Northside Hospital: charges and Medicare payments

Northside Hospital reported 2,379 Medicare inpatient stays across 85 DRGs in 2024. Across them it charged 5.74 times what it was paid — among the higher ratios in Georgia, number 17 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: 247 stays at an average charge of $115,478, 28% above the national average. It also billed 6,066 outpatient services, charging 9.57 times what Medicare paid.

1Medicare inpatient stays 2,379
2Charge ÷ paid, inpatient 5.74×
3Rank in GA (highest ratio = 1) 17 of 74
4CMS price-transparency actions 0

Average charge per stay at Northside Hospital, 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, Northside Hospital charged more than the national average in 77 (91%). 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	247	$115,478	+28%	$20,493
291 Heart Failure and Shock with MCC	99	$82,920	+47%	$16,166
177 Respiratory Infections and Inflammations with MCC	79	$103,422	+47%	$20,105
193 Simple Pneumonia and Pleurisy with MCC	58	$67,172	+12%	$14,401
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	56	$45,558	+13%	$10,999
470 Major Hip and Knee Joint Replacement or Reattachment of...	55	$122,056	+31%	$18,429
378 Gastrointestinal Hemorrhage with CC	53	$57,593	+19%	$11,945
189 Pulmonary Edema and Respiratory Failure	51	$77,054	+34%	$15,664
682 Renal Failure with MCC	50	$74,727	+13%	$15,615
690 Kidney and Urinary Tract Infections without MCC	50	$48,811	+29%	$10,780
689 Kidney and Urinary Tract Infections with MCC	49	$65,103	+27%	$13,144
312 Syncope and Collapse	45	$57,910	+27%	$11,427
698 Other Kidney and Urinary Tract Diagnoses with MCC	43	$86,241	+17%	$18,121
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	43	$54,720	+12%	$12,256
460 Spinal Fusion except Cervical without MCC	42	$250,741	+47%	$33,212
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	39	$87,271	+45%	$16,395
853 Infectious and Parasitic Diseases with O.R. Procedures with...	39	$345,850	+51%	$54,885
812 Red Blood Cell Disorders without MCC	37	$53,104	+20%	$12,257
683 Renal Failure with CC	36	$51,991	+28%	$11,340
164 Major Chest Procedures with CC	33	$165,857	+30%	$23,184
809 Major Hematological and Immunological Diagnoses except...	33	$119,049	+90%	$13,552
834 Acute Leukemia with MCC	32	$634,913	+121%	$93,430
603 Cellulitis without MCC	31	$44,729	+20%	$11,214
178 Respiratory Infections and Inflammations with CC	30	$54,294	+20%	$11,980
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	29	$84,926	+39%	$14,373
454 Combined Anterior and Posterior Spinal Fusion with CC	29	$336,041	+20%	$54,549
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$38,659	+4%	$10,493
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	27	$130,944	+31%	$20,568
377 Gastrointestinal Hemorrhage with MCC	27	$138,747	+62%	$20,482
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	27	$251,678	+24%	$40,834
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	27	$135,573	+32%	$19,989
309 Cardiac Arrhythmia and Conduction Disorders with CC	26	$47,208	+31%	$10,233
194 Simple Pneumonia and Pleurisy with CC	25	$76,853	+100%	$14,200
280 Acute Myocardial Infarction, Discharged Alive with MCC	25	$116,511	+54%	$16,219
330 Major Small and Large Bowel Procedures with CC	25	$134,567	+13%	$24,137
840 Lymphoma and Non-Acute Leukemia with MCC	23	$359,766	+131%	$50,995
165 Major Chest Procedures without CC/MCC	22	$147,986	+43%	$19,490
481 Hip and Femur Procedures except Major Joint with CC	22	$131,104	+30%	$19,793
552 Medical Back Problems without MCC	22	$54,014	+11%	$12,221
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$66,677	+18%	$13,588
314 Other Circulatory System Diagnoses with MCC	21	$179,232	+89%	$24,608
699 Other Kidney and Urinary Tract Diagnoses with CC	21	$43,487	-8%	$12,254
305 Hypertension without MCC	20	$37,144	-7%	$10,470
329 Major Small and Large Bowel Procedures with MCC	20	$221,395	+3%	$47,205
435 Malignancy of Hepatobiliary System or Pancreas with MCC	19	$104,008	+10%	$19,132
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	18	$58,176	+4%	$12,383
393 Other Digestive System Diagnoses with MCC	18	$78,431	+2%	$16,598
808 Major Hematological and Immunological Diagnoses except...	18	$164,389	+51%	$25,145
331 Major Small and Large Bowel Procedures without CC/MCC	17	$83,696	-2%	$16,926
313 Chest Pain	16	$43,754	+10%	$10,035
483 Major Joint or Limb Reattachment Procedures of Upper...	16	$115,139	-9%	$25,072
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	16	$71,552	+6%	$14,724
056 Degenerative Nervous System Disorders with MCC	15	$121,812	+27%	$25,450
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	15	$68,009	+4%	$15,076
281 Acute Myocardial Infarction, Discharged Alive with CC	15	$75,416	+49%	$11,421
299 Peripheral Vascular Disorders with MCC	15	$87,810	+17%	$16,231
389 Gastrointestinal Obstruction with CC	15	$53,644	+38%	$10,740
394 Other Digestive System Diagnoses with CC	15	$80,060	+70%	$11,731
854 Infectious and Parasitic Diseases with O.R. Procedures with...	15	$109,869	+12%	$20,271
287 Circulatory Disorders except AMI, with Cardiac...	14	$101,464	+59%	$13,672

