Northeast Georgia Medical Center, Inc: charges and Medicare payments

Northeast Georgia Medical Center, Inc reported 7,885 Medicare inpatient stays across 188 DRGs in 2024. Across them it charged 5.46 times what it was paid — among the higher ratios in Georgia, number 21 of 74 hospitals with at least 100 stays (state median 4.44×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 437 stays at an average charge of $101,618, 13% above the national average. It also billed 8,327 outpatient services, charging 11.7 times what Medicare paid.

1Medicare inpatient stays 7,885
2Charge ÷ paid, inpatient 5.46×
3Rank in GA (highest ratio = 1) 21 of 74
4CMS price-transparency actions 0

Average charge per stay at Northeast Georgia Medical Center, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 188 DRGs that can be compared with the national average, Northeast Georgia Medical Center, Inc charged more than the national average in 118 (63%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	437	$101,618	+13%	$19,006
291 Heart Failure and Shock with MCC	382	$52,081	-8%	$12,514
193 Simple Pneumonia and Pleurisy with MCC	265	$64,034	+7%	$13,592
177 Respiratory Infections and Inflammations with MCC	198	$77,469	+10%	$16,095
481 Hip and Femur Procedures except Major Joint with CC	168	$132,053	+31%	$19,508
690 Kidney and Urinary Tract Infections without MCC	148	$41,074	+9%	$8,772
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	133	$39,255	-2%	$8,418
689 Kidney and Urinary Tract Infections with MCC	126	$55,313	+8%	$11,876
683 Renal Failure with CC	122	$40,663	0%	$9,897
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	119	$54,180	-3%	$10,559
378 Gastrointestinal Hemorrhage with CC	117	$52,076	+7%	$10,644
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	116	$94,721	-5%	$19,355
280 Acute Myocardial Infarction, Discharged Alive with MCC	109	$86,328	+14%	$16,543
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	104	$59,675	-1%	$13,034
189 Pulmonary Edema and Respiratory Failure	102	$47,151	-18%	$12,385
274 Percutaneous and Other Intracardiac Procedures without MCC	102	$201,317	+28%	$27,827
267 Endovascular Cardiac Valve Replacement and Supplement...	100	$312,365	+41%	$42,336
190 Chronic Obstructive Pulmonary Disease with MCC	98	$45,682	-10%	$11,134
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	96	$124,121	+21%	$21,275
698 Other Kidney and Urinary Tract Diagnoses with MCC	95	$76,957	+5%	$15,945
322 Percutaneous Cardiovascular Procedures with Intraluminal...	92	$136,239	+19%	$18,250
309 Cardiac Arrhythmia and Conduction Disorders with CC	91	$39,643	+10%	$8,278
194 Simple Pneumonia and Pleurisy with CC	90	$44,901	+17%	$8,966
853 Infectious and Parasitic Diseases with O.R. Procedures with...	88	$319,687	+40%	$60,708
682 Renal Failure with MCC	86	$74,125	+12%	$15,217
603 Cellulitis without MCC	85	$38,276	+3%	$9,210
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	85	$42,020	+13%	$8,397
308 Cardiac Arrhythmia and Conduction Disorders with MCC	81	$56,785	0%	$12,475
321 Percutaneous Cardiovascular Procedures with Intraluminal...	79	$176,886	+8%	$28,630
286 Circulatory Disorders except AMI, with Cardiac...	78	$117,782	+5%	$20,073
377 Gastrointestinal Hemorrhage with MCC	73	$94,400	+11%	$17,472
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	67	$71,197	+9%	$13,795
312 Syncope and Collapse	67	$45,656	0%	$9,281
330 Major Small and Large Bowel Procedures with CC	64	$152,243	+28%	$24,692
281 Acute Myocardial Infarction, Discharged Alive with CC	63	$56,928	+13%	$9,934
480 Hip and Femur Procedures except Major Joint with MCC	63	$155,987	+12%	$25,897
699 Other Kidney and Urinary Tract Diagnoses with CC	60	$38,799	-18%	$10,889
329 Major Small and Large Bowel Procedures with MCC	57	$258,121	+20%	$41,333
552 Medical Back Problems without MCC	56	$48,559	-1%	$10,241
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	53	$67,908	+11%	$12,400
208 Respiratory System Diagnosis with Ventilator Support <=96...	52	$128,488	-5%	$28,021
287 Circulatory Disorders except AMI, with Cardiac...	50	$65,456	+2%	$10,339
389 Gastrointestinal Obstruction with CC	47	$31,660	-19%	$8,852
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	47	$73,579	+9%	$12,488
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	46	$56,949	+16%	$10,538
025 Craniotomy and Endovascular Intracranial Procedures with MCC	45	$233,727	+1%	$46,556
331 Major Small and Large Bowel Procedures without CC/MCC	45	$110,127	+28%	$16,654
266 Endovascular Cardiac Valve Replacement and Supplement...	42	$432,649	+52%	$57,984
243 Permanent Cardiac Pacemaker Implant with CC	41	$93,955	-15%	$20,529
314 Other Circulatory System Diagnoses with MCC	41	$88,367	-7%	$20,512
234 Coronary Bypass with Cardiac Catheterization or Open...	40	$350,546	+30%	$53,061
100 Seizures with MCC	39	$118,730	+26%	$23,724
394 Other Digestive System Diagnoses with CC	39	$39,727	-16%	$10,300
178 Respiratory Infections and Inflammations with CC	37	$45,794	+1%	$9,841
917 Poisoning and Toxic Effects of Drugs with MCC	37	$51,749	-31%	$14,525
083 Traumatic Stupor and Coma >1 Hour with CC	35	$65,019	-11%	$13,212
870 Septicemia or Severe Sepsis with MV >96 Hours	35	$369,977	+14%	$67,275
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	35	$274,392	+27%	$43,664
038 Extracranial Procedures with CC	32	$85,483	-2%	$15,559
066 Intracranial Hemorrhage or Cerebral Infarction without...	32	$41,083	-3%	$9,811

