Duluth, GA
122
Beds
5,726
Inpatient discharges a year
$251.4M
Net patient revenue a year
34
In-network payers
Northside Hospital Inc is a 122-bed hospital in Duluth, GA. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 513 disclosed rate categories.
The 24 services Northside Hospital Inc 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.
Digestive procedures
CPT 43239
$5,210 - $6,943
from 4 insurers · median $6,729
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$1,307 - $1,455
from 3 insurers · median $1,387
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$1,307 - $2,239
from 4 insurers · median $1,421
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,483 - $3,021
from 4 insurers · median $2,777
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$8,102 - $13,531
from 4 insurers · median $9,162
101 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
CT imaging
CPT 74176
$1,307 - $2,239
from 4 insurers · median $1,421
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$135 - $573
from 4 insurers · median $527
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$1,307 - $2,239
from 4 insurers · median $1,421
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$286 - $401
from 4 insurers · median $304
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$1,581 - $3,645
from 4 insurers · median $2,334
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$1,581 - $3,645
from 4 insurers · median $2,334
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$1,581 - $3,645
from 4 insurers · median $2,334
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,731 - $18,613
from 4 insurers · median $9,498
24 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Orthopedics and pain
CPT 29880
$8,102 - $13,531
from 4 insurers · median $9,162
101 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Ultrasound
CPT 76705
$596 - $972
from 4 insurers · median $780
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 64483
$2,843 - $6,303
from 4 insurers · median $4,502
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 77080
$176 - $805
from 4 insurers · median $740
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55866
$10,139 - $19,882
from 4 insurers · median $11,301
29 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 74183
$1,581 - $3,645
from 4 insurers · median $2,334
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 62322 · CPT 62323
$2,843 - $11,990
from 4 insurers · median $5,524
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$2,369 - $4,745
from 4 insurers · median $3,450
Common here, based on CMS Medicare volume
Ultrasound
CPT 76642
$596 - $750
from 4 insurers · median $677
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$5,210 - $7,889
from 4 insurers · median $6,860
57 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Ear, nose and throat
CPT 69436
$6,689 - $7,421
from 4 insurers · median $7,072
Typical for a hospital with this service line
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 | 628% | 12 | 1 |
| Insurer B* | 24 | 621% | 23 | 0 |
| Insurer C* | 24 | 547% | 23 | 0 |
| Insurer D* | 24 | 532% | 20 | 0 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 18 are common here based on CMS Medicare volume, and 1 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 Northside Hospital Inc, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
Medicare readmissions penalty (-0.24%)
See quality ratingsDoctors and services
Accredited by The Joint Commission
Finances
$251.4M net patient revenue
Ownership and leadership
Private (not for profit)
The employer identification numbers (EINs) health plans and networks list for Northside Hospital Inc 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 |
|---|---|---|
| 58-1954432Northside Hospital | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1215098405 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.
Duluth, GA
How Medicare adjusts Northside Hospital Inc's inpatient payments for its readmissions, quality and cost results.
-0.24% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.02% 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).
The Joint Commission (since 2024)
Accreditation
None
Medical school affiliation
Private (not for profit)
Ownership type
122
Medicare-certified beds
157
Registered nurses (full-time equivalent)
2021
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Northside Hospital Inc reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
5,726
Inpatient discharges
Medicare 18%, Medicaid 6%
33,989
Inpatient days
101% of available bed days used
1,116
Employees (full-time equivalent)
5
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830333). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Northside Hospital Inc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 6,215 | 2,791 | 24,983 | 33,989 |
| Discharges | 1,046 | 341 | 4,339 | 5,726 |
| Average length of stay | 5.9 days | 8.2 days | 5.8 days | 5.9 days |
| Average daily census | 17.0 | 7.6 | 68.4 | 93.1 |
8,417
Medicare Advantage days
1,318 discharges
707
Medicaid managed care days
129 discharges
5,942
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 84 | 32,828 | 6,024 | 107% |
