Northside Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Northside Hospital, Atlanta, GA in 2024, from traditional Medicare claims. Back to the Northside Hospital profile, with quality ratings, finances and negotiated rates.
2,379
Medicare inpatient discharges
In 85 published DRGs
2.09
Case mix index
IPPS FY 2027
22%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
6,066
Medicare outpatient services
In 50 service groups
Inpatient stays by major diagnostic category
Circulatory system352 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 99 | $82,920 | $14,712 | $17,081 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 45 | $57,910 | $9,678 | $11,930 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 26 | $47,208 | $8,978 | $9,725 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $116,511 | $14,980 | $24,001 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $66,677 | $12,579 | $13,736 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $179,232 | $21,499 | $36,922 | 2.09 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $37,145 | $8,465 | $7,652 | 0.75 |
| Chest painMS-DRG 313, medical | 16 | $43,754 | $8,526 | $9,013 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $75,416 | $10,442 | $15,536 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 15 | $87,810 | $14,816 | $18,089 | 1.58 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 14 | $101,465 | $12,042 | $20,902 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $115,894 | $19,864 | $23,874 | 2.16 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $145,272 | $27,583 | $29,926 | 3.35 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $57,833 | $11,488 | $11,914 | 1.07 |
Infectious and parasitic diseases344 discharges in 4 DRGs
| 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 | 247 | $115,478 | $19,176 | $23,788 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 43 | $54,720 | $10,994 | $11,272 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 39 | $345,850 | $51,726 | $71,245 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $109,869 | $17,572 | $22,633 | 2.04 |
Respiratory system337 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 79 | $103,422 | $17,496 | $21,305 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $67,172 | $12,909 | $13,837 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 51 | $77,054 | $12,662 | $15,873 | 1.23 |
| Major chest procedures with CCMS-DRG 164, surgical | 33 | $165,857 | $21,700 | $34,167 | 2.55 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 30 | $54,294 | $10,511 | $11,185 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $76,853 | $12,830 | $15,832 | 0.82 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 22 | $147,986 | $15,965 | $30,485 | 1.88 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $68,009 | $13,662 | $14,010 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $41,999 | $10,538 | $8,652 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $166,132 | $28,735 | $34,223 | 2.70 |
Musculoskeletal system and connective tissue327 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 55 | $122,056 | $16,797 | $25,144 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 42 | $250,741 | $31,697 | $51,653 | 3.66 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 29 | $336,041 | $48,967 | $69,225 | 6.12 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 27 | $251,678 | $37,895 | $51,846 | 4.61 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 27 | $135,573 | $18,538 | $27,928 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 22 | $131,104 | $18,458 | $27,007 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 22 | $54,014 | $9,823 | $11,127 | 0.97 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 16 | $115,139 | $19,810 | $23,719 | 2.48 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 14 | $162,077 | $20,882 | $33,388 | 2.67 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 14 | $151,415 | $22,581 | $31,191 | 2.96 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 13 | $129,666 | $18,229 | $26,711 | 2.04 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 12 | $160,015 | $18,143 | $32,963 | 2.38 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $38,499 | $9,247 | $7,931 | 0.79 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $218,797 | $27,565 | $45,072 | 3.49 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 11 | $158,570 | $20,712 | $32,665 | 2.46 |
Digestive system310 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 56 | $45,558 | $9,016 | $9,385 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 53 | $57,593 | $10,691 | $11,864 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 29 | $84,926 | $13,473 | $17,495 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 27 | $138,747 | $18,971 | $28,582 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 25 | $134,567 | $18,698 | $27,721 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 20 | $221,395 | $39,054 | $45,607 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 18 | $78,431 | $13,921 | $16,157 | 1.62 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 17 | $83,696 | $15,486 | $17,241 | 1.67 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $53,644 | $9,543 | $11,051 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $80,060 | $10,860 | $16,492 | 0.94 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 13 | $111,671 | $13,585 | $23,004 | 1.60 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $55,868 | $11,240 | $11,509 | 1.04 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $115,303 | $18,400 | $23,752 | 2.10 |
Kidney and urinary tract265 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 50 | $74,727 | $14,367 | $15,394 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $48,811 | $9,141 | $10,055 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 49 | $65,103 | $11,672 | $13,411 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 43 | $86,241 | $15,363 | $17,766 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 36 | $51,991 | $10,309 | $10,710 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $43,487 | $11,243 | $8,958 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $71,552 | $13,296 | $14,740 | 1.35 |
Blood and immune system101 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 37 | $53,104 | $10,322 | $10,939 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 33 | $119,049 | $12,663 | $24,524 | 1.20 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 18 | $164,389 | $24,283 | $33,864 | 2.19 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $345,510 | $51,218 | $71,175 | 1.40 |
