Georgia / Piedmont Macon North Hospital
CMS certification 110201 · Macon, GA · 1 entry in CMS's price-transparency list
Piedmont Macon North Hospital: charges and Medicare payments
Piedmont Macon North Hospital reported 244 Medicare inpatient stays across 12 DRGs in 2024. Across them it charged 4.25 times what it was paid — mid-range in Georgia, number 42 of 74 hospitals with at least 100 stays (state median 4.44×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 51 stays at an average charge of $55,624, 38% below the national average. It also billed 418 outpatient services, charging 13 times what Medicare paid.
- 1Medicare inpatient stays 244
- 2Charge ÷ paid, inpatient 4.25×
- 3Rank in GA (highest ratio = 1) 42 of 74
- 4CMS price-transparency actions 1
Inpatient stays
For the 12 DRGs that can be compared with the national average, Piedmont Macon North Hospital charged more than the national average in 1 (8%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 51 | $55,624 | -38% | $14,041 |
| 291 Heart Failure and Shock with MCC | 38 | $37,395 | -34% | $9,460 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $32,464 | -34% | $8,737 |
| 682 Renal Failure with MCC | 20 | $43,354 | -34% | $10,521 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $26,455 | -29% | $6,637 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $29,809 | -51% | $9,394 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $98,470 | -2% | $13,900 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $38,150 | -36% | $10,942 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $32,235 | -20% | $6,892 |
| 683 Renal Failure with CC | 13 | $31,467 | -23% | $7,360 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $33,030 | -14% | $6,808 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $40,672 | +8% | $7,971 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 136 | $23,829 | $2,295 |
| Level 2 Upper GI Procedures | 65 | $15,619 | $1,633 |
| Level 5 Urology and Related Services | 42 | $37,182 | $4,274 |
| Level 4 Musculoskeletal Procedures | 39 | $57,219 | $5,418 |
| Level 2 Intraocular Procedures | 39 | $53,026 | $3,348 |
| Level 5 Musculoskeletal Procedures | 38 | $116,663 | $11,032 |
| Level 2 Musculoskeletal Procedures | 25 | $20,487 | $1,380 |
| Level 3 Musculoskeletal Procedures | 17 | $35,633 | $2,649 |
| Level 6 Musculoskeletal Procedures | 17 | $153,352 | $15,967 |
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Piedmont Macon North Hospital charged $55,624 on average, 35% less than the Georgia average of $85,396, and was paid $14,041 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Piedmont Macon North Hospital charged $37,395 on average, 29% less than the Georgia average of $52,781, and was paid $9,460 against a state average of $12,005. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Piedmont Macon North Hospital charged $32,464 on average, 25% less than the Georgia average of $43,563, and was paid $8,737 against a state average of $9,785. For Renal Failure with MCC (DRG 682), Piedmont Macon North Hospital charged $43,354 on average, 30% less than the Georgia average of $62,194, and was paid $10,521 against a state average of $13,565. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $23,829 was 14% above the state average of $20,900. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,619 was 5% above the state average of $14,925. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $37,182 was 5% above the state average of $35,322. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $57,219 was 4% above the state average of $54,962.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Piedmont Macon North Hospital in Macon, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-25 (CMS case 6361)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.