29/100
#1,909 nationally
Northside Hospital Duluth
3620 Howell Ferry Road, Duluth, GA 30096 · (678) 312-1000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Northside Hospital Duluth billed $7.13 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
- 7.1x
- volume-weighted across all its priced work
- Procedures priced
- 38
- inpatient and outpatient combined
- Rank in GA
- #49
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 24% of U.S. hospitals.
Better than 25% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 52% 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 |
167 | $22,209 | $2,492 | +14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
154 | $105,362 | $11,993 | +69% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
118 | $62,415 | $6,505 | +57% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
104 | $13,488 | $1,474 | +34% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
101 | $27,112 | $2,934 | +33% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
91 | $83,117 | $14,865 | +27% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
59 | $27,722 | $2,637 | +57% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
57 | $17,692 | $1,746 | +56% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
51 | $58,164 | $10,259 | +34% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
35 | $14,961 | $1,766 | +27% |
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 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$22,468 | $2,163 | +91% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$105,362 | $11,993 | +69% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$65,924 | $7,922 | +60% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$27,722 | $2,637 | +57% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$62,415 | $6,505 | +57% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$17,549 | $1,448 | +56% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$124,703 | $14,878 | +56% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$17,692 | $1,746 | +56% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$49,200 | $10,746 | -7% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,982 | $1,486 | -7% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$22,900 | $3,537 | -4% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$55,173 | $11,699 | about average |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$174,726 | $33,914 | about average |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$31,222 | $6,257 | +5% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$51,591 | $13,434 | +6% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$42,759 | $6,052 | +8% |
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.