPT in the box above — those codes are in the tool, not as extra Georgia articles.
Georgia has 2 payment localities. Practice-expense GPCI runs from 0.892 to 1.016 (1.000 is the national average). Look up your ZIP to see whether Atlanta-area or rest-of-state pricing applies, from the metro counties to Savannah, Augusta, Columbus, Macon, and rural south Georgia.
Medicare physician allowed amounts only — the professional fee after GPCI. They do not include hospital facility charges, anesthesia, or your plan’s contracted rate. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (59 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Georgia’s locality when you enter a ZIP.