Showing the 60 most frequent of 85 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	902	$17,366	$2,146
Level 2 Excision/ Biopsy/ Incision and Drainage	400	$12,072	$1,457
Level 2 Upper GI Procedures	338	$15,594	$1,762
Level 2 Intraocular Procedures	293	$24,200	$3,764
Level 1 Laparoscopy and Related Services	239	$44,707	$5,270
Level 5 Musculoskeletal Procedures	234	$91,732	$12,107
Level 2 Laparoscopy and Related Services	234	$78,486	$9,346
Level 3 Excision/ Biopsy/ Incision and Drainage	218	$36,998	$2,543
Level 5 Urology and Related Services	217	$43,771	$4,103
Level 3 Urology and Related Services	196	$16,112	$1,837
Level 4 Musculoskeletal Procedures	164	$68,264	$6,591
Level 6 Musculoskeletal Procedures	164	$103,953	$17,257
Level 4 Urology and Related Services	158	$28,586	$3,219
Level 3 Vascular Procedures	154	$20,852	$2,943
Level 1 Breast/Lymphatic Surgery and Related Procedures	151	$29,425	$3,477
Level 1 Endovascular Procedures	149	$31,754	$3,016
Comprehensive Observation Services	136	$26,456	$2,525
Level 3 Electrophysiologic Procedures	132	$163,657	$21,698
Level 2 Breast/Lymphatic Surgery and Related Procedures	130	$47,301	$5,828
Level 3 Extraocular, Repair, and Plastic Eye Procedures	129	$16,935	$2,140
Level 3 Endovascular Procedures	113	$106,675	$10,125
Level 3 Musculoskeletal Procedures	83	$30,209	$2,830
Level 3 Intraocular Procedures	79	$29,656	$4,851
Level 1 Nerve Procedures	71	$18,955	$1,777
Level 4 Airway Endoscopy	64	$32,092	$3,475

Against the Georgia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Northside Hospital charged $115,478 on average, 35% more than the Georgia average of $85,396, and was paid $20,493 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Northside Hospital charged $82,920 on average, 57% more than the Georgia average of $52,781, and was paid $16,166 against a state average of $12,005. For Respiratory Infections and Inflammations with MCC (DRG 177), Northside Hospital charged $103,422 on average, 57% more than the Georgia average of $66,006, and was paid $20,105 against a state average of $14,774. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Northside Hospital charged $67,172 on average, 19% more than the Georgia average of $56,349, and was paid $14,401 against a state average of $12,110. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $17,366 was 4% below the state average of $18,060. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,072 was 7% below the state average of $12,974. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,594 was 4% above the state average of $14,925. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $24,200 was 19% below the state average of $29,775.

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.