Georgia / Northeast Georgia Medical Center Habersham
CMS certification 110041 · Demorest, GA
Northeast Georgia Medical Center Habersham: charges and Medicare payments
Northeast Georgia Medical Center Habersham reported 243 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 3.82 times what it was paid — among the lower ratios in Georgia, number 52 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: 36 stays at an average charge of $30,276, 46% below the national average. It also billed 376 outpatient services, charging 12.76 times what Medicare paid.
- 1Medicare inpatient stays 243
- 2Charge ÷ paid, inpatient 3.82×
- 3Rank in GA (highest ratio = 1) 52 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 12 DRGs that can be compared with the national average, Northeast Georgia Medical Center Habersham charged more than the national average in 2 (17%). 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 | 36 | $30,276 | -46% | $10,469 |
| 193 Simple Pneumonia and Pleurisy with MCC | 33 | $40,918 | -32% | $11,375 |
| 690 Kidney and Urinary Tract Infections without MCC | 32 | $30,762 | -19% | $7,558 |
| 194 Simple Pneumonia and Pleurisy with CC | 29 | $38,797 | +1% | $8,096 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $37,319 | +1% | $7,492 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $54,955 | -22% | $13,485 |
| 683 Renal Failure with CC | 15 | $32,716 | -20% | $7,990 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $38,828 | -3% | $7,621 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $36,382 | -37% | $11,390 |
| 689 Kidney and Urinary Tract Infections with MCC | 12 | $33,951 | -34% | $9,880 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $45,720 | -10% | $11,931 |
| 603 Cellulitis without MCC | 11 | $34,351 | -8% | $11,683 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 309 | $25,434 | $2,284 |
| Level 5 Musculoskeletal Procedures | 38 | $88,683 | $10,613 |
| Level 2 Musculoskeletal Procedures | 15 | $17,621 | $1,358 |
| Level 4 Musculoskeletal Procedures | 14 | $77,024 | $6,047 |
Against the Georgia average
For Heart Failure and Shock with MCC (DRG 291), Northeast Georgia Medical Center Habersham charged $30,276 on average, 43% less than the Georgia average of $52,781, and was paid $10,469 against a state average of $12,005. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northeast Georgia Medical Center Habersham charged $40,918 on average, 27% less than the Georgia average of $56,349, and was paid $11,375 against a state average of $12,110. For Kidney and Urinary Tract Infections without MCC (DRG 690), Northeast Georgia Medical Center Habersham charged $30,762 on average, 7% less than the Georgia average of $32,908, and was paid $7,558 against a state average of $8,115. For Simple Pneumonia and Pleurisy with CC (DRG 194), Northeast Georgia Medical Center Habersham charged $38,797 on average, 8% more than the Georgia average of $35,914, and was paid $8,096 against a state average of $8,374. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,434 was 22% above the state average of $20,900. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $88,683 was 9% above the state average of $81,545. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $17,621 was 14% above the state average of $15,520. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $77,024 was 40% above the state average of $54,962.
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.