| Intensive care unit | 8 | 1,161 | 191 | 40% |
| Subprovider - irf | 30 | 8,347 | 3,354 | 76% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830333, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Northside Hospital Inc treats Medicare patients for most often, in 2024. 445 Medicare discharges in 19 published DRGs; 5% surgical; 74% 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 | 91 | $83,117 | $12,882 | $16,956 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 51 | $58,164 | $8,076 | $11,866 | 1.28 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 31 | $64,542 | $9,665 | $13,167 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $52,571 | $8,260 | $10,724 | 1.23 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $49,200 | $9,635 | $10,037 | 1.50 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 22 | $43,896 | $7,088 | $8,955 | 1.03 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 21 | $60,788 | $8,711 | $12,401 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 20 | $49,919 | $5,406 | $10,183 | 0.79 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 20 | $51,591 | $9,351 | $10,525 | 1.32 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $31,222 | $5,226 | $6,369 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 16 | $49,720 | $5,665 | $10,143 | 0.90 |
| Cellulitis without MCCMS-DRG 603, medical | 15 | $43,351 | $5,109 | $8,844 | 0.88 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 15 | $55,173 | $10,831 | $11,255 | 1.65 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $33,935 | $3,878 | $6,923 | 0.80 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $45,924 | $7,985 | $9,369 | 1.17 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $71,407 | $9,562 | $14,567 | 1.40 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $65,924 | $6,494 | $13,449 | 0.98 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $124,703 | $13,521 | $25,439 | 1.88 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 11 | $174,726 | $32,878 | $35,644 | 5.00 |
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) Northside Hospital Inc billed Medicare for most in 2024: 1,037 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 167 | 161 | $22,209 | $1,971 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 154 | 149 | $105,362 | $10,356 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 118 | 117 | $62,415 | $5,151 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 104 | 102 | $13,488 | $1,165 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 101 | 98 | $27,112 | $2,318 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 59 | 55 | $27,722 | $2,098 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 57 | 50 | $17,692 | $1,375 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 35 | 29 | $14,961 | $1,407 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 31 | $20,926 | $2,269 | $2,405 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 29 | $70,085 | $7,522 | $8,164 |
See all 19 Medicare outpatient services at Northside Hospital Inc
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 Northside Hospital Inc 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 651 in 2021 to 2,031 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share |
|---|---|---|---|---|---|
| 30096 | 621 | 31% | 3,846 | $47.5M | 38% |
| 30092 | 158 | 8% | 941 | $12.7M | 19% |
| 30097 | 153 | 8% | 933 | $12.2M | 14% |
| 30071 | 138 | 7% | 775 | $9.8M | 38% |
| 30093 | 132 | 6% | 873 | $11.1M | 24% |
| 30024 | 117 | 6% | 742 | $10M | 6% |
| 30044 | 117 | 6% | 693 | $9.1M | 6% |
| 30043 | 101 | 5% | 736 | $11.8M | 5% |
| 30047 | 99 | 5% | 610 | $8.7M | 6% |
| 30046 | 51 | 3% | 356 | $4.7M | 4% |
| 30518 | 41 | 2% | 236 | $2.7M | 3% |
| 30022 | 39 | 2% | 175 | $2.3M | 3% |
| 30039 | 34 | 2% | 231 | $3.2M | 2% |
| 30084 | 32 | 2% | 201 | $3.1M | 3% |
| 30045 | 31 | 2% | 170 | $2.2M | 3% |
| 30340 | 28 | 1% | 197 | $2.2M | 6% |
| 30019 | 26 | 1% | 145 | $1.9M | 2% |
| 30052 | 25 | 1% | 138 | $2.4M | 1% |
| 30078 | 25 | 1% | 116 | $2.1M | 2% |
| 30519 | 23 | 1% | 96 | $1.9M | 2% |
| 30087 | 14 | 1% | 120 | $1.5M | 1% |
| 30360 | 14 | 1% | 81 | $1.2M | 5% |
| 30011 | 12 | 1% | 44 | $979,559 | 2% |
Source: CMS Hospital Service Area file. Shares are of the 2,031 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 Northside Hospital Inc reported at its latest Medicare certification survey (2024). Counts are people, not full-time equivalents.
122
Operating rooms
30
Rehabilitation unit beds
157
Registered nurses
2
Licensed practical nurses
1
Nurse practitioners
7
Pharmacists
10
Respiratory therapists
2
Physical therapists
15
Radiology technicians
20
Nuclear medicine technicians
9
Medical technologists
4
Social workers
Source: CMS Provider of Services file.
684 clinicians who bill Medicare list Northside Hospital Inc 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.
Nandini Setia, MD
Rheumatology Physician
NPI 1346583762
See commercial rates for Nandini Setia, MDDinesh Raju, MD, PHD
Neurology Physician
NPI 1548465198
See commercial rates for Dinesh Raju, MD, PHDDavid Williams, M.D.
Neurology Physician
NPI 1750355962
See commercial rates for David Williams, M.D.Gary Levengood, M.D.
