29/100
#1,910 nationally
Northside Hospital Gwinnett
1000 Medical Center Boulevard, Lawrenceville, GA 30045 · (678) 312-4310
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Northside Hospital Gwinnett billed $5.75 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
- 5.7x
- volume-weighted across all its priced work
- Procedures priced
- 152
- inpatient and outpatient combined
- Rank in GA
- #50
- 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 29% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 25% of U.S. hospitals.
Better than 40% 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 |
507 | $22,376 | $2,508 | +15% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
410 | $109,340 | $19,402 | +68% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
278 | $29,651 | $2,967 | +17% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
252 | $106,799 | $26,926 | -14% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
247 | $160,763 | $21,748 | +21% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
204 | $72,108 | $14,721 | +66% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
162 | $14,502 | $2,099 | +23% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
155 | $13,385 | $1,469 | +33% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
132 | $92,166 | $10,136 | +36% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
126 | $24,808 | $2,885 | +30% |
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 |
|---|---|---|---|
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$206,002 | $25,084 | +155% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$89,337 | $14,579 | +148% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$65,138 | $9,443 | +113% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$99,889 | $13,762 | +106% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$41,088 | $2,900 | +102% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$41,210 | $3,418 | +82% |
|
Permanent Cardiac Pacemaker Implant with Major Complications
MS-DRG 242 · Inpatient stay |
$251,713 | $29,837 | +82% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$137,568 | $20,092 | +80% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Other Cardiothoracic Procedures without Major Complications
MS-DRG 229 · Inpatient stay |
$115,843 | $26,607 | -23% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,143 | $1,486 | -17% |
|
Percutaneous and Other Intracardiac Procedures with Major Complications
MS-DRG 273 · Inpatient stay |
$157,591 | $33,064 | -15% |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$161,616 | $39,174 | -15% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$106,799 | $26,926 | -14% |
|
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Complications
MS-DRG 493 · Inpatient stay |
$93,712 | $21,515 | -8% |
|
Extensive Operating Room Procedures Unrelated to Principal Diagnosis with Complications
MS-DRG 982 · Inpatient stay |
$97,129 | $21,435 | -8% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$105,333 | $28,733 | -7% |
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.