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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Gwinnett Hospital System Inc

Gwinnett Health System · Lawrenceville, GA

1000 Medical Center Boulevard, Lawrenceville, GA 30046(678) 312-1000

3 of 5

CMS star rating

434

Beds

26,880

Inpatient discharges a year

$1.4B

Net patient revenue a year

34

In-network payers

About this hospital

Gwinnett Hospital System Inc is a 434-bed government - hospital district or authority hospital in Lawrenceville, GA, affiliated with Gwinnett Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 499 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
110087
NPI
1952340994
Health system
Gwinnett Health System
Teaching
Teaching hospital
County
Gwinnett County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2024

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very High

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

...

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 272 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.35%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 26 services
    • 1,340 affiliated clinicians
    See doctors and services
  • Finances

    $1.4B net patient revenue

    • Operating margin on patient care -3.6%
    • $117.9M unreimbursed and uncompensated care
    • $50.1M net income
    See finances
  • Ownership and leadership

    Owned by Northside Hospital Inc

    • Hospital district or authority
    • Jorge J Hernandez, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Gwinnett Hospital System Inc in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-1954432Northside Hospital57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 52 more1215098405 Northside Hospital Inc.1457396079 Northside Hospital Inc.1376574277 Northside Hospital Inc.and 27 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1000 Medical Center Boulevard, Lawrenceville, GA 30046

(678) 312-1000

Get directions

Frequently asked questions

About Gwinnett Hospital System Inc's rates and hospital price transparency.

What is Gwinnett Hospital System Inc's CMS star rating?

Gwinnett Hospital System Inc has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Gwinnett Hospital System Inc a teaching hospital?

Yes. CMS counts 0.15 Medicare-funded residents per bed at Gwinnett Hospital System Inc for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Gwinnett Hospital System Inc for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Gwinnett Hospital System Inc's base inpatient payments by an estimated 0.35% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Gwinnett Hospital System Inc?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (410 discharges), percutaneous and other intracardiac procedures without mcc (252 discharges), heart failure and shock with mcc (204 discharges).

What is Gwinnett Hospital System Inc's case mix index?

Gwinnett Hospital System Inc's Medicare case mix index is 2.31 for fiscal year 2027, higher than 90% of hospitals paid under the inpatient prospective payment system.

How many patients does Gwinnett Hospital System Inc admit?

Gwinnett Hospital System Inc reported 26,880 inpatient discharges and 189,595 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Gwinnett Hospital System Inc have?

Gwinnett Hospital System Inc reported 5,671 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Gwinnett Hospital System Inc make?

Gwinnett Hospital System Inc reported $1.4B in net patient revenue on $6.2B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -3.6%, and net income of $50.1M.

How much charity and uncompensated care does Gwinnett Hospital System Inc provide?

Gwinnett Hospital System Inc reported $117.9M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $77.7M of charity care at cost.

Who is the CEO of Gwinnett Hospital System Inc?

Gwinnett Hospital System Inc's Medicare enrollment lists Jorge J Hernandez as Vice President since 2007.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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