25/100
#2,026 nationally
Northeast Georgia Medical Center, Inc
743 Spring Street, Gainesville, GA 30501 · (770) 535-3553
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Northeast Georgia Medical Center, Inc billed $6.33 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.3x
- volume-weighted across all its priced work
- Procedures priced
- 234
- inpatient and outpatient combined
- Rank in GA
- #56
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 26% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 34% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
2,366 | $24,165 | $2,453 | +24% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
485 | $28,797 | $2,927 | +14% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
480 | $56,187 | $5,130 | +60% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
446 | $14,238 | $1,445 | +41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
437 | $101,618 | $19,006 | +56% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
382 | $52,081 | $12,514 | +20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
333 | $106,615 | $11,663 | +71% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
317 | $54,571 | $4,611 | +99% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
296 | $29,583 | $2,860 | +55% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
280 | $17,848 | $1,725 | +52% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$26,755 | $1,679 | +136% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$7,114 | $596 | +127% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$50,574 | $3,367 | +123% |
|
Carotid Artery Stent Procedures without Complications/mcc
MS-DRG 036 · Inpatient stay |
$154,332 | $20,973 | +119% |
|
Complex GI Procedures
APC 5331 · Hospital outpatient visit |
$64,377 | $5,196 | +115% |
|
Acute Myocardial Infarction, Expired with Major Complications
MS-DRG 283 · Inpatient stay |
$180,238 | $20,605 | +111% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$364,505 | $64,307 | +106% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$231,174 | $28,229 | +105% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Pneumothorax with Major Complications
MS-DRG 199 · Inpatient stay |
$60,565 | $16,503 | -24% |
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$51,749 | $14,525 | -24% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 808 · Inpatient stay |
$82,916 | $18,767 | -22% |
|
Pneumothorax with Complications
MS-DRG 200 · Inpatient stay |
$39,685 | $12,288 | -17% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications
MS-DRG 982 · Inpatient stay |
$89,614 | $21,821 | -15% |
|
Other Respiratory System Operating Room Procedures with Major Complications
MS-DRG 166 · Inpatient stay |
$125,349 | $42,007 | -14% |
|
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio
MS-DRG 809 · Inpatient stay |
$47,444 | $16,166 | -14% |
|
Level 7 Radiation Therapy
APC 5627 · Hospital outpatient visit |
$51,697 | $7,100 | -13% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.