26/100
#1,996 nationally
Northside Hospital Forsyth
1200 Northside Forsyth Drive, Cumming, GA 30041 · (770) 844-3200
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Northside Hospital Forsyth billed $7.09 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
- 160
- inpatient and outpatient combined
- Rank in GA
- #54
- 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 16% of U.S. hospitals.
Better than 35% of U.S. hospitals.
Better than 26% of U.S. hospitals.
Better than 41% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
585 | $10,786 | $2,157 | -8% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
349 | $89,998 | $12,082 | +44% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
296 | $12,525 | $1,477 | +24% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
281 | $114,884 | $17,091 | +76% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
248 | $16,840 | $1,890 | +30% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
239 | $32,524 | $3,011 | +29% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
202 | $65,921 | $10,738 | +52% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
200 | $47,712 | $6,517 | +20% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
198 | $36,815 | $2,584 | +108% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
193 | $31,660 | $4,668 | +15% |
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 |
|---|---|---|---|
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$161,193 | $21,335 | +141% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$92,023 | $7,661 | +110% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$36,815 | $2,584 | +108% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$106,456 | $11,137 | +107% |
|
Red Blood Cell Disorders without Major Complications
MS-DRG 812 · Inpatient stay |
$72,353 | $8,717 | +95% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization without Major
MS-DRG 287 · Inpatient stay |
$105,452 | $12,560 | +93% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$114,575 | $12,729 | +87% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$160,907 | $17,581 | +87% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Poisoning and Toxic Effects of Drugs with Major Complications
MS-DRG 917 · Inpatient stay |
$51,172 | $13,639 | -25% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$16,190 | $3,760 | -22% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$19,532 | $4,851 | -20% |
|
Level 8 Urology and Related Services
APC 5378 · Hospital outpatient visit |
$69,859 | $18,677 | -19% |
|
Craniotomy and Endovascular Intracranial Procedures without Complications/mcc
MS-DRG 027 · Inpatient stay |
$106,375 | $17,627 | -13% |
|
Level 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$32,214 | $3,900 | -11% |
|
Level 6 Urology and Related Services
APC 5376 · Hospital outpatient visit |
$40,468 | $8,547 | -9% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$10,786 | $2,157 | -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.