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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Northeast Georgia Medical Center Habersham

Demorest, GA

541 Historic Highway 441, Demorest, GA 30535(706) 754-2161

3 of 5

CMS star rating

134

Beds

2,280

Inpatient discharges a year

$90.5M

Net patient revenue a year

25

In-network payers

About this hospital

Northeast Georgia Medical Center Habersham is a 134-bed government - hospital district or authority hospital in Demorest, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 164 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
110041
NPI
1689736282
Website
nghs.com
Teaching
No Medicare-funded residents
County
Habersham County
Metro area
Cornelia, GA MicroSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Northeast Georgia Medical Center Habersham 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

Vaginal delivery, hospital stay

MS-DRG 807

$4,808 - $19,487

from 4 insurers · median $15,672

Cigna$13,576
Insurer A*$4,808
Insurer B*$17,768
Insurer C*$19,487

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$6,837 - $25,801

from 4 insurers · median $20,204

Cigna$14,765
Insurer A*$6,837
Insurer B*$25,642
Insurer C*$25,801

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 obstetrics / child birth services to CMS

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$1,866 - $16,442

from 4 insurers · median $10,312

Blue Cross$16,442
Insurer A*$1,866
Insurer B*$7,734
Insurer C*$12,890
Medicare $1,059Nearby hospitals $4,549127% above nearby hospitals

Common here, based on CMS Medicare volume

Nuclear imaging

PET/CT tumor imaging from skull base to thigh

CPT 78815

$10,515 - $19,348

from 2 insurers · median $14,932

Aetna$10,515
Insurer A*est.$19,348
Medicare $1,265Nearby hospitals $3,699304% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Northeast Georgia Medical Center Habersham

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
748%
53
Insurer B*24
665%
171
Insurer C*23
581%
116
Insurer D*21
105%
018

How we chose these services: 0 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 11 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 Habersham, or start a free trial.

Insurance Accepted

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

Medicare
Aetna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 151 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.24%)
    See quality ratings

  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 26 services
    • 446 affiliated clinicians
    See doctors and services

  • Finances

    $90.5M net patient revenue

    • Operating margin on patient care 14.6%
    • $7.1M unreimbursed and uncompensated care
    • $19M net income
    See finances

  • Ownership and leadership

    Owned by Northeast Georgia Health System

    • Other
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Northeast Georgia Medical Center Habersham in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-6002961Hospital Authority Of Habersham County35United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Aspirus Health Plan, Asuris Northwest Health, Avera Health Plans and 30 more1689736282 The Hospital Authority Of Habersham County1619132990 The Hospital Authority Of Habersham County1801333455 The Hospital Authority Of Habersham Countyand 10 more
92-2451946Habersham County Medical Center Habersham LLC33Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health and 28 more1497456776 Northeast Georgia Medical Center Habersham LLC1740981430 Northeast Georgia Medical Center Habersham LLC1689736282 The Hospital Authority Of Habersham Countyand 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.

Location

541 Historic Highway 441, Demorest, GA 30535

(706) 754-2161

Get directions

Frequently asked questions

About Northeast Georgia Medical Center Habersham's rates and hospital price transparency.

How much does a CT scan cost at Northeast Georgia Medical Center Habersham?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Northeast Georgia Medical Center Habersham range from $325 to $596 across 4 insurers. UnitedHealthcare's rate is $325. The median at nearby comparable hospitals is $1,415. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Northeast Georgia Medical Center Habersham?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Northeast Georgia Medical Center Habersham range from $1,866 to $16,442 across 4 insurers. Blue Cross Blue Shield's rate is $16,442. The median at nearby comparable hospitals is $4,549. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Northeast Georgia Medical Center Habersham?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Northeast Georgia Medical Center Habersham range from $4,808 to $19,487 across 4 insurers. Cigna's rate is $13,576. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Northeast Georgia Medical Center Habersham?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northeast Georgia Medical Center Habersham range from $238 to $532 across 3 insurers. Cigna's rate is $238. The median at nearby comparable hospitals is $178. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Northeast Georgia Medical Center Habersham?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Northeast Georgia Medical Center Habersham range from $13,755 to $56,951 across 4 insurers. Aetna's rate is $55,753. The median at nearby comparable hospitals is $42,941. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Northeast Georgia Medical Center Habersham's CMS star rating?

Northeast Georgia Medical Center Habersham 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 Northeast Georgia Medical Center Habersham a teaching hospital?

CMS reports no Medicare-funded interns or residents at Northeast Georgia Medical Center Habersham for fiscal year 2027.

Does Medicare penalize Northeast Georgia Medical Center Habersham for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northeast Georgia Medical Center Habersham's base inpatient payments by an estimated 0.24% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Northeast Georgia Medical Center Habersham?

In 2024, the most common were heart failure and shock with mcc (36 discharges), simple pneumonia and pleurisy with mcc (33 discharges), kidney and urinary tract infections without mcc (32 discharges).

What is Northeast Georgia Medical Center Habersham's case mix index?

Northeast Georgia Medical Center Habersham's Medicare case mix index is 1.14 for fiscal year 2027, higher than 4% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

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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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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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