Nervous system94 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 27 | $130,944 | $19,420 | $26,974 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 18 | $58,176 | $10,224 | $11,984 | 1.02 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 15 | $121,812 | $24,146 | $25,093 | 2.39 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 12 | $108,368 | $21,143 | $22,324 | 2.43 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 11 | $141,514 | $22,602 | $29,152 | 2.95 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $59,476 | $8,581 | $12,252 | 0.80 |
Endocrine, nutritional and metabolic93 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 39 | $87,271 | $14,637 | $17,978 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 28 | $38,659 | $9,300 | $7,964 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $58,791 | $9,035 | $12,111 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $73,784 | $13,885 | $15,199 | 1.45 |
Blood cancers and poorly differentiated neoplasms68 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute leukemia with MCCMS-DRG 834, medical | 32 | $634,913 | $92,564 | $130,792 | 5.60 |
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 23 | $359,766 | $50,143 | $74,112 | 3.13 |
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 13 | $151,499 | $18,068 | $31,209 | 1.21 |
Skin, subcutaneous tissue and breast44 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 31 | $44,729 | $10,056 | $9,214 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $122,384 | $18,548 | $25,211 | 1.49 |
Liver, gallbladder and pancreas19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 19 | $104,008 | $15,808 | $21,426 | 1.76 |
Factors influencing health status13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $52,846 | $8,665 | $10,886 | 0.80 |
Mental diseases and disorders12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $64,178 | $15,765 | $13,221 | 1.76 |
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.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 902 | 549 | $17,366 | $1,706 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 400 | 375 | $12,072 | $1,154 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 338 | 318 | $15,594 | $1,406 | $1,445 |
| Level 2 Intraocular ProceduresAPC 5492 | 293 | 269 | $24,200 | $2,991 | $3,116 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 239 | 237 | $44,707 | $4,188 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 234 | 225 | $91,732 | $10,474 | $10,772 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 234 | 233 | $78,486 | $7,706 | $8,164 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 218 | 198 | $36,998 | $2,017 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 217 | 190 | $43,771 | $3,260 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 196 | 178 | $16,112 | $1,446 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 164 | 160 | $68,264 | $5,248 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 164 | 159 | $103,953 | $15,625 | $15,763 |
| Level 4 Urology and Related ServicesAPC 5374 | 158 | 141 | $28,586 | $2,559 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 154 | 138 | $20,852 | $2,340 | $2,405 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 151 | 138 | $29,425 | $2,766 | $2,930 |
| Level 1 Endovascular ProceduresAPC 5191 | 149 | 149 | $31,754 | $2,159 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 136 | 134 | $26,456 | $2,008 | $2,090 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 132 | 130 | $163,657 | $20,066 | $21,117 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 130 | 127 | $47,301 | $4,644 | $4,982 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 129 | 125 | $16,935 | $1,699 | $1,780 |
| Level 3 Endovascular ProceduresAPC 5193 | 113 | 103 | $106,675 | $8,493 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 83 | 82 | $30,209 | $2,250 | $2,373 |
| Level 3 Intraocular ProceduresAPC 5493 | 79 | 65 | $29,656 | $3,857 | $4,004 |
| Level 1 Nerve ProceduresAPC 5431 | 71 | 55 | $18,955 | $1,410 | $1,407 |
| Level 4 Airway EndoscopyAPC 5154 | 64 | 62 | $32,092 | $2,769 | $2,833 |
| Level 5 Airway EndoscopyAPC 5155 | 64 | 63 | $44,184 | $5,061 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 63 | 63 | $31,385 | $2,533 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 63 | 63 | $24,086 | $2,269 | $2,389 |
| Level 2 Vascular ProceduresAPC 5182 | 57 | 56 | $14,405 | $1,146 | $1,204 |
| Level 6 Urology and Related ServicesAPC 5376 | 57 | 56 | $49,643 | $6,790 | $7,291 |
| Level 5 ENT ProceduresAPC 5165 | 54 | 51 | $46,961 | $4,248 | $4,436 |
| Level 3 Airway EndoscopyAPC 5153 | 49 | 48 | $20,017 | $1,229 | $1,264 |
| Level 5 Gynecologic ProceduresAPC 5415 | 45 | 44 | $39,276 | $3,674 | $3,792 |
| Level 3 Lower GI ProceduresAPC 5313 | 43 | 42 | $21,871 | $2,076 | $2,176 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 42 | 39 | $55,873 | $6,800 | $7,546 |
| Complex GI ProceduresAPC 5331 | 41 | 37 | $42,884 | $4,210 | $4,263 |
| Level 3 Upper GI ProceduresAPC 5303 | 34 | 33 | $28,941 | $2,832 | $2,888 |
| Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504 | 34 | 33 | $20,750 | $2,853 | $2,969 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 32 | 32 | $68,165 | $18,038 | $18,465 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 29 | $44,755 | $3,932 | $3,946 |
| Level 4 ENT ProceduresAPC 5164 | 25 | 25 | $36,289 | $2,278 | $2,217 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 24 | 24 | $150,808 | $16,410 | $17,052 |
| Cochlear Implant ProcedureAPC 5166 | 23 | 22 | $91,777 | $29,396 | $29,489 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 23 | 23 | $82,168 | $7,905 | $8,569 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 21 | $14,017 | $1,188 | $1,196 |
| Level 2 Urology and Related ServicesAPC 5372 | 21 | 12 | $11,031 | $481 | $502 |
| Level 6 Gynecologic ProceduresAPC 5416 | 21 | 21 | $63,187 | $5,320 | $5,836 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 20 | 20 | $105,013 | $13,954 | $15,549 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 19 | 19 | $37,604 | $6,275 | $6,514 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $47,088 | $4,211 | $4,338 |
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.