Georgia / Northeast Georgia Medical Center Barrow
CMS certification 110045 · Winder, GA
Northeast Georgia Medical Center Barrow: charges and Medicare payments
Northeast Georgia Medical Center Barrow reported 86 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 3.57 times what it was paid. Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 23 stays at an average charge of $34,309, 39% below the national average. It also billed 354 outpatient services, charging 11.88 times what Medicare paid.
- 1Medicare inpatient stays 86
- 2Charge ÷ paid, inpatient 3.57×
- 3Rank in GA (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Northeast Georgia Medical Center Barrow charged more than the national average in 0 (0%). 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 | 23 | $34,309 | -39% | $11,839 |
| 193 Simple Pneumonia and Pleurisy with MCC | 21 | $46,609 | -22% | $12,232 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $38,247 | 0% | $9,051 |
| 177 Respiratory Infections and Inflammations with MCC | 14 | $51,221 | -27% | $14,694 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $35,650 | -6% | $9,013 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 139 | $27,613 | $2,540 |
| Level 5 Musculoskeletal Procedures | 33 | $109,475 | $12,197 |
| Level 5 Urology and Related Services | 31 | $53,152 | $4,679 |
| Level 3 Musculoskeletal Procedures | 26 | $43,557 | $3,004 |
| Level 1 Nerve Procedures | 26 | $21,401 | $1,737 |
| Level 4 Musculoskeletal Procedures | 25 | $85,040 | $6,428 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 19 | $12,269 | $1,442 |
| Level 4 Urology and Related Services | 15 | $29,272 | $3,235 |
| Level 3 Urology and Related Services | 14 | $24,154 | $1,890 |
| Level 6 Musculoskeletal Procedures | 13 | $156,039 | $16,055 |
| Level 4 Neurostimulator and Related Procedures | 13 | $125,076 | $20,252 |
Against the Georgia average
For Heart Failure and Shock with MCC (DRG 291), Northeast Georgia Medical Center Barrow charged $34,309 on average, 35% less than the Georgia average of $52,781, and was paid $11,839 against a state average of $12,005. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northeast Georgia Medical Center Barrow charged $46,609 on average, 17% less than the Georgia average of $56,349, and was paid $12,232 against a state average of $12,110. For Simple Pneumonia and Pleurisy with CC (DRG 194), Northeast Georgia Medical Center Barrow charged $38,247 on average, 6% more than the Georgia average of $35,914, and was paid $9,051 against a state average of $8,374. For Respiratory Infections and Inflammations with MCC (DRG 177), Northeast Georgia Medical Center Barrow charged $51,221 on average, 22% less than the Georgia average of $66,006, and was paid $14,694 against a state average of $14,774. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,613 was 32% above the state average of $20,900. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $109,475 was 34% above the state average of $81,545. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $53,152 was 50% above the state average of $35,322. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $43,557 was 51% above the state average of $28,907.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.