Northside Hospital
NORTHSIDE HOSPITAL in Atlanta charges 5.9x the Medicare reimbursement rate on average across 95 analyzed procedures, with 10% showing significantly higher markups than typical nonprofit hospital pricing.
Atlanta, GA 30342 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.91x
Charge / Medicare rate
Max markup
10.21x
Worst procedure
Procedures analyzed
95
With pricing data
Outlier procedures
10.5%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $138,715 | $69,358 | — | 10.2x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $181,611 | $90,805 | — | 9x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $86,170 | $43,085 | — | 8.2x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $181,555 | $90,777 | — | 7.6x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $127,087 | $63,544 | — | 7.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $120,397 | $60,198 | — | 7.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $81,625 | $40,813 | — | 7.5x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $123,042 | $61,521 | — | 7.4x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $302,162 | $151,081 | — | 7.3x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $77,032 | $38,516 | — | 7.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $89,254 | $44,627 | — | 7.3x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $205,061 | $102,531 | — | 7.3x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $162,716 | $81,358 | — | 7.2x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $159,632 | $79,816 | — | 6.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $117,657 | $58,829 | — | 6.9x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $91,512 | $45,756 | — | 6.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $75,921 | $37,961 | — | 6.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $164,781 | $82,391 | — | 6.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $67,195 | $33,598 | — | 6.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $118,138 | $59,069 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $105,521 | $52,761 | — | 6.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $214,477 | $107,239 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $70,800 | $35,400 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $93,454 | $46,727 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $112,652 | $56,326 | — | 6.6x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $419,713 | $209,856 | — | 6.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $168,170 | $84,085 | — | 6.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $178,782 | $89,391 | — | 6.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $383,044 | $191,522 | — | 6.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $104,459 | $52,230 | — | 6.3x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $245,225 | $122,612 | — | 6.3x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $236,411 | $118,205 | — | 6.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $114,255 | $57,128 | — | 6.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $100,278 | $50,139 | — | 6.2x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $76,331 | $38,165 | — | 6.2x |
| ACUTE LEUKEMIA WITH MCC | 834 | $600,375 | $300,187 | — | 6.2x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $81,063 | $40,532 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $126,442 | $63,221 | — | 6.1x |
| COMPLICATIONS OF TREATMENT WITH MCC | 919 | $517,838 | $258,919 | — | 6.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $79,124 | $39,562 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $121,380 | $60,690 | — | 6.1x |
| HYPERTENSION WITH MCC | 304 | $106,861 | $53,430 | — | 6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $60,977 | $30,489 | — | 6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $86,605 | $43,302 | — | 6x |
| CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | 847 | $91,743 | $45,872 | — | 5.9x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $114,497 | $57,249 | — | 5.8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $255,323 | $127,662 | — | 5.8x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $48,273 | $24,136 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $135,764 | $67,882 | — | 5.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $53,452 | $26,726 | — | 5.7x |
Showing 50 of 95 procedures
How NORTHSIDE HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use