NORTHSIDE HOSPITAL
ATLANTA, GA 30342 · Acute Care Hospitals
95 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
95
With CMS pricing data
Avg Charge-to-Medicare Ratio
5.9x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
11%
Compared to GA hospitals
Understanding Your Costs
When you receive a bill from NORTHSIDE HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, NORTHSIDE HOSPITAL lists chargemaster rates that average 5.9x the corresponding Medicare reimbursement amount across 95 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 5.9x, 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 NORTHSIDE HOSPITAL is MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO (DRG 809). The listed chargemaster rate is $138,715, while Medicare reimburses $13,581 for the same procedure — a ratio of 10.2x (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.
10 of 95 procedures (11%) 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).
NORTHSIDE HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 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 | |
|---|---|---|---|---|---|---|
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $138,715 | $13,581 | 10.2x | 1th | Compare your bill |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $181,611 | $20,296 | 8.9x | 1th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $86,170 | $10,518 | 8.2x | 1th | Compare your bill |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $181,555 | $23,875 | 7.6x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $127,087 | $16,838 | 7.5x | 1th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $120,397 | $16,015 | 7.5x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $81,625 | $10,882 | 7.5x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $123,042 | $16,723 | 7.4x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $302,162 | $41,213 | 7.3x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $77,032 | $10,529 | 7.3x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $89,254 | $12,237 | 7.3x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $205,061 | $28,149 | 7.3x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $162,716 | $22,592 | 7.2x | 1th | Compare your bill |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $159,632 | $23,167 | 6.9x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $117,657 | $17,104 | 6.9x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $91,512 | $13,333 | 6.9x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $75,921 | $11,086 | 6.8x | 1th | Compare your bill |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $164,781 | $24,198 | 6.8x | 1th | Compare your bill |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $67,195 | $9,980 | 6.7x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $118,138 | $17,577 | 6.7x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $105,521 | $15,859 | 6.7x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $70,800 | $10,670 | 6.6x | 1th | Compare your bill |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $214,477 | $32,291 | 6.6x | 1th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $93,454 | $14,100 | 6.6x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $112,652 | $17,093 | 6.6x | 1th | Compare your bill |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $419,713 | $65,295 | 6.4x | 1th | Compare your bill |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $168,170 | $26,409 | 6.4x | 1th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $178,782 | $28,128 | 6.4x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $383,044 | $60,376 | 6.3x | 1th | Compare your bill |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $104,459 | $16,641 | 6.3x | 1th | Compare your bill |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $245,225 | $39,250 | 6.3x | 1th | Compare your bill |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $236,411 | $37,885 | 6.2x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $114,255 | $18,483 | 6.2x | 1th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $76,331 | $12,357 | 6.2x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $100,278 | $16,234 | 6.2x | 1th | Compare your bill |
| ACUTE LEUKEMIA WITH MCC | 834 | $600,375 | $97,285 | 6.2x | 1th | Compare your bill |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $81,063 | $13,154 | 6.2x | 1th | Compare your bill |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $126,442 | $20,661 | 6.1x | 1th | Compare your bill |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $517,838 | $84,748 | 6.1x | 1th | Compare your bill |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $79,124 | $12,974 | 6.1x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $121,380 | $19,999 | 6.1x | 1th | Compare your bill |
| HYPERTENSION WITH MCC | 304 | $106,861 | $17,753 | 6.0x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $86,605 | $14,537 | 6.0x | 1th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $60,977 | $10,232 | 6.0x | 1th | Compare your bill |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $91,743 | $15,464 | 5.9x | 1th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $114,497 | $19,615 | 5.8x | 1th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $255,323 | $43,807 | 5.8x | 1th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $48,273 | $8,341 | 5.8x | 1th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $135,764 | $23,568 | 5.8x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $53,452 | $9,367 | 5.7x | 1th | Compare your bill |
Showing 50 of 95 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 5.9x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
Compare Your Bill
Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.
Upload your billRequest an Itemized Bill
Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.
Learn howCheck for Common Errors
Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.
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 NORTHSIDE HOSPITAL
How much does NORTHSIDE HOSPITAL charge compared to Medicare?
According to CMS IPPS data, NORTHSIDE HOSPITAL's listed chargemaster rates average 5.9x the Medicare reimbursement amount across 95 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 NORTHSIDE HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at NORTHSIDE HOSPITAL is MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO (DRG 809), with a listed charge of $138,715 compared to Medicare reimbursement of $13,581 — a ratio of 10.2x. Source: CMS IPPS Provider Summary.
Is NORTHSIDE HOSPITAL expensive compared to other GA hospitals?
NORTHSIDE HOSPITAL's average chargemaster-to-Medicare ratio is 5.9x. 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 NORTHSIDE HOSPITAL 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 NORTHSIDE HOSPITAL 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 NORTHSIDE HOSPITAL in ATLANTA, GA accept Medicare?
NORTHSIDE HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact NORTHSIDE HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.