Orthopaedic Surgery Physician
NPI 1871593285
See commercial rates for Gary Levengood, M.D.Richard Maxa, M.D.
Internal Medicine Physician
NPI 1144371386
See commercial rates for Richard Maxa, M.D.Kirti Shah, MD
Nephrology Physician
NPI 1700881612
See commercial rates for Kirti Shah, MDJustin Caughron, MD
Vascular & Interventional Radiology Physician
NPI 1477711919
See commercial rates for Justin Caughron, MDNatanel Leibu, MD
Neurology Physician
NPI 1821470550
See commercial rates for Natanel Leibu, MDLee Herman, MD
Internal Medicine Physician
NPI 1184779027
See commercial rates for Lee Herman, MDDaniel Van Riper, D.O
Family Medicine Physician
NPI 1245673060
See commercial rates for Daniel Van Riper, D.OMyung Yoo, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1518120955
See commercial rates for Myung Yoo, MDScott Quisling, M.D.
Orthopaedic Surgery Physician
NPI 1477540441
See commercial rates for Scott Quisling, M.D.Kashyap Patel, MD
Cardiovascular Disease Physician
NPI 1306899422
See commercial rates for Kashyap Patel, MDCraig Mines, MD
Orthopaedic Surgery Physician
NPI 1609874726
See commercial rates for Craig Mines, MDRahil Rafeedheen, M.D.
Interventional Cardiology Physician
NPI 1649526716
See commercial rates for Rahil Rafeedheen, M.D.Tuan Bui, MD
Orthopaedic Surgery Physician
NPI 1134295165
See commercial rates for Tuan Bui, MDArnold Mellits, MD
Internal Medicine Physician
NPI 1851343289
See commercial rates for Arnold Mellits, MDFilippo Chillemi, MD
Orthopaedic Surgery Physician
NPI 1528293800
See commercial rates for Filippo Chillemi, MDRita Gedgaudas-Mcclees, M.D.
Diagnostic Radiology Physician
NPI 1477531648
See commercial rates for Rita Gedgaudas-Mcclees, M.D.Robert Dambach, D.O.
Internal Medicine Physician
NPI 1538161252
See commercial rates for Robert Dambach, D.O.Aziz Pirani, MD
Family Medicine Physician
NPI 1760622096
See commercial rates for Aziz Pirani, MDYoung Kang, MD
Adolescent Medicine (Internal Medicine) Physician
NPI 1811946866
See commercial rates for Young Kang, MDPreetesh Patel, M.D.
Interventional Pain Medicine Physician
NPI 1124190079
See commercial rates for Preetesh Patel, M.D.Sunit Singhal, M.D.
Internal Medicine Physician
NPI 1043282163
See commercial rates for Sunit Singhal, 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 Northside Hospital Inc reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.4B | 543.2% |
| Inpatient | $497.8M | 198.0% |
| Outpatient | $867.9M | 345.2% |
| Contractual allowances and discounts | -$1.1B | -443.2% |
| Net patient revenue | $251.4M | 100.0% |
| Operating expenses | -$259.9M | -103.4% |
| Operating income from patient care | -$8.5M | -3.4% |
| Other income | $15.7M | 6.2% |
| Other expenses | -$4.3M | -1.7% |
| Net income | $3M | 1.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $147.1M | 10.9% |
| Medicaid (including managed care) | $81.2M | 6.0% |
| Other payers and self-pay | $1.1B | 83.0% |
| Total charges | $1.3B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830333, 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 Northside Hospital Inc's latest cost report.
-3.4%
Operating margin
Operating income from patient care / net patient revenue
1.1%
Total margin
Net income / net patient revenue plus other income
6.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
55% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$43.98
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-7.9%
Return on assets
Net income for a year / total assets
15.0%
Return on equity
Net income for a year / fund balance
2.19
Current ratio
Current assets / current liabilities
-0.09
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
7 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-91 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
-7.16
Asset turnover
Total revenue for a year / total assets
4.4 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830333, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Northside Hospital Inc owned and owed at the end of its reporting period (Sep 2025), across all fund types: -$37.3M in total assets and a $19.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $524,111 | |
| Patient receivables, net | $4.9M | |
| Inventory | $6.2M | |
| Total current assets | -$133.9M | |
| Property and equipment, net of depreciation | $104.9M | |
| Investments and other assets | -$8.3M | |
| Total assets | -$37.3M | |
| Current liabilities | -$61.3M | |
| Total liabilities | -$57.1M | |
| Fund balance (net assets) | $19.8M |
Source: CMS cost report (HCRIS, Form 2552-10), report 830333, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Northside Hospital Inc provided without full payment, as reported on Worksheet S-10 of its cost report.
