Georgia / Piedmont Mountainside Hospital Inc
CMS certification 110225 · Jasper, GA
Piedmont Mountainside Hospital Inc: charges and Medicare payments
Piedmont Mountainside Hospital Inc reported 1,029 Medicare inpatient stays across 34 DRGs in 2024. Across them it charged 4.34 times what it was paid — mid-range in Georgia, number 40 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: 324 stays at an average charge of $60,301, 33% below the national average. It also billed 946 outpatient services, charging 11.4 times what Medicare paid.
- 1Medicare inpatient stays 1,029
- 2Charge ÷ paid, inpatient 4.34×
- 3Rank in GA (highest ratio = 1) 40 of 74
- 4CMS price-transparency actions 0
Inpatient stays
For the 34 DRGs that can be compared with the national average, Piedmont Mountainside Hospital Inc charged more than the national average in 1 (3%). 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 | 324 | $60,301 | -33% | $14,799 |
| 291 Heart Failure and Shock with MCC | 99 | $43,780 | -22% | $10,058 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 65 | $37,600 | -23% | $8,851 |
| 177 Respiratory Infections and Inflammations with MCC | 37 | $52,393 | -26% | $11,882 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 26 | $37,687 | +4% | $6,882 |
| 389 Gastrointestinal Obstruction with CC | 23 | $29,763 | -24% | $6,698 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $48,513 | -14% | $11,213 |
| 683 Renal Failure with CC | 22 | $39,220 | -4% | $7,467 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 21 | $44,540 | -12% | $8,795 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $41,755 | -14% | $8,095 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 21 | $25,167 | -37% | $6,681 |
| 689 Kidney and Urinary Tract Infections with MCC | 21 | $40,302 | -21% | $8,982 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $33,807 | -44% | $9,584 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $156,237 | -32% | $33,026 |
| 193 Simple Pneumonia and Pleurisy with MCC | 18 | $39,852 | -33% | $11,870 |
| 069 Transient Ischemia without Thrombolytic | 17 | $43,038 | -15% | $6,784 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 17 | $27,544 | -4% | $5,148 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 17 | $23,344 | -37% | $7,974 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $26,871 | -29% | $6,839 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $43,746 | -40% | $11,799 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $57,981 | -42% | $13,852 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $44,639 | -20% | $7,602 |
| 194 Simple Pneumonia and Pleurisy with CC | 15 | $33,407 | -13% | $6,748 |
| 481 Hip and Femur Procedures except Major Joint with CC | 15 | $84,484 | -16% | $15,408 |
| 603 Cellulitis without MCC | 15 | $26,706 | -28% | $7,344 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 14 | $43,937 | -42% | $11,440 |
| 682 Renal Failure with MCC | 14 | $48,604 | -26% | $12,375 |
| 305 Hypertension without MCC | 13 | $31,638 | -21% | $6,489 |
| 149 Dysequilibrium | 12 | $37,174 | -16% | $6,402 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $36,227 | -20% | $7,619 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $72,177 | -27% | $14,551 |
| 312 Syncope and Collapse | 11 | $31,387 | -31% | $7,252 |
| 313 Chest Pain | 11 | $33,592 | -16% | $6,263 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $110,176 | -21% | $20,798 |
Outpatient services
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Piedmont Mountainside Hospital Inc charged $60,301 on average, 29% less than the Georgia average of $85,396, and was paid $14,799 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Piedmont Mountainside Hospital Inc charged $43,780 on average, 17% less than the Georgia average of $52,781, and was paid $10,058 against a state average of $12,005. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Piedmont Mountainside Hospital Inc charged $37,600 on average, 14% less than the Georgia average of $43,563, and was paid $8,851 against a state average of $9,785. For Respiratory Infections and Inflammations with MCC (DRG 177), Piedmont Mountainside Hospital Inc charged $52,393 on average, 21% less than the Georgia average of $66,006, and was paid $11,882 against a state average of $14,774. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,064 was 1% above the state average of $12,974. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,157 was 20% above the state average of $20,900. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $114,292 was 40% above the state average of $81,545. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,581 was 4% above the state average of $14,925.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.