NORTHEAST GEORGIA MEDICAL CENTER, INC
GAINESVILLE, GA 30501 · Acute Care Hospitals
191 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
191
With CMS pricing data
Avg Charge-to-Medicare Ratio
7.1x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Government - Local
Above 90th Percentile
1%
Compared to GA hospitals
Understanding Your Costs
When you receive a bill from NORTHEAST GEORGIA MEDICAL CENTER, INC, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, NORTHEAST GEORGIA MEDICAL CENTER, INC lists chargemaster rates that average 7.1x the corresponding Medicare reimbursement amount across 191 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in GA has a chargemaster-to-Medicare ratio of 5.2x, with ratios across the state ranging from 1.2x to 12.4x. At 7.1x, this facility’s average ratio is above the state median. 87 hospitals in GA report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at NORTHEAST GEORGIA MEDICAL CENTER, INC is DISORDERS OF THE BILIARY TRACT WITH CC (DRG 445). The listed chargemaster rate is $78,938, while Medicare reimburses $7,135 for the same procedure — a ratio of 11.1x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
1 of 191 procedures (1%) at this facility have listed rates above the 90th percentile compared to other GA hospitals reporting the same procedure data to CMS (Source: CMS IPPS Provider Summary).
NORTHEAST GEORGIA MEDICAL CENTER, INC is a government - local acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $78,938 | $7,135 | 11.1x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $141,336 | $13,017 | 10.9x | 1th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $142,281 | $13,230 | 10.8x | 1th | Compare your bill |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $102,372 | $10,112 | 10.1x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $89,863 | $9,049 | 9.9x | 1th | Compare your bill |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | 438 | $107,512 | $10,926 | 9.8x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $65,760 | $6,713 | 9.8x | 1th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $55,360 | $5,739 | 9.7x | 1th | Compare your bill |
| PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | 337 | $95,480 | $10,053 | 9.5x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $254,607 | $26,949 | 9.4x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | 494 | $119,446 | $12,704 | 9.4x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $43,381 | $4,696 | 9.2x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $251,697 | $27,345 | 9.2x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $42,099 | $4,580 | 9.2x | 1th | Compare your bill |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $214,323 | $23,561 | 9.1x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $121,041 | $13,363 | 9.1x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $94,041 | $10,408 | 9.0x | 1th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $253,260 | $28,147 | 9.0x | 1th | Compare your bill |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | 477 | $176,668 | $19,660 | 9.0x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $119,203 | $13,541 | 8.8x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $325,775 | $37,145 | 8.8x | 1th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $150,055 | $17,110 | 8.8x | 1th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $68,303 | $7,804 | 8.8x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $58,989 | $6,785 | 8.7x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $65,403 | $7,528 | 8.7x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $100,079 | $11,536 | 8.7x | 1th | Compare your bill |
| CERVICAL SPINAL FUSION WITH CC | 472 | $188,284 | $21,828 | 8.6x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $44,817 | $5,216 | 8.6x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $146,996 | $17,142 | 8.6x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $330,560 | $38,637 | 8.6x | 1th | Compare your bill |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $121,813 | $14,327 | 8.5x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $107,592 | $12,665 | 8.5x | 1th | Compare your bill |
| FRACTURES OF HIP AND PELVIS WITH MCC | 535 | $77,286 | $9,128 | 8.5x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $428,586 | $50,691 | 8.4x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $183,491 | $21,766 | 8.4x | 1th | Compare your bill |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $291,097 | $34,534 | 8.4x | 1th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $53,077 | $6,313 | 8.4x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $53,278 | $6,375 | 8.4x | 1th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $141,388 | $16,939 | 8.3x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $45,218 | $5,437 | 8.3x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $96,829 | $11,685 | 8.3x | 1th | Compare your bill |
| CHEST PAIN | 313 | $35,797 | $4,322 | 8.3x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $285,884 | $34,921 | 8.2x | 1th | Compare your bill |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $111,677 | $13,707 | 8.2x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $195,960 | $24,111 | 8.1x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $130,251 | $16,091 | 8.1x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $89,704 | $11,121 | 8.1x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $34,472 | $4,294 | 8.0x | 1th | Compare your bill |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $48,773 | $6,083 | 8.0x | 1th | Compare your bill |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $55,681 | $6,961 | 8.0x | 1th | Compare your bill |
Showing 50 of 191 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across GA hospitals
87 hospitals in GA report pricing data to CMS. This facility's average ratio of 7.1x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About NORTHEAST GEORGIA MEDICAL CENTER, INC
How much does NORTHEAST GEORGIA MEDICAL CENTER, INC charge compared to Medicare?
According to CMS IPPS data, NORTHEAST GEORGIA MEDICAL CENTER, INC's listed chargemaster rates average 7.1x the Medicare reimbursement amount across 191 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at NORTHEAST GEORGIA MEDICAL CENTER, INC?
The procedure with the highest chargemaster-to-Medicare ratio at NORTHEAST GEORGIA MEDICAL CENTER, INC is DISORDERS OF THE BILIARY TRACT WITH CC (DRG 445), with a listed charge of $78,938 compared to Medicare reimbursement of $7,135 — a ratio of 11.1x. Source: CMS IPPS Provider Summary.
Is NORTHEAST GEORGIA MEDICAL CENTER, INC expensive compared to other GA hospitals?
NORTHEAST GEORGIA MEDICAL CENTER, INC's average chargemaster-to-Medicare ratio is 7.1x. Ratios vary significantly across GA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for NORTHEAST GEORGIA MEDICAL CENTER, INC come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from NORTHEAST GEORGIA MEDICAL CENTER, INC is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does NORTHEAST GEORGIA MEDICAL CENTER, INC in GAINESVILLE, GA accept Medicare?
NORTHEAST GEORGIA MEDICAL CENTER, INC is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact NORTHEAST GEORGIA MEDICAL CENTER, INC directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.