Northeast Georgia Health System · Gainesville, GA
3 of 5
CMS star rating
1,071
Beds
39,137
Inpatient discharges a year
$1.9B
Net patient revenue a year
31
In-network payers
Northeast Georgia Medical Center Gainesville is a 1071-bed government - local hospital in Gainesville, GA, affiliated with Northeast Georgia Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 368 disclosed rate categories.
The 24 services Northeast Georgia Medical Center Gainesville most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$7,433 - $19,487
from 4 insurers · median $14,677
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$9,572 - $28,737
from 4 insurers · median $23,375
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Gynecology
CPT 58558
$3,098 - $17,021
from 4 insurers · median $13,638
61 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$1,600 - $12,890
from 4 insurers · median $9,038
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$5,685 - $26,926
from 4 insurers · median $18,248
480 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$2,284 - $17,021
from 4 insurers · median $10,312
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,284 - $17,021
from 4 insurers · median $10,251
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$10,145 - $30,452
from 4 insurers · median $19,962
204 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$82,351 - $293,484
from 4 insurers · median $241,005
19 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 49650
$5,685 - $24,131
from 4 insurers · median $15,682
480 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$78,845 - $99,441
from 3 insurers · median $96,636
36 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$12,396 - $25,696
from 3 insurers · median $17,021
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$7,433 - $19,487
from 4 insurers · median $14,677
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 64483
$5,804 - $10,379
from 3 insurers · median $8,775
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$10,887 - $17,021
from 3 insurers · median $16,128
Typical for a hospital with this service line
CT imaging
CPT 74177
$348 - $606
from 4 insurers · median $461
Common here, based on CMS Medicare volume
Urology
CPT 50590
$3,361 - $26,926
from 4 insurers · median $21,604
250 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 64493
$5,832 - $10,379
from 3 insurers · median $8,775
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$170 - $532
from 3 insurers · median $214
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,685 - $24,131
from 4 insurers · median $16,397
480 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$240 - $1,960
from 4 insurers · median $643
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$104 - $525
from 4 insurers · median $257
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$7,020 - $28,209
from 4 insurers · median $19,734
273 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Orthopedics and pain
CPT 20610
$288 - $5,763
from 2 insurers · median $3,026
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 562% | 17 | 0 |
| Insurer B* | 23 | 462% | 16 | 3 |
| Insurer C* | 24 | 337% | 19 | 2 |
| Insurer D* | 18 | 94% | 1 | 13 |
How we chose these services: 9 appear in this hospital's own Medicare claims, 10 are common here based on CMS Medicare volume, and 5 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Northeast Georgia Medical Center Gainesville, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by DNV
Finances
$1.9B net patient revenue
Ownership and leadership
Other
The employer identification numbers (EINs) health plans and networks list for Northeast Georgia Medical Center Gainesville in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 58-1694098Northeast Georgia Medical Center INC. | 58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 53 more | 1427055821 Northeast Georgia Medical Center Inc.1407892706 Northeast Georgia Medical Center Inc.1457388571 Northeast Georgia Medical Center. Inc.and 8 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.
743 Spring Street Ne, Gainesville, GA 30501
(770) 535-3553
How Northeast Georgia Medical Center Gainesville compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 3 of 8 measures
3 better, 4 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 11 measures
1 better, 8 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
70%
Lower than 53% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Penalized
Among the worst-performing 25% of US hospitals
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.97
Higher than 54% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
232 min
Higher than 92% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
43%
Lower than 89% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 3 of 8 measures | |
| Readmissions | Worse on 2 of 11 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 70% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 232 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 43% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Northeast Georgia Medical Center Gainesville's inpatient payments for its readmissions, quality and cost results.
-0.19% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.95% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Northeast Georgia Medical Center Gainesville, beside the US median and the average of GA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 32 cases | 4.2 | 4.1 | 4.655 | Worse than 53% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 9,490 cases | 3.5 | 3.9 | 4.079 | Better than 74% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 661 cases | 13 | 11.8 | 12.11 | Worse than 84% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 248 cases | 3 | 2.3 | 2.575 | Worse than 79% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 371 cases | 7.6 | 8.5 | 8.691 | Better than 74% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 1,157 cases | 12.4 | 11 | 10.84 | Worse than 76% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 1,248 cases | 16.4 | 15.2 | 15.21 | Worse than 68% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 1,054 cases | 11.3 | 11.6 | 12.45 | Better than 55% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 15,310 cases | 0.85 | 0.51 | 0.6821 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 274 cases | 189 | 173 | 176 | No Different Than the National Rate | Worse than 75% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 16,640 cases | 0.29 | 0.2 | 0.2173 | No Different Than the National Rate | Worse than 92% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 17,188 cases | 0.37 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 97% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 