▸ Hospital · GA · CCN 110237
Northeast Georgia Medical Center Lumpkin
227 MOUNTAIN DRIVE, DAHLONEGA, GA, 110237
Compliance grade
C
74/100
Procedures tracked
51
of 209 target codes
Payers
6
with negotiated rates
Rates published
1,201
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $11,903 | $22,634 | $44,006 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | — | — | $18,257 | $31,941 | $62,102 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | — | — | $9,804.9 | $18,200 | $31,752 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | — | — | $6,635.9 | $15,198 | $21,489 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $14,805 | $28,206 | $50,469 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $10,830 | $18,038 | $35,071 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $8,282.58 | $14,383 | $26,822 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $6,239.66 | $12,456 | $20,206 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $7,905.62 | $15,652 | $25,601 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $6,004.41 | $12,843 | $19,444 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $15,124 | $26,596 | $51,249 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $8,887.07 | $20,074 | $28,780 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $6,990.69 | $16,010 | $22,638 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $12,581 | $20,954 | $40,740 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $8,303.79 | $15,498 | $26,891 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $5,292.91 | $12,122 | $17,140 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $11,627 | $19,366 | $37,653 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $7,127.59 | $12,591 | $23,082 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $5,394.14 | $9,847.16 | $17,468 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $9,505.06 | $15,832 | $30,781 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $6,137.46 | $12,962 | $19,875 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $7,522.87 | $12,530 | $24,362 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $14,701 | $24,485 | $47,606 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $11,284 | $18,794 | $36,541 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $7,737.87 | $12,888 | $25,058 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $17,730 | $31,511 | $61,265 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $9,939.87 | $21,078 | $32,189 |
| maternity | ||||||||
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $15,206 | $15,206 | $15,206 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $11,721 | $11,721 | $11,721 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $9,044.28 | $9,044.28 | $9,044.28 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $6,822.21 | $6,822.21 | $6,822.21 |
| surgery | ||||||||
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $44,420 | $44,420 | $44,420 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $32,505 | $32,505 | $32,505 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $38,165 | $73,734 | $143,357 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $21,231 | $44,250 | $73,797 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $15,731 | $28,162 | $51,546 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $15,798 | $26,632 | $51,780 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $12,703 | $21,158 | $41,137 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $29,007 | $56,672 | $110,185 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $74,445 | $74,445 | $74,445 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $53,327 | $53,327 | $53,327 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $26,128 | $52,486 | $102,046 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $17,625 | $30,389 | $58,867 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $25,197 | $47,227 | $91,821 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $18,900 | $33,319 | $64,780 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $15,294 | $25,474 | $49,529 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $25,005 | $43,781 | $85,121 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $15,095 | $29,506 | $49,857 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $14,092 | $25,808 | $45,636 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $11,556 | $19,247 | $37,421 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $18,193 | $31,376 | $61,003 |
Payer mix (top 6)
| Payer | Codes covered | Median rate |
|---|---|---|
| healthpartners | 51 | $22,701 |
| Aetna | 43 | $18,772 |
| Blue Cross Blue Shield | 43 | $26,015 |
| Cigna | 43 | $19,287 |
| Humana | 43 | $19,416 |
| UnitedHealthcare | 43 | $12,658 |