$19M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$87.7M
Bad debt
Patient bills written off as uncollectible, at charges
$8M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$35.8M
Total unreimbursed and uncompensated care
13.8% 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 830333, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Northside Hospital Inc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|
| Net patient revenue | $193.2M | $204M | $224.2M | $251.4M |
| Operating expenses | $199.1M | $213.5M | $230.5M | $259.9M |
| Operating margin | -3.1% | -4.7% | -2.8% | -3.4% |
| Net income | $2.3M | $1.3M | $1.4M | $3M |
| Total assets | -$21M | -$30.8M | -$24.9M | -$37.3M |
| Discharges | 5,269 | 5,943 | 5,949 | 5,726 |
| Inpatient days | 31,104 | 33,409 | 33,308 | 33,989 |
| Medicare Advantage days | 6,064 | 8,171 | 8,084 | 8,417 |
| Beds | 101 | 124 | 122 | 122 |
| Employees (FTE) | 782 | 928 | 1,051 | 1,116 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830333, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Northside Hospital Inc 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 |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $29.9M | $112.7M | 0.27 | ||
| Medical supplies charged to patient | $26.2M | $34.7M | 0.76 | ||
| Emergency | $14.6M | $25.6M | $145M | 0.18 | 20,629 |
| Drugs charged to patients | $18.9M | $144.4M | 0.13 | ||
| Operating room | $8.8M | $17.8M | $152M | 0.12 | 13,412 |
| Radiology-diagnostic | $7.1M | $16.5M | $139.4M | 0.12 | 25,627 |
| Laboratory | $4M | $11.6M | $153.5M | 0.08 | 3,953 |
| Asc (non-distinct part) | $1.3M | $9.5M | $48.9M | 0.20 | 30,537 |
| Observation beds (non-distinct part | $6.7M | $13.4M | 0.50 | ||
| Recovery room | $3.5M | $5.4M | $23.3M | 0.23 | |
| Respiratory therapy | $2.6M | $4.3M | $13.5M | 0.32 | 2,130 |
| Physical therapy | $3.8M | $16.4M | 0.23 | 1,185 | |
| Ct scan | $1.7M | $3.4M | $133.4M | 0.03 | |
| Electrocardiology | $1.1M | $2.4M | $30.1M | 0.08 | 4,761 |
| Mental health op clinic | $557,290 | $1.6M | $245,805 | 6.59 | |
| Renal dialysis | $169,211 | $1.4M | $3.6M | 0.39 | |
| Radioisotope | $325,557 | $785,630 | $12.1M | 0.06 | 1,992 |
| Anesthesiology | $301,623 | $640,153 | $38.6M | 0.02 | 731 |
| Speech pathology | $343,586 | $2.2M | 0.16 | ||
| Occupational therapy | $327,214 | $11.4M | 0.03 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $16.3M | $43.8M | $78.7M | 0.56 | 71,889 |
| Subprovider - irf | $5.2M | $20M | $22.3M | 0.90 | 74,965 |
| Intensive care unit | $10.2M | $12.6M | $13.6M | 0.93 | 8,825 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $5.3M | $33.9M | 121,469 | $43.93 | 11,939 |
| Operation of plant | $2.2M | $13.1M | 65,839 | $34.13 | 37,688 |
| Cap rel costs-bldg & fixt | $8.5M | 347,410 | |||
| Pharmacy | $5.1M | $6.8M | 87,764 | $57.91 | 3,944 |
| Housekeeping | $3.1M | $5.2M | 127,697 | $24.34 | 7,258 |
| Cap rel costs-mvble equip | $4.6M | ||||
| Nursing administration | $2.2M | $2.9M | 60,078 | $36.02 | 1,951 |
| Dietary | $1.7M | $2.4M | 26,980 | $32.20 | 5,468 |
| Social service | $1.3M | $2.2M | 26,619 | $48.46 | |
| Cafeteria | $2M | 37,252 | $22.38 | 8,979 | |
| Central services & supply | $1.3M | $1.9M | 46,086 | $28.85 | 7,470 |
| Laundry & linen service | $166,624 | $831,083 | 7,602 | $21.92 | |
| Employee benefits department | $5,858 | $658,384 | 2,077 | ||
| I&r services-salary & fringes apprv | $439,109 | $628,287 | |||
| I&r services-other prgm costs apprv | $234,851 | ||||
| Medical records & library | $49,504 | $69,340 | 2,080 | $23.80 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830333, 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 Northside Hospital Inc for an inpatient stay.