4,760 cases | 3 | 2.29 | 2.356 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 1,741 cases | 1.62 | 1.63 | 1.796 | No Different Than the National Rate | Better than 55% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 1,716 cases | 7.05 | 8.88 | 10.26 | No Different Than the National Rate | Better than 84% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 4,552 cases | 4.02 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 82% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 1,435 cases | 3.23 | 5.105 | 5.77 | No Different Than the National Rate | Better than 98% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 1,143 cases | 1.57 | 1.72 | 1.743 | No Different Than the National Rate | Better than 90% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 3,238 cases | 0.8 | 1.02 | 1.073 | No Different Than the National Rate | Better than 93% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 671 cases | 0.9 | 4.2 | 5.306 | Better than 56% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 1,322 cases | 16.4 | 1.25 | 12.52 | Worse than 70% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 1,340 cases | 18.2 | 3.85 | 12.69 | Worse than 70% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 1,418 cases | 12.7 | 12.9 | 12.97 | No Different Than the National Rate | Better than 63% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 129 cases | 10.4 | 10.7 | 10.62 | No Different Than the National Rate | Better than 57% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 129 cases | 4.8 | 5.3 | 5.229 | No Different Than the National Rate | Better than 80% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 2,021 cases | 1.1 | 1 | 0.9723 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,024 cases | 12.9 | 14.4 | 14.35 | Better than 96% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 335 cases | 10.6 | 10.9 | 11.83 | Better than 57% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 733 cases | 18.4 | 19.8 | 19.84 | Better than 96% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 1,787 cases | 20.2 | 21.3 | 21.19 | Better than 83% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 34 cases | 5.4 | 5.8 | 5.927 | Better than 71% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 2,001 cases | 16.5 | 17.2 | 17.41 | Better than 80% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.178 | 0.172 | 0.2721 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.535 | 1.504 | 1.762 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 42,057 | 1,370 | 5,571 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 40.51 | 0.9835 | 5.825 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 13 | 0 | 3.568 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.321 | 0.484 | 0.619 | Better than the National Benchmark | Better than 64% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.115 | 0.138 | 0.1792 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.432 | 1.392 | 1.515 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 31,820 | 1,799 | 4,621 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 38.23 | 1.377 | 6.01 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 9 | 0 | 2.317 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.235 | 0.399 | 0.3748 | Better than the National Benchmark | Better than 64% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.713 | 0.2345 | 0.4352 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.685 | 2.135 | 2.519 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 681 | 61 | 136 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 18.73 | 1.591 | 3.769 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 21 | 1 | 3.756 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 1.121 | 0.7155 | 0.9605 | No Different than National Benchmark | Worse than 73% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.625 | 0.211 | 0.4781 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 4.741 | 3.068 | 3.862 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 240 | 38 | 143 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 2.035 | 0.328 | 1.256 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 4 | 0 | 1.77 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 1.966 | 0.812 | 1.373 | No Different than National Benchmark | Worse than 85% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 1.064 | 0.193 | 0.2796 | Worse than the National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.303 | 1.855 | 1.919 | Worse than the National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 249,473 | 14,451 | 48,840 | Worse than the National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 16.3 | 0.567 | 3.385 | Worse than the National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 26 | 0 | 2.336 | Worse than the National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 1.595 | 0.597 | 0.6352 | Worse than the National Benchmark | Worse than 94% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.237 | 0.127 | 0.1286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.457 | 0.747 | 1.104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 228,162 | 13,646 | 44,552 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 108 | 5.683 | 23.39 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 36 | 2 | 6.1 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.334 | 0.279 | 0.2745 | Better than the National Benchmark | Worse than 58% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 3,413 cases | 63 | 73 | 72.27 | Worse than 87% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 3,413 cases | 16 | 8 | 9.85 | Worse than 92% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 3,413 cases | 21 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 81 | 87 | 85.97 | Worse than 87% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 2 | 4 | 3.301 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 3,413 cases | 74 | 80 | 78.79 | Worse than 82% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 89 | 91 | 90.82 | Worse than 79% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,413 cases | 6 | 4 | 4.903 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 2 | 3 | 3.204 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 3,413 cases | 20 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 3,413 cases | 76 | 79 | 79.46 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 90 | 91 | 90.77 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 3,413 cases | 7 | 5 | 5.717 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 3 | 3 | 3.075 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 3,413 cases | 17 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 3,413 cases | 54 | 61 | 60.14 | Worse than 87% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 73 | 77 | 75.68 | Worse than 78% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 3,413 cases | 25 | 19 | 21.5 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 3,413 cases | 21 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 85 | 86 | 84.09 | Worse than 57% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 3,413 cases | 15 | 13 | 14.95 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 3 | 3 | 2.935 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 3,413 cases | 85 | 87 | 85.05 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,413 cases | 17 | 14 | 17.13 | Worse than 68% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 3,413 cases | 83 | 86 | 82.87 | Worse than 68% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,413 cases | 71 | 74 | 74.33 | Worse than 68% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,413 cases | 8 | 7 | 7.087 | Worse than 63% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,413 cases | 21 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 3,413 cases | 74 | 77 | 77.43 | Worse than 70% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,413 cases | 8 | 6 | 6.146 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 3,413 cases | 18 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,413 cases | 82 | 85 | 85.2 | Worse than 74% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,413 cases | 5 | 3 | 3.728 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,413 cases | 13 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 3,413 cases | 12 | 8 | 8.69 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 3,413 cases | 19 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 3,413 cases | 69 | 72 | 71.31 | Worse than 60% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 87 | 88 | 87.94 | Worse than 58% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 3 | 3 | 3.269 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 3,413 cases | 68 | 74 | 73.43 | Worse than 86% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 3,413 cases | 14 | 9 | 10.45 | Worse than 87% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 3,413 cases | 18 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 3,413 cases | 71 | 75 | 74.03 | Worse than 74% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 3,413 cases | 8 | 5 | 6.592 | Worse than 78% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 3,413 cases | 21 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 3,413 cases | 72 | 77 | 75.78 | Worse than 76% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 3,413 cases | 6 | 4 | 5.34 | Worse than 71% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 3,413 cases | 22 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,413 cases | 79 | 86 | 84.54 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,413 cases | 4 | 3 | 3.437 | Worse than 72% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 3,413 cases | 17 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 3,413 cases | 52 | 59 | 63.8 | Worse than 74% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 3,413 cases | 16 | 9 | 8.469 | Worse than 83% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 3,413 cases | 32 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 77 | 82 | 83.87 | Worse than 76% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 2 | 3 | 3.774 | Worse than 76% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 3,413 cases | 7 | 5 | 6.124 | Worse than 67% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 3,413 cases | 70 | 71 | 70.88 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 3,413 cases | 86 | 87 | 87.15 | Worse than 58% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 3,413 cases | 23 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 3,413 cases | 3 | 4 | 3.602 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 3,413 cases | 41 | 47 | 46.49 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 3,413 cases | 37 | 30 | 32.79 | Worse than 83% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 3,413 cases | 22 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 3,413 cases | 3 | 3 | 3.151 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,413 cases | 13 | 12 | 13.65 | Worse than 52% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 3,413 cases | 87 | 88 | 86.35 | Worse than 52% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | very high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.667 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.08 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 9,730 cases | 90 | 79 | 71.13 | Better than 71% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 497 cases | 234 | 154 | 175 | Worse than 91% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 473 cases | 232 | 148 | 169 | Worse than 92% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 19 cases | 262 | 247 | 348 | Worse than 55% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 334 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 149,014 cases | 1 | 1 | 1.759 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 47 cases | 57 | 74 | 71.14 | Worse than 79% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 270 cases | 96 | 97 | 90.05 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 · 189 cases | 65 | 53 | 63.25 | Better than 74% of US hospitals | |
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 12,958 cases | 19 | 15 | 16.89 | Worse than 80% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 476 cases | 43 | 65 | 58.96 | Worse than 89% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 153 cases | 61 | 73 | 70.15 | Worse than 75% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 82 cases | 94 | 88 | 83.53 | Better than 69% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 477 cases | 64 | 82 | 77.15 | Worse than 93% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 236 cases | 90 | 94 | 90.02 | Worse than 72% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 · 894 cases | 94 | 98 | 96.72 | Worse than 83% of US hospitals | |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 764 cases | 94 | 94 | 92.46 | Worse than 46% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 83.63 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 5,569 cases | 93 | 97 | 95.53 | Worse than 73% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 7.7 | 5 | 5.623 | Worse than 75% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 10 | 6.6 | 6.411 | Worse than 82% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.96 | 0.99 | 0.9648 | Better than 63% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 83 cases | 55.4 | 60.8 | 52.96 | Worse than 64% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 83 cases | 27.7 | 35.5 | 30.16 | Worse than 75% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 14,989 cases | 0.05 | 0.05 | 0.1041 | Worse than 49% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 14,989 cases | 0.04 | 0.03 | 0.08615 | Better than 53% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 363 cases | 96 | 87 | 68.37 | Better than 75% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 · 102 cases | 73.5 | 78.1 | 70.53 | Worse than 69% of US hospitals | |
