Northside Hospital Duluth
Northside Hospital Duluth in Duluth, GA charges 9.0x the Medicare reimbursement rate across 23 analyzed procedures, with 4% classified as pricing outliers.
Duluth, GA 30096 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
F
Very high
Avg markup vs Medicare
9.02x
Charge / Medicare rate
Max markup
13.21x
Worst procedure
Procedures analyzed
23
With pricing data
Outlier procedures
4.3%
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $47,333 | $23,666 | — | 13.2x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $60,714 | $30,357 | — | 12.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $47,029 | $23,515 | — | 12.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $53,230 | $26,615 | — | 10.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $49,724 | $24,862 | — | 10x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $153,500 | $76,750 | — | 10x |
| RENAL FAILURE WITH CC | 683 | $41,583 | $20,792 | — | 9.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $47,512 | $23,756 | — | 9.7x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $207,187 | $103,594 | — | 9.4x |
| SYNCOPE AND COLLAPSE | 312 | $36,123 | $18,062 | — | 9.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,313 | $17,157 | — | 9.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $59,652 | $29,826 | — | 9.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $50,563 | $25,281 | — | 8.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $57,877 | $28,938 | — | 8.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $77,892 | $38,946 | — | 8.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $51,910 | $25,955 | — | 8.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $90,386 | $45,193 | — | 8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $122,075 | $61,038 | — | 7.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $49,328 | $24,664 | — | 7.1x |
| CELLULITIS WITHOUT MCC | 603 | $32,488 | $16,244 | — | 7.1x |
| RENAL FAILURE WITH MCC | 682 | $60,878 | $30,439 | — | 7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $192,738 | $96,369 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $61,543 | $30,772 | — | 5.6x |
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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