1.60
Case mix index
Higher than 40% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
21.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,034
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 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|
| Case mix index | 1.68 | 1.58 | 1.62 | 1.58 | 1.60 |
| Wage index | 0.936 | 0.983 | 0.992 | 0.970 | 0.997 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | -0.22% | -0.24% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | -0.49% | +0.02% |
| Medicare inpatient stays | 160 | 1,017 | 1,066 | 1,019 | 1,034 |
Source: CMS IPPS final rule Impact File (FY 2027).
The officers and board members on Northside Hospital Inc'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 18 of 22 are shown.
| Name | Title |
|---|---|
| Robert T Quattrocchi | President & CEO Nsh, Inc. |
| Deborah Mitcham Bilbro | President/ceo, Nsh-gwinnett |
| Jorge J Hernandez | Vice President/asst. Secretary |
| Shannon Banna | Vp/cfo Nsh, Inc./asst. Treasurer |
| William Hayes | CEO, Nsh-cherokee |
| Deidre Dixon | CEO, Nsh-atlanta |
| Janis Dubow | Vice President Of Patient Care/cno |
| Lynn Jackson | CEO, Nsh-forsyth |
Board members: Iqbal Garcha MD, Wayne L Ambroze Jr MD, Alan Keith Carnes MD, Dale M Bearman MD, Mark J Sweeney, Anthony J Salvatore, Thurbert E Baker, Carlton Buchanan MD, Genevieve Fairbrother MD, Terri Jondahl, J Michael Levengood, Barbara Pare', Wayne Sikes, Josef Venable MD.
Source: IRS Form 990 Part VII filed by Northside Hospital Inc (EIN 58-1954432), via the IRS e-file data. A health system's return can cover several hospitals.
Northside duluth rehab center
CCN 11T252, certified 2021, Medicare prospective payment
Source: Worksheet S-2 Part I of Northside Hospital Inc's latest Medicare cost report (HCRIS).
About Northside Hospital Inc's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Northside Hospital Inc range from $1,581 to $3,645 across 4 insurers. Cigna's rate is $1,581. The median at nearby comparable hospitals is $955. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT head or brain without contrast (CPT 70450), published negotiated rates at Northside Hospital Inc range from $1,307 to $1,455 across 3 insurers. Aetna's rate is $1,455. The median at nearby comparable hospitals is $684. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Northside Hospital Inc range from $286 to $401 across 4 insurers. Aetna's rate is $299. The median at nearby comparable hospitals is $207. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Northside Hospital Inc for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Northside Hospital Inc's base inpatient payments by an estimated 0.24% 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 (91 discharges), heart failure and shock with mcc (51 discharges), respiratory infections and inflammations with mcc (31 discharges).
Northside Hospital Inc's Medicare case mix index is 1.60 for fiscal year 2027, higher than 40% of hospitals paid under the inpatient prospective payment system.
Northside Hospital Inc reported 5,726 inpatient discharges and 33,989 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Northside Hospital Inc reported 1,116 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Northside Hospital Inc reported $251.4M in net patient revenue on $1.4B of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of -3.4%, and net income of $3M.
Northside Hospital Inc reported $35.8M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $19M of charity care at cost.
Northside Hospital Inc's Medicare enrollment lists Deborah S Mitcham as CEO Of Nhg & Nhd since 2019. Its 2024 IRS Form 990 lists Robert T Quattrocchi as President & CEO Nsh, Inc..
Insurers' price transparency files list Northside Hospital Inc under employer identification number 58-1954432 (Northside Hospital). 53 health plans and networks list 58-1954432 for it.
684 clinicians who bill Medicare list Northside Hospital Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (78), family medicine physician (57), hospitalist physician (56).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Northside Hospital Inc, effective 2024.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Northside Hospital Inc came from ZIP codes 30096 (621), 30092 (158), 30097 (153).
Northside Hospital Inc has 122 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.
Northside Hospital Inc is located at Duluth, GA.
Northside Hospital Inc's CMS Certification Number (CCN), also called its Medicare provider number, is 110252.
The National Provider Identifier (NPI) on file for Northside Hospital Inc is 1790715381.
Northside Hospital Inc lists 34 in-network payers, including Aetna, Ambetter, 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.
513 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