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 145 cases | 18.6 | 19.1 | 19.96 | No Different Than the National Rate | Better than 57% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 432 cases | 93 | 92 | 78.85 | Better than 53% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 177 cases | 80 | 74 | 57.9 | Better than 56% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 175 cases | 79 | 81 | 71.62 | Worse than 52% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 362 cases | 99 | 77 | 54.17 | Better than 87% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 362 cases | 99 | 56 | 44.17 | Better than 92% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 281 cases | 81 | 64 | 52.9 | Better than 67% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 281 cases | 13 | 4 | 25.84 | Better than 64% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 843 cases | 64 | 77 | 63.23 | Worse than 60% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 6.667 | 20 | 20.96 | Worse than 79% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.667 | 5 | 5.347 | Worse than 79% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 10 | 10 | 26.92 | Better than 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 2.5 | 2.5 | 7.03 | Worse than 44% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 19 | 34 | 36.51 | Worse than 80% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 4.75 | 8.75 | 9.439 | Worse than 81% of US hospitals | |
| VBP safety domain scoreFY 2026 | 25 | 40 | 38.57 | Worse than 78% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 6.25 | 10 | 9.691 | Worse than 78% of US hospitals | |
| VBP total performance scoreFY 2026 | 15.17 | 29.5 | 31.07 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 62 | 65 | 66 | 35 | 23.33 | 6.667 |
| VBP clinical outcomes weighted domain score | 15.5 | 16.25 | 16.5 | 8.75 | 5.833 | 1.667 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 30 | 10 | 20 | 10 |
| VBP efficiency and cost reduction weighted domain score | 7.5 | Not Available | 7.5 | 2.5 | 5 | 2.5 |
| VBP person and community engagement domain score | 14 | Not Available | Not Available | 8 | 7 | 19 |
| VBP person and community engagement weighted domain score | 3.5 | Not Available | Not Available | 2 | 1.75 | 4.75 |
| VBP safety domain score | 22 | Not Available | Not Available | 12 | 4 | 25 |
| VBP safety weighted domain score | 5.5 | Not Available | Not Available | 3 | 1 | 6.25 |
| VBP total performance score | 32 | Not Available | Not Available | 16.25 | 13.58 | 15.17 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 695 cases | 0.8904 | 0.9995 | 1.003 | Better than 95% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 · 263 cases | 1.067 | 1 | 1.027 | Worse than 77% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 448 cases | 0.9485 | 0.9969 | 1.012 | Better than 90% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 1,417 cases | 0.9863 | 0.9983 | 1.011 | Better than 59% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.053 | 0.9916 | 1.024 | Worse than 67% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 1,222 cases | 0.9559 | 0.9955 | 1.009 | Better than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9413 | 0.9712 | 0.9316 | 0.9246 | 0.8373 | 0.8904 |
| READM-30-CABG-HRRP | 1.157 | 1.207 | 1.066 | 1.042 | 1.144 | 1.067 |
| READM-30-COPD-HRRP | 1.038 | 1.057 | 1.053 | 0.9773 | 0.9687 | 0.9485 |
| READM-30-HF-HRRP | 0.8933 | 0.9025 | 0.8875 | 0.9319 | 0.9473 | 0.9863 |
| READM-30-HIP-KNEE-HRRP | 0.9791 | 0.8834 | 1.025 | 1.076 | 1.158 | 1.053 |
| READM-30-PN-HRRP | 1.024 | 1.018 | 1.018 | 0.9489 | 0.9518 | 0.9559 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.822 | 0.489 | 0.6612 | Worse than 78% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.643 | 0.346 | 0.3286 | Worse than 84% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.552 | 0.559 | 0.6574 | Better than 51% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | Yes | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 1.374 | 0.6405 | 0.8117 | Worse than 89% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9712 | 0.9628 | 1.068 | Worse than 54% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.935 | 0.7945 | 1.054 | Worse than 60% of US hospitals | |
| Total HAC scoreFY 2026 | 0.5006 | -0.0453 | 0.04361 | Worse than 80% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | Yes | Yes |
| Total HAC score | -0.0891 | 0.0165 | 0 | 0.1891 | 0.5317 | 0.5006 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
DNV (since 2026)
Accreditation
Limited
Medical school affiliation
Other
Ownership type
865
Medicare-certified beds
2,232
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Northeast Georgia Medical Center Gainesville reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
39,137
Inpatient discharges
Medicare 23%, Medicaid 7%
227,618
Inpatient days
84% of available bed days used
5,435
Employees (full-time equivalent)
213
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 831139). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Northeast Georgia Medical Center Gainesville reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 50,236 | 16,383 | 160,999 | 227,618 |
| Discharges | 9,017 | 2,594 | 27,526 | 39,137 |
| Average length of stay | 5.6 days | 6.3 days | 5.8 days | 5.8 days |
| Average daily census | 137.6 | 44.9 | 441.1 | 623.6 |
72,064
Medicare Advantage days
10,764 discharges
24,566
Medicaid managed care days
4,117 discharges
36,721
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 590 | 170,072 | 43,460 | 79% |
| Intensive care unit | 128 | 36,870 | 6,776 | 79% |
| Other special care | 24 | 5,557 | 63% | |
| Nursery | 15,119 | |||
| Subprovider - ipf | 54 | 14,324 | 702 | 73% |
| Subprovider - irf | 16 | 4,986 | 2,303 | 85% |
