37/100
#1,690 nationally
Northeast Georgia Medical Center Lumpkin
227 Mountain Drive, Dahlonega, GA 30533 · (770) 219-7146
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Northeast Georgia Medical Center Lumpkin billed $5.81 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
- 5.8x
- volume-weighted across all its priced work
- Procedures priced
- 14
- inpatient and outpatient combined
- Rank in GA
- #36
- lower markup ranks higher
- CMS quality stars
- 5/5
- 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 54% of U.S. hospitals.
Better than 16% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 44% 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 |
127 | $25,730 | $2,385 | +32% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
39 | $69,318 | $6,353 | +74% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
25 | $26,925 | $2,874 | +32% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
24 | $40,394 | $12,263 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
19 | $38,678 | $13,101 | -11% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
19 | $39,881 | $8,172 | +34% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $46,898 | $13,259 | -15% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
17 | $36,738 | $11,304 | -24% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
15 | $43,578 | $9,362 | +35% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
15 | $17,110 | $1,715 | +51% |
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 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$69,318 | $6,353 | +74% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$17,110 | $1,715 | +51% |
|
Digestive Disorder (without major complications)
MS-DRG 392 · Inpatient stay |
$43,578 | $9,362 | +35% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$39,881 | $8,172 | +34% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$25,730 | $2,385 | +32% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$26,925 | $2,874 | +32% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$40,170 | $7,837 | +31% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,854 | $1,340 | +14% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$36,738 | $11,304 | -24% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$46,898 | $13,259 | -15% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$40,394 | $12,263 | -13% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$38,678 | $13,101 | -11% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$45,721 | $10,800 | +12% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$36,208 | $8,193 | +14% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$12,854 | $1,340 | +14% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$40,170 | $7,837 | +31% |
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.