Showing the 60 most frequent of 188 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	2,366	$24,165	$2,453
Level 1 Endovascular Procedures	485	$28,797	$2,927
Level 1 Laparoscopy and Related Services	480	$56,187	$5,130
Level 2 Excision/ Biopsy/ Incision and Drainage	446	$14,238	$1,445
Level 5 Musculoskeletal Procedures	333	$106,615	$11,663
Level 5 Urology and Related Services	317	$54,571	$4,611
Level 3 Vascular Procedures	296	$29,583	$2,860
Level 2 Upper GI Procedures	280	$17,848	$1,725
Level 4 Musculoskeletal Procedures	273	$76,908	$6,486
Level 3 Urology and Related Services	256	$19,501	$1,845
Level 4 Urology and Related Services	250	$40,842	$3,139
Level 3 Endovascular Procedures	229	$104,097	$9,875
Level 2 Laparoscopy and Related Services	204	$85,668	$9,229
Level 3 Excision/ Biopsy/ Incision and Drainage	174	$27,221	$2,532
Level 3 Pacemaker and Similar Procedures	124	$53,481	$9,644
Level 2 Endovascular Procedures	122	$44,546	$5,177
Level 3 Musculoskeletal Procedures	117	$38,021	$2,891
Level 3 Electrophysiologic Procedures	114	$186,597	$21,248
Level 4 Endovascular Procedures	112	$178,380	$15,955
Level 4 Vascular Procedures	107	$51,505	$4,889
Level 2 Breast/Lymphatic Surgery and Related Procedures	90	$55,315	$5,840
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	84	$44,913	$3,154
Level 2 Musculoskeletal Procedures	82	$17,166	$1,437
Level 6 Urology and Related Services	81	$69,797	$8,284
Level 2 Vascular Procedures	79	$11,544	$1,404

Against the Georgia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northeast Georgia Medical Center, Inc charged $101,618 on average, 19% more than the Georgia average of $85,396, and was paid $19,006 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Northeast Georgia Medical Center, Inc charged $52,081 on average, 1% less than the Georgia average of $52,781, and was paid $12,514 against a state average of $12,005. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northeast Georgia Medical Center, Inc charged $64,034 on average, 14% more than the Georgia average of $56,349, and was paid $13,592 against a state average of $12,110. For Respiratory Infections and Inflammations with MCC (DRG 177), Northeast Georgia Medical Center, Inc charged $77,469 on average, 17% more than the Georgia average of $66,006, and was paid $16,095 against a state average of $14,774. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,165 was 16% above the state average of $20,900. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $28,797 was 7% above the state average of $26,927. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $56,187 was 29% above the state average of $43,535. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $14,238 was 10% above the state average of $12,974.

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.