Piedmont Newnan Hospital, Inc: charges and Medicare payments

Piedmont Newnan Hospital, Inc reported 1,996 Medicare inpatient stays across 58 DRGs in 2024. Across them it charged 5.28 times what it was paid — mid-range in Georgia, number 25 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: 425 stays at an average charge of $80,612, 11% below the national average. It also billed 1,615 outpatient services, charging 11.56 times what Medicare paid.

1Medicare inpatient stays 1,996
2Charge ÷ paid, inpatient 5.28×
3Rank in GA (highest ratio = 1) 25 of 74
4CMS price-transparency actions 0

Average charge per stay at Piedmont Newnan Hospital, Inc, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 58 DRGs that can be compared with the national average, Piedmont Newnan Hospital, Inc charged more than the national average in 12 (21%). 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	425	$80,612	-11%	$15,608
291 Heart Failure and Shock with MCC	189	$52,932	-6%	$10,514
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	111	$48,046	-2%	$9,260
853 Infectious and Parasitic Diseases with O.R. Procedures with...	55	$197,341	-14%	$35,875
683 Renal Failure with CC	52	$32,817	-19%	$8,314
690 Kidney and Urinary Tract Infections without MCC	40	$31,980	-15%	$7,310
189 Pulmonary Edema and Respiratory Failure	38	$49,461	-14%	$10,644
308 Cardiac Arrhythmia and Conduction Disorders with MCC	37	$51,804	-9%	$10,562
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	37	$49,862	-17%	$10,486
698 Other Kidney and Urinary Tract Diagnoses with MCC	37	$66,057	-10%	$14,753
177 Respiratory Infections and Inflammations with MCC	36	$60,045	-15%	$14,106
309 Cardiac Arrhythmia and Conduction Disorders with CC	36	$37,491	+4%	$6,674
378 Gastrointestinal Hemorrhage with CC	35	$45,537	-6%	$8,648
280 Acute Myocardial Infarction, Discharged Alive with MCC	34	$74,326	-2%	$12,330
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	33	$50,834	-9%	$8,450
190 Chronic Obstructive Pulmonary Disease with MCC	32	$46,264	-9%	$9,125
193 Simple Pneumonia and Pleurisy with MCC	32	$55,392	-7%	$11,079
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$43,783	+9%	$6,959
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$33,599	-9%	$7,170
682 Renal Failure with MCC	32	$59,553	-10%	$12,450
481 Hip and Femur Procedures except Major Joint with CC	31	$96,381	-4%	$15,570
312 Syncope and Collapse	30	$37,966	-17%	$7,570
689 Kidney and Urinary Tract Infections with MCC	27	$39,234	-24%	$10,084
286 Circulatory Disorders except AMI, with Cardiac...	26	$85,166	-24%	$17,194
069 Transient Ischemia without Thrombolytic	24	$43,453	-14%	$7,063
314 Other Circulatory System Diagnoses with MCC	23	$89,575	-6%	$19,544
281 Acute Myocardial Infarction, Discharged Alive with CC	22	$52,955	+5%	$7,838
305 Hypertension without MCC	21	$37,942	-5%	$6,940
322 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$158,088	+38%	$17,441
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	21	$127,047	+24%	$16,098
287 Circulatory Disorders except AMI, with Cardiac...	20	$57,850	-9%	$10,715
377 Gastrointestinal Hemorrhage with MCC	19	$69,523	-19%	$14,779
389 Gastrointestinal Obstruction with CC	19	$41,706	+7%	$7,050
854 Infectious and Parasitic Diseases with O.R. Procedures with...	19	$114,092	+16%	$18,483
870 Septicemia or Severe Sepsis with MV >96 Hours	19	$297,584	-8%	$48,124
176 Pulmonary Embolism without MCC	17	$35,037	-16%	$8,123
470 Major Hip and Knee Joint Replacement or Reattachment of...	17	$123,139	+32%	$16,471
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	16	$64,534	-4%	$10,924
300 Peripheral Vascular Disorders with CC	15	$40,791	-17%	$9,403
439 Disorders of Pancreas except Malignancy with CC	15	$39,611	-9%	$10,020
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	14	$66,216	+2%	$12,822
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	14	$38,605	-9%	$7,892
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	13	$79,505	-20%	$17,677
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	13	$50,042	-18%	$12,094
637 Diabetes with MCC	13	$61,627	-7%	$11,393
638 Diabetes with CC	13	$44,838	+8%	$8,651
644 Endocrine Disorders with CC	13	$38,822	-19%	$8,504
057 Degenerative Nervous System Disorders without MCC	12	$38,595	-32%	$10,174
071 Other Cerebrovascular Disorders with CC	12	$35,796	-29%	$9,048
394 Other Digestive System Diagnoses with CC	12	$31,458	-33%	$8,035
418 Laparoscopic Cholecystectomy without C.D.E. with CC	12	$83,846	-10%	$12,945
480 Hip and Femur Procedures except Major Joint with MCC	12	$176,707	+27%	$22,727
194 Simple Pneumonia and Pleurisy with CC	11	$33,555	-13%	$8,428
304 Hypertension with MCC	11	$41,706	-27%	$9,507
536 Fractures of Hip and Pelvis without MCC	11	$36,971	-2%	$6,846
603 Cellulitis without MCC	11	$28,413	-24%	$7,659
812 Red Blood Cell Disorders without MCC	11	$35,564	-20%	$8,466
948 Signs and Symptoms without MCC	11	$40,111	+5%	$6,830

