Northside Hospital Inc Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Northside Hospital Inc, Duluth, GA in 2024, from traditional Medicare claims. Back to the Northside Hospital Inc profile, with quality ratings, finances and negotiated rates.
445
Medicare inpatient discharges
In 19 published DRGs
1.60
Case mix index
IPPS FY 2027
5%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
1,037
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases124 discharges in 3 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 | 91 | $83,117 | $12,882 | $16,956 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 22 | $43,896 | $7,088 | $8,955 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 11 | $174,726 | $32,878 | $35,644 | 5.00 |
Kidney and urinary tract85 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 22 | $49,200 | $9,635 | $10,037 | 1.50 |
| 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 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 15 | $55,173 | $10,831 | $11,255 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $45,924 | $7,985 | $9,369 | 1.17 |
Respiratory system80 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| 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 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 21 | $60,788 | $8,711 | $12,401 | 1.33 |
Circulatory system51 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 51 | $58,164 | $8,076 | $11,866 | 1.28 |
Digestive system45 discharges in 3 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 | 20 | $49,919 | $5,406 | $10,183 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $33,935 | $3,878 | $6,923 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $65,924 | $6,494 | $13,449 | 0.98 |
Endocrine, nutritional and metabolic20 discharges in 1 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 | 20 | $51,591 | $9,351 | $10,525 | 1.32 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $43,351 | $5,109 | $8,844 | 0.88 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $71,407 | $9,562 | $14,567 | 1.40 |
Musculoskeletal system and connective tissue12 discharges in 1 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 | 12 | $124,703 | $13,521 | $25,439 | 1.88 |
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 |
|---|---|---|---|---|---|
| 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 |
| Level 2 Vascular ProceduresAPC 5182 | 25 | 24 | $7,982 | $1,184 | $1,204 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 24 | 24 | $40,712 | $4,266 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 22 | $17,549 | $1,134 | $1,196 |
| Level 1 Intraocular ProceduresAPC 5491 | 22 | 17 | $22,468 | $1,723 | $1,752 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 20 | 20 | $42,759 | $4,812 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 19 | 19 | $95,686 | $15,625 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 19 | $28,732 | $2,556 | $2,636 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 16 | 15 | $22,900 | $2,818 | $2,930 |
| Level 5 Airway EndoscopyAPC 5155 | 14 | 14 | $47,995 | $5,054 | $5,183 |
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.