| Skilled nursing facility | 252 | 67,323 | 2,886 | 73% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831139, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Northeast Georgia Medical Center Gainesville treats Medicare patients for most often, in 2024. 7,885 Medicare discharges in 188 published DRGs; 30% surgical; 71% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 437 | $101,618 | $14,858 | $18,393 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 382 | $52,081 | $10,144 | $9,427 | 1.28 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 265 | $64,034 | $10,026 | $11,590 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 198 | $77,469 | $12,519 | $14,022 | 1.70 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 168 | $132,053 | $15,827 | $23,902 | 2.07 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 148 | $41,074 | $6,334 | $7,434 | 0.81 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 133 | $39,255 | $6,287 | $7,105 | 0.79 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 126 | $55,313 | $9,062 | $10,012 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 122 | $40,663 | $6,867 | $7,360 | 0.90 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 119 | $54,180 | $7,513 | $9,807 | 1.02 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 117 | $52,076 | $7,415 | $9,426 | 0.98 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 116 | $94,721 | $15,612 | $17,144 | 2.00 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 109 | $86,328 | $13,030 | $15,625 | 1.59 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 104 | $59,675 | $10,368 | $10,801 | 1.32 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 102 | $47,151 | $9,816 | $8,534 | 1.23 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 102 | $201,317 | $25,165 | $36,438 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 100 | $312,365 | $38,155 | $56,538 | 4.88 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 98 | $45,682 | $8,980 | $8,268 | 1.10 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 96 | $124,121 | $15,694 | $22,466 | 2.11 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 95 | $76,957 | $12,463 | $13,929 | 1.65 |
See all 188 Medicare inpatient DRGs at Northeast Georgia Medical Center Gainesville
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Northeast Georgia Medical Center Gainesville billed Medicare for most in 2024: 8,327 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 2,366 | 2,142 | $24,165 | $1,945 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 485 | 480 | $28,797 | $2,087 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 480 | 475 | $56,187 | $4,058 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 446 | 419 | $14,238 | $1,142 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 333 | 321 | $106,615 | $10,030 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 317 | 289 | $54,571 | $3,652 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 296 | 272 | $29,583 | $2,267 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 280 | 249 | $17,848 | $1,371 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 273 | 266 | $76,908 | $5,159 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 256 | 156 | $19,501 | $1,466 | $1,516 |
See all 46 Medicare outpatient services at Northeast Georgia Medical Center Gainesville
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Northeast Georgia Medical Center Gainesville in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 17,315 in 2020 to 19,153 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 30506 | 1,542 | 8% | 9,450 | $178M | 70% | 79% |
| 30542 | 1,059 | 6% | 6,386 | $116.6M | 80% | 85% |
| 30528 | 1,024 | 5% | 6,219 | $137M | 78% | 87% |
| 30548 | 1,001 | 5% | 5,570 | $115.2M | 75% | 80% |
| 30501 | 957 | 5% | 6,303 | $107.8M | 90% | 96% |
| 30680 | 861 | 4% | 5,276 | $100.7M | 40% | 41% |
| 30507 | 800 | 4% | 5,091 | $92.1M | 93% | 97% |
| 30533 | 747 | 4% | 4,860 | $92M | 53% | 67% |
| 30504 | 721 | 4% | 4,949 | $91.5M | 89% | 93% |
| 30519 | 652 | 3% | 3,660 | $70.1M | 52% | 52% |
| 30577 | 637 | 3% | 4,418 | $98.7M | 56% | 37% |
| 30534 | 455 | 2% | 2,971 | $57.5M | 26% | 34% |
| 30549 | 455 | 2% | 2,659 | $53.8M | 35% | 38% |
| 30523 | 439 | 2% | 2,878 | $63.8M | 65% | 67% |
| 30512 | 421 | 2% | 2,605 | $69.2M | 35% | 25% |
| 30517 | 388 | 2% | 2,363 | $44.1M | 88% | 92% |
| 30554 | 376 | 2% | 2,619 | $47.4M | 93% | 97% |
| 30531 | 373 | 2% | 2,599 | $50.4M | 69% | 77% |
| 30518 | 352 | 2% | 2,190 | $40.5M | 24% | 28% |
| 30019 | 346 | 2% | 2,138 | $41.7M | 26% | 27% |
| 30011 | 333 | 2% | 1,829 | $36.8M | 51% | 57% |
| 30525 | 320 | 2% | 1,894 | $39.6M | 77% | 64% |
| 30566 | 312 | 2% | 2,283 | $36M | 100% | 97% |
| 30535 | 286 | 1% | 1,739 | $33.1M | 70% | 64% |
| 30510 | 232 | 1% | 1,511 | $30.3M | 77% | 81% |
Source: CMS Hospital Service Area file. Shares are of the 19,153 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Northeast Georgia Medical Center Gainesville reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
31
Operating rooms
6
Endoscopy rooms
7
Cardiac catheterization rooms
54
Psychiatric unit beds
25
Rehabilitation unit beds
34
Off-site locations
2,232
Registered nurses
75
Licensed practical nurses
232
Resident physicians
57
Pharmacists
113
Respiratory therapists
53
Physical therapists
31
Occupational therapists
17
Speech pathologists and audiologists
181
Radiology technicians
20
Nuclear medicine technicians
27
Laboratory technicians
63
Medical technologists
15
Dietitians
15
Social workers
2,787
Other personnel
Source: CMS Provider of Services file.
1,688 clinicians who bill Medicare list Northeast Georgia Medical Center Gainesville as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Naseem Saadia, M.D
Infectious Disease Physician
NPI 1346512464
See commercial rates for Naseem Saadia, M.DBrent Flickinger, MD
Rheumatology Physician
NPI 1902914872
See commercial rates for Brent Flickinger, MDMarta Bognar, M.D.
Rheumatology Physician
NPI 1336102425
See commercial rates for Marta Bognar, M.D.Tracy Lovell, M.D.
Rheumatology Physician
NPI 1821066952
See commercial rates for Tracy Lovell, M.D.Jeffrey Thomas, M.D.
Hematology & Oncology Physician
NPI 1811935778
See commercial rates for Jeffrey Thomas, M.D.Cynthia Shepherd, MD
Hematology & Oncology Physician
NPI 1730236688
See commercial rates for Cynthia Shepherd, MDAndrew Johnson, M.D.
Medical Oncology Physician
NPI 1497045553
See commercial rates for Andrew Johnson, M.D.Jonathan Friedman, M.D.
Diagnostic Radiology Physician
NPI 1639598519
See commercial rates for Jonathan Friedman, M.D.John Gianini, MD
Diagnostic Radiology Physician
NPI 1003905290
See commercial rates for John Gianini, MDPetros Nikolinakos, M.D.
Hematology & Oncology Physician
NPI 1306041900
See commercial rates for Petros Nikolinakos, M.D.Alexander Bottini, MD
Retina Specialist (Ophthalmology) Physician
NPI 1033505086
See commercial rates for Alexander Bottini, MDJames Splichal, M.D.
Hematology & Oncology Physician
NPI 1588619142
See commercial rates for James Splichal, M.D.John Carroll, MD
Diagnostic Radiology Physician
NPI 1578507588
See commercial rates for John Carroll, MDCraig Roberto, M.D.
