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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Northside Hospital Forsyth

Northside Hospital · Cumming, GA

1200 Northside Forsyth Drive, Cumming, GA 30041(770) 844-3200

4 of 5

CMS star rating

420

Beds

19,473

Inpatient discharges a year

$900.3M

Net patient revenue a year

31

In-network payers

About this hospital

Northside Hospital Forsyth is a 420-bed voluntary non-profit - private hospital in Cumming, GA, affiliated with Northside Hospital. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 515 disclosed rate categories.

  • Helipad
CCN
110005
NPI
1376574277
Health system
Northside Hospital
Teaching
No Medicare-funded residents
County
Forsyth County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2024

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Outpatient

CPT Category II Codes

Range: 0001F - 9007F

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very High

Aetna

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very High

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very High

Aetna

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Percentage of Bill Charged

-

Aetna

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Percentage of Bill Charged

-

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

...

Insurance Accepted

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

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAvera Health PlansBanner HealthCenteneGroup Health Cooperative of South Central Wisconsin

More about this hospital

  • Quality

    4 of 5 stars

    • 170 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.01%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 16 services
    • 1,530 affiliated clinicians
    See doctors and services
  • Finances

    $900.3M net patient revenue

    • Operating margin on patient care 1.0%
    • $48.6M unreimbursed and uncompensated care
    • $19M net income
    See finances
  • Ownership and leadership

    Owned by Northside Hospital Inc

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-1954432Northside Hospital56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more1215098405 Northside Hospital Inc.1457396079 Northside Hospital Inc.1376574277 Northside Hospital Inc.and 27 more

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

Location

1200 Northside Forsyth Drive, Cumming, GA 30041

(770) 844-3200

Get directions

Frequently asked questions

About Northside Hospital Forsyth's rates and hospital price transparency.

What is Northside Hospital Forsyth's CMS star rating?

Northside Hospital Forsyth has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Northside Hospital Forsyth a teaching hospital?

CMS reports no Medicare-funded interns or residents at Northside Hospital Forsyth for fiscal year 2027.

Does Medicare penalize Northside Hospital Forsyth for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northside Hospital Forsyth's base inpatient payments by an estimated 0.01% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Northside Hospital Forsyth?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (281 discharges), heart failure and shock with mcc (202 discharges), respiratory infections and inflammations with mcc (138 discharges).

What is Northside Hospital Forsyth's case mix index?

Northside Hospital Forsyth's Medicare case mix index is 1.77 for fiscal year 2027, higher than 59% of hospitals paid under the inpatient prospective payment system.

How many patients does Northside Hospital Forsyth admit?

Northside Hospital Forsyth reported 19,473 inpatient discharges and 127,062 inpatient days from Oct 1, 2024 to Sep 30, 2025.

How many employees does Northside Hospital Forsyth have?

Northside Hospital Forsyth reported 3,741 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.

How much revenue does Northside Hospital Forsyth make?

Northside Hospital Forsyth reported $900.3M in net patient revenue on $4.4B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 1.0%, and net income of $19M.

How much charity and uncompensated care does Northside Hospital Forsyth provide?

Northside Hospital Forsyth reported $48.6M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $38.8M of charity care at cost.

What is Northside Hospital Forsyth's tax ID (EIN)?

Insurers' price transparency files list Northside Hospital Forsyth under employer identification number 58-1954432 (Northside Hospital). 56 health plans and networks list 58-1954432 for it.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

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

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