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	210	$25,413	$2,443
Level 5 Musculoskeletal Procedures	173	$106,154	$12,014
Level 1 Endovascular Procedures	161	$26,877	$2,975
Level 2 Excision/ Biopsy/ Incision and Drainage	135	$12,941	$1,083
Level 3 Vascular Procedures	100	$26,015	$2,911
Level 1 Intraocular Procedures	97	$31,105	$2,092
Level 1 Laparoscopy and Related Services	94	$55,580	$5,264
Level 3 Excision/ Biopsy/ Incision and Drainage	57	$23,089	$2,387
Level 3 Urology and Related Services	57	$25,013	$1,779
Level 4 Musculoskeletal Procedures	55	$63,419	$6,447
Level 5 Urology and Related Services	51	$45,323	$4,802
Level 4 Urology and Related Services	48	$34,457	$3,182
Level 3 Musculoskeletal Procedures	37	$38,575	$2,923
Level 6 Musculoskeletal Procedures	31	$134,025	$17,257
Level 3 Airway Endoscopy	31	$18,992	$1,454
Level 2 Upper GI Procedures	29	$19,196	$1,766
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	28	$43,231	$3,211
Level 6 Urology and Related Services	26	$55,915	$8,547
Level 3 Endovascular Procedures	23	$85,628	$10,201
Level 2 Vascular Procedures	20	$7,445	$1,486
Level 2 Musculoskeletal Procedures	19	$17,774	$1,492
Level 4 Airway Endoscopy	19	$31,499	$3,475
Level 4 Vascular Procedures	16	$50,421	$4,846
Level 3 ENT Procedures	15	$18,319	$1,415
Level 5 ENT Procedures	13	$45,867	$5,435

Against the Georgia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Piedmont Newnan Hospital, Inc charged $80,612 on average, 6% less than the Georgia average of $85,396, and was paid $15,608 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Piedmont Newnan Hospital, Inc charged $52,932 on average, 0% less than the Georgia average of $52,781, and was paid $10,514 against a state average of $12,005. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Piedmont Newnan Hospital, Inc charged $48,046 on average, 10% more than the Georgia average of $43,563, and was paid $9,260 against a state average of $9,785. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Piedmont Newnan Hospital, Inc charged $197,341 on average, 15% less than the Georgia average of $231,405, and was paid $35,875 against a state average of $44,998. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $25,413 was 22% above the state average of $20,900. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $106,154 was 30% above the state average of $81,545. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,877 was 0% below the state average of $26,927. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,941 was 0% below the state average of $12,974.

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.