Diagnostic Radiology Physician
NPI 1619037025
See commercial rates for Craig Roberto, M.D.Yashswee Kc, MD
Rheumatology Physician
NPI 1093202343
See commercial rates for Yashswee Kc, MDHuma Sohail, MD
Rheumatology Physician
NPI 1053527275
See commercial rates for Huma Sohail, MDStephen Sevigny, M.D.
Diagnostic Radiology Physician
NPI 1326082975
See commercial rates for Stephen Sevigny, M.D.David Turetsky, MD
Vascular & Interventional Radiology Physician
NPI 1093759599
See commercial rates for David Turetsky, MDRoy Siragusa, M.D.
Vascular & Interventional Radiology Physician
NPI 1114960200
See commercial rates for Roy Siragusa, M.D.Venumadhav Kotla, M.D.
Medical Oncology Physician
NPI 1194983122
See commercial rates for Venumadhav Kotla, M.D.Devi Sampat, MD
Medical Oncology Physician
NPI 1104212778
See commercial rates for Devi Sampat, MDMegan Smith, DO
Cardiovascular Disease Physician
NPI 1366838724
See commercial rates for Megan Smith, DOBrent Sharpe, M.D.
Urology Physician
NPI 1821041476
See commercial rates for Brent Sharpe, M.D.John Tonkin, M.D.
Vascular & Interventional Radiology Physician
NPI 1093750820
See commercial rates for John Tonkin, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Northeast Georgia Medical Center Gainesville reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $9B | 471.2% |
| Inpatient | $4.8B | 252.0% |
| Outpatient | $4.2B | 219.2% |
| Contractual allowances and discounts | -$7.1B | -371.2% |
| Net patient revenue | $1.9B | 100.0% |
| Operating expenses | -$1.8B | -94.5% |
| Operating income from patient care | $103.9M | 5.5% |
| Other income | $135M | 7.1% |
| Contributions and donations | $2.8M | 0.1% |
| Investment income | $61M | 3.2% |
| Government appropriations | $3.9M | 0.2% |
| Other | $67.3M | 3.5% |
| Net income | $238.9M | 12.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $1.7B | 19.3% |
| Medicaid (including managed care) | $664.9M | 7.4% |
| Other payers and self-pay | $6.5B | 73.2% |
| Total charges | $8.9B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831139, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Northeast Georgia Medical Center Gainesville's latest cost report.
5.5%
Operating margin
Operating income from patient care / net patient revenue
11.7%
Total margin
Net income / net patient revenue plus other income
15.1%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
43% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$43.59
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
7.0%
Return on assets
Net income for a year / total assets
14.1%
Return on equity
Net income for a year / fund balance
0.85
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
3.11
Current ratio
Current assets / current liabilities
2.65
Quick ratio
Cash, temporary investments and net receivables / current liabilities
103 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
39 days
Days in patient receivables
Net patient receivables / daily net patient revenue
55 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.60
Asset turnover
Total revenue for a year / total assets
14.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 831139, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Northeast Georgia Medical Center Gainesville owned and owed at the end of its reporting period (Sep 2025), across all fund types: $3.4B in total assets and a $1.7B fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $486.7M | 14.2% |
| Patient receivables, net | $204.4M | 6.0% |
| Inventory | $18M | 0.5% |
| Total current assets | $811.6M | 23.7% |
| Property and equipment, net of depreciation | $1.3B | 39.1% |
| Investments and other assets | $1.3B | 37.2% |
| Total assets | $3.4B | 100.0% |
| Current liabilities | $260.7M | 7.6% |
| Long-term debt | $1.4B | 42.1% |
| Total liabilities | $1.7B | 50.4% |
| Fund balance (net assets) | $1.7B | 49.6% |
Source: CMS cost report (HCRIS, Form 2552-10), report 831139, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Northeast Georgia Medical Center Gainesville provided without full payment, as reported on Worksheet S-10 of its cost report.
