Georgia / Wellstar North Fulton Medical Center
CMS certification 110198 · Roswell, GA
Wellstar North Fulton Medical Center: charges and Medicare payments
Wellstar North Fulton Medical Center reported 1,512 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 6.81 times what it was paid — among the higher ratios in Georgia, number 6 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: 175 stays at an average charge of $138,633, 54% above the national average. It also billed 875 outpatient services, charging 10.32 times what Medicare paid.
- 1Medicare inpatient stays 1,512
- 2Charge ÷ paid, inpatient 6.81×
- 3Rank in GA (highest ratio = 1) 6 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 50 DRGs that can be compared with the national average, Wellstar North Fulton Medical Center charged more than the national average in 42 (84%). 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 | 175 | $138,633 | +54% | $17,207 |
| 291 Heart Failure and Shock with MCC | 81 | $83,911 | +49% | $10,624 |
| 177 Respiratory Infections and Inflammations with MCC | 73 | $104,026 | +47% | $13,495 |
| 481 Hip and Femur Procedures except Major Joint with CC | 66 | $103,719 | +3% | $16,650 |
| 689 Kidney and Urinary Tract Infections with MCC | 65 | $60,878 | +19% | $10,036 |
| 193 Simple Pneumonia and Pleurisy with MCC | 62 | $91,254 | +53% | $12,129 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 58 | $127,153 | +27% | $16,310 |
| 690 Kidney and Urinary Tract Infections without MCC | 51 | $45,307 | +20% | $7,468 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 40 | $75,378 | +35% | $12,229 |
| 683 Renal Failure with CC | 40 | $49,168 | +21% | $8,995 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 38 | $101,215 | +33% | $14,005 |
| 378 Gastrointestinal Hemorrhage with CC | 38 | $72,070 | +48% | $9,320 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $80,893 | +34% | $11,026 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $42,148 | +14% | $7,175 |
| 552 Medical Back Problems without MCC | 33 | $52,246 | +7% | $8,399 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 30 | $58,406 | +62% | $7,020 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $300,426 | +31% | $42,553 |
| 312 Syncope and Collapse | 26 | $63,046 | +38% | $7,819 |
| 189 Pulmonary Edema and Respiratory Failure | 25 | $78,801 | +37% | $10,365 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 24 | $243,439 | +5% | $58,670 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $50,762 | +26% | $7,303 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 24 | $80,069 | +9% | $13,099 |
| 389 Gastrointestinal Obstruction with CC | 23 | $35,447 | -9% | $7,974 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $133,981 | +57% | $14,304 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 22 | $174,570 | +26% | $23,972 |
| 682 Renal Failure with MCC | 22 | $104,808 | +59% | $15,379 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 21 | $304,752 | +8% | $54,367 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 20 | $90,604 | -11% | $16,286 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $75,470 | +54% | $8,956 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $109,160 | -5% | $15,586 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $44,024 | -13% | $8,067 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $50,705 | +32% | $7,528 |
| 394 Other Digestive System Diagnoses with CC | 17 | $105,864 | +125% | $13,401 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $136,612 | +15% | $22,063 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 15 | $50,635 | +19% | $7,546 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 14 | $183,076 | +59% | $23,544 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $58,318 | +23% | $9,085 |
| 536 Fractures of Hip and Pelvis without MCC | 14 | $40,755 | +8% | $7,393 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $72,501 | +53% | $10,694 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 13 | $63,909 | -6% | $10,479 |
| 603 Cellulitis without MCC | 13 | $48,638 | +30% | $7,881 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 12 | $82,169 | +12% | $11,355 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 12 | $151,708 | +35% | $18,915 |
| 393 Other Digestive System Diagnoses with MCC | 12 | $128,840 | +68% | $14,995 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 12 | $118,294 | -1% | $18,417 |
| 521 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $107,395 | -21% | $21,655 |
| 638 Diabetes with CC | 12 | $34,136 | -18% | $8,146 |
| 184 Major Chest Trauma with CC | 11 | $78,964 | +42% | $10,804 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $365,266 | +70% | $74,569 |
| 812 Red Blood Cell Disorders without MCC | 11 | $84,240 | +90% | $8,178 |
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wellstar North Fulton Medical Center charged $138,633 on average, 62% more than the Georgia average of $85,396, and was paid $17,207 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Wellstar North Fulton Medical Center charged $83,911 on average, 59% more than the Georgia average of $52,781, and was paid $10,624 against a state average of $12,005. For Respiratory Infections and Inflammations with MCC (DRG 177), Wellstar North Fulton Medical Center charged $104,026 on average, 58% more than the Georgia average of $66,006, and was paid $13,495 against a state average of $14,774. For Hip and Femur Procedures except Major Joint with CC (DRG 481), Wellstar North Fulton Medical Center charged $103,719 on average, 3% less than the Georgia average of $107,098, and was paid $16,650 against a state average of $18,143. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $29,251 was 40% above the state average of $20,900. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $18,889 was 46% above the state average of $12,974. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $25,218 was 69% above the state average of $14,925. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $41,487 was 17% above the state average of $35,322.
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.