F

Northside Hospital Forsyth

1200 Northside Forsyth Drive · Cumming, GA 30041

🤖AI Overview

⚠️ This hospital charges 7.7x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$450.4M
Medicare Payments
$58.8M
Discharges
4,863
Avg Length of Stay
6.4 days
Markup Ratio
7.7x
Risk Score
1.88

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Northside Hospital Forsyth charges an average of $92,618 per discharge, but Medicare only pays $12,085 — a markup of 7.7x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
7.7x
State Avg
6.0x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$92,618
State Avg
$84,165
National Avg
$69,838
Avg Length of Stay
This Hospital
6.4 days
State Avg
5.7 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
5.3%
65–74
31.1%
75–84
40.0%
85+
23.5%

Gender

55.0%
Female
45.0%
Male

Dual Eligibility

8.9%
Dual Eligible
91.1%
Non-Dual

Race & Ethnicity

White
90.9%
Black
2.9%
Hispanic
2.2%
Asian
1.4%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
75.0%
Arthritis
60.7%
Ischemic Heart Disease
48.3%
Anxiety
42.9%
Heart Failure
38.7%
Mood Disorders
38.1%
Atrial Fibrillation
37.8%
Chronic Kidney Disease
37.1%
Depression
36.1%
Diabetes
35.6%
COPD
27.9%
Cancer
24.5%
Alzheimer's/Dementia
23.7%
Stroke/TIA
20.3%
Osteoporosis
17.6%
Tobacco Use
14.2%
Asthma
11.7%
Substance Use
11.0%
Bipolar Disorder
4.7%
Parkinson's
4.1%
Personality Disorders
2.2%
Schizophrenia/Psychosis
2.2%
PTSD
1.7%
ADHD/Conduct Disorders
1.2%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.