$89.2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$126.7M
Bad debt
Patient bills written off as uncollectible, at charges
$32.2M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$110.2M
Total unreimbursed and uncompensated care
6.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 831139, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Northeast Georgia Medical Center Gainesville's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $1.1B | $1.5B | $1.5B | $1.7B | $1.8B | $1.9B |
| Operating expenses | $1.1B | $1.4B | $1.5B | $1.6B | $1.6B | $1.8B |
| Operating margin | -0.5% | 7.7% | 4.4% | 9.3% | 10.0% | 5.5% |
| Net income | $25.6M | $363.5M | $57.3M | $382.7M | $437.3M | $238.9M |
| Total assets | $1.9B | $2.5B | $2.4B | $2.8B | $3.3B | $3.4B |
| Discharges | 34,201 | 37,182 | 36,461 | 37,287 | 38,709 | 39,137 |
| Inpatient days | 183,370 | 212,494 | 217,256 | 222,981 | 232,915 | 227,618 |
| Medicare Advantage days | 41,620 | 55,285 | 59,823 | 63,401 | 66,550 | 72,064 |
| Beds | 901 | 994 | 982 | 994 | 709 | 1,071 |
| Employees (FTE) | 5,227 | 5,321 | 5,254 | 5,769 | 5,359 | 5,435 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831139, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Northeast Georgia Medical Center Gainesville reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $52.7M | $169.4M | $1.2B | 0.14 | 185,319 |
| Impl. dev. charged to patients | $136.7M | $665.4M | 0.21 | ||
| Drugs charged to patients | $121.6M | $1.2B | 0.10 | ||
| Medical supplies charged to patient | $107.5M | $687.7M | 0.16 | ||
| Electrocardiology | $22M | $75.6M | $675.7M | 0.11 | 74,690 |
| Laboratory | $14.2M | $67M | $803.5M | 0.08 | 25,859 |
| Emergency | $25.5M | $65.3M | $534.2M | 0.12 | 88,754 |
| Radiology-diagnostic | $16M | $54.5M | $393.2M | 0.14 | 89,741 |
| Observation beds (non-distinct part | $47.4M | $104.8M | 0.45 | ||
| Physical therapy | $18.3M | $34.3M | $74.1M | 0.46 | 34,762 |
| Delivery room & labor room | $13.3M | $29.5M | $98.9M | 0.30 | 46,358 |
| Respiratory therapy | $15.6M | $29.1M | $229.8M | 0.13 | 7,762 |
| Radiology-therapeutic | $7.3M | $22M | $237.1M | 0.09 | 37,667 |
| Observation beds (distinct part) | $6.9M | $15.6M | $43.4M | 0.36 | 30,626 |
| Ct scan | $4.4M | $15M | $448.1M | 0.03 | 11,684 |
| New horizons lanier park (snf) | $6.5M | $11.1M | |||
| Mri | $2.9M | $8.6M | $123.9M | 0.07 | 13,952 |
| Anesthesiology | $2M | $6.7M | $400.7M | 0.02 | 3,998 |
| Renal dialysis | $3.1M | $6.3M | $58.8M | 0.11 | 5,444 |
| Electroencephalography | $1.5M | $6.2M | $23.3M | 0.27 | 11,548 |
| Wound care clinic | $1.4M | $3.7M | $11.2M | 0.33 | 7,487 |
| Diabetic education | $1.1M | $2.2M | $266,151 | 8.33 | 2,283 |
| Partial hospitalization program | $297,180 | $797,912 | $3.9M | 0.20 | 3,198 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $114M | $266.8M | $467.6M | 0.57 | 410,681 |
| Intensive care unit | $43M | $93.5M | $215.2M | 0.43 | 114,523 |
| Skilled nursing facility | $5.1M | $31.4M | $25.1M | 1.25 | |
| Subprovider - ipf | $11.5M | $24.5M | $41.3M | 0.59 | 35,015 |
| Nursery | $18.1M | $33.2M | 0.54 | 25,318 | |
| Neonatal intensive care unit | $12M | $15.4M | $37.8M | 0.41 | 14,256 |
| Subprovider - irf | $2.8M | $5.9M | $10.1M | 0.59 | 7,897 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative and general (other) | $90.4M | $255.6M | 144,795 | ||
| Central services & supply | $7M | $53.2M | 254,204 | $27.31 | 44,206 |
| Cap rel costs-mvble equip | $45.7M | ||||
| Maintenance & repairs | $5.9M | $40M | 4,184 | $71.89 | 731,157 |
| Cashiering/accounts receivable | $34.5M | ||||
| Nursing administration | $25M | $28.9M | 492,347 | $35.31 | 19,134 |
| Cap rel costs-bldg & fixt | $28M | 2,383,028 | |||
| Employee benefits department | $2.9M | $21.3M | 31,992 | $45.46 | 7,677 |
| Pharmacy | $15.5M | $21.2M | 306,542 | $50.98 | 25,737 |
| Housekeeping | $20.9M | 18,740 | |||
| I&r services-salary & fringes apprv | $19.6M | ||||
| Operation of plant | $19.5M | ||||
| Cafeteria | $898,705 | $15.6M | 445,260 | $23.47 | 17,122 |
| Admitting | $10.2M | $13M | 9,748 | ||
| I&r services-other prgm costs apprv | $25M | $6.9M | |||
| Dietary | $12.2M | $5.8M | 111,369 | $24.33 | 51,030 |
| Dietary mgmt svcs | $2.9M | ||||
| Laundry & linen service | $2.1M | 5,734 | |||
| Pastoral care program | $103,200 | $250,858 | 121 | ||
| Pharmacy residency program | $97,620 | $122,791 | 337 | ||
| Purchasing receiving and stores | $53,475 | $75,169 |
Source: CMS cost report (HCRIS, Form 2552-10), report 831139, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Northeast Georgia Medical Center Gainesville for an inpatient stay.
2.07
Case mix index
Higher than 82% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.31 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
23.2%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
8,993
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.93 | 1.93 | 2.03 | 2.04 | 2.01 | 2.03 | 2.07 |
| Wage index | 0.919 | 0.930 | 0.919 | 0.954 | 0.957 | 0.939 | 0.998 |
| Readmissions adjustment | -0.71% | -0.94% | -1.04% | -0.37% | -0.16% | -0.46% | -0.19% |
| Value-based purchasing adjustment | +0.12% | +0.05% | +0.05% | -0.67% | -0.46% | -0.78% | -0.95% |
| Medicare inpatient stays | 11,127 | 11,127 | 10,187 | 9,512 | 9,090 | 8,995 | 8,993 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Northeast Georgia Medical Center Gainesville's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 12 of 13 are shown.
Northeast Georgia Medical Center Inc files the Form 990 for the tax ID insurers list for Northeast Georgia Medical Center Gainesville, so these people may lead the wider organization rather than Northeast Georgia Medical Center Gainesville alone.
| Name | Title |
|---|---|
| Carol Burrell | President & CEO (ended 5/25) |
| Brian D Steines | Chief Financial Officer |
| John Kueven | Chief Operating Officer, Member |
| Vikram Reddy | Chief Clinical Officer - Nghs, Physician |
| Melissa Tymchuk | Chief Of Staff & Strategy Officer - Nghs |
| John A Williamson | President Ngmc Braselton |
| John Delzell Jr | VP Medical Education - Ngmc |
| Diane Poirot | Chief Hr Officer - Nghs |
| Stuart Downs | Chief Nursing Executive |
| Stephen Kelly | Chief Compliance Officer |
| Matt Hanley | President & CEO (begin 3/25) |
Board members: Jeremy Walker, Pete Williams, Andrew Davenport, Camille Viera-Hewell, Jenny Floyd, Martha Randolph, Semuel Maysonet, Stephen Samuel, Trey Mcphaul.
Source: IRS Form 990 Part VII filed by Northeast Georgia Medical Center Inc (EIN 58-1694098), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Participating since 2016
340B ID RRC110029-00, registered as a rural referral center; 40 registered outpatient sites. Authorizing official: Brian Steines, Chief Financial Officer.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Helipad
Nghs Gainesville
FAA location ID 74GE, a medical-use heliport 0.1 mi from the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Ngmc psych
CCN 11S029, certified 1983, Medicare prospective payment
Ngmc rehab
CCN 11T029, certified 1990, Medicare prospective payment
New horizons north
CCN 115487, certified 1989, Medicare prospective payment
Hospice of northeast ga medical ctr
CCN 111514, certified 1986
Source: Worksheet S-2 Part I of Northeast Georgia Medical Center Gainesville's latest Medicare cost report (HCRIS).
About Northeast Georgia Medical Center Gainesville's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northeast Georgia Medical Center Gainesville range from $348 to $606 across 4 insurers. Blue Cross Blue Shield's rate is $525. The median at nearby comparable hospitals is $928. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Northeast Georgia Medical Center Gainesville range from $2,284 to $17,021 across 4 insurers. Blue Cross Blue Shield's rate is $17,021. The median at nearby comparable hospitals is $3,677. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Northeast Georgia Medical Center Gainesville range from $7,433 to $19,487 across 4 insurers. Cigna's rate is $11,934. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northeast Georgia Medical Center Gainesville range from $170 to $532 across 3 insurers. Aetna's rate is $170. The median at nearby comparable hospitals is $185. What a patient pays depends on their plan's deductible, coinsurance and network status.
Northeast Georgia Medical Center Gainesville 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.
Yes. CMS counts 0.31 Medicare-funded residents per bed at Northeast Georgia Medical Center Gainesville for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northeast Georgia Medical Center Gainesville's base inpatient payments by an estimated 0.19% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (437 discharges), heart failure and shock with mcc (382 discharges), simple pneumonia and pleurisy with mcc (265 discharges).
Northeast Georgia Medical Center Gainesville's Medicare case mix index is 2.07 for fiscal year 2027, higher than 82% of hospitals paid under the inpatient prospective payment system.
Northeast Georgia Medical Center Gainesville reported 39,137 inpatient discharges and 227,618 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Northeast Georgia Medical Center Gainesville reported 5,435 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Northeast Georgia Medical Center Gainesville reported $1.9B in net patient revenue on $9B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 5.5%, and net income of $238.9M.
Northeast Georgia Medical Center Gainesville reported $110.2M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $89.2M of charity care at cost.
Northeast Georgia Medical Center Gainesville's Medicare enrollment lists Matthew L Hanley as Chief Executive Officer / President since 2025.
Insurers' price transparency files list Northeast Georgia Medical Center Gainesville under employer identification number 58-1694098 (Northeast Georgia Medical Center INC.). 58 health plans and networks list 58-1694098 for it.
Yes. HRSA's 340B database lists Northeast Georgia Medical Center Gainesville (340B ID RRC110029-00) as a participating rural referral center since 2016.
1,688 clinicians who bill Medicare list Northeast Georgia Medical Center Gainesville as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (154), family medicine physician (151), hospitalist physician (109).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Northeast Georgia Medical Center Gainesville, effective 2026.
CMS lists 29 services at Northeast Georgia Medical Center Gainesville, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Alcohol and/or Drug Service, Anesthesia, Clinical Laboratory, Coronary Care Unit.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Northeast Georgia Medical Center Gainesville came from ZIP codes 30506 (1,542), 30542 (1,059), 30528 (1,024).
Northeast Georgia Medical Center Gainesville has 1,071 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 865 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Northeast Georgia Medical Center Gainesville is located at 743 Spring Street Ne, Gainesville, GA 30501. Its main phone number is (770) 535-3553.
Northeast Georgia Medical Center Gainesville's CMS Certification Number (CCN), also called its Medicare provider number, is 110029.
The National Provider Identifier (NPI) on file for Northeast Georgia Medical Center Gainesville is 1427055821.
Northeast Georgia Medical Center Gainesville is affiliated with Northeast Georgia Health System.
Northeast Georgia Medical Center Gainesville lists 31 in-network payers, including Aetna, Alliant Health Plans, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
368 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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.
What a review covers