Georgia / Piedmont Newton Hospital
CMS certification 110018 · Covington, GA · 1 entry in CMS's price-transparency list
Piedmont Newton Hospital: charges and Medicare payments
Piedmont Newton Hospital reported 700 Medicare inpatient stays across 26 DRGs in 2024. Across them it charged 4.78 times what it was paid — mid-range in Georgia, number 32 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: 177 stays at an average charge of $72,279, 20% below the national average. It also billed 496 outpatient services, charging 12.14 times what Medicare paid.
- 1Medicare inpatient stays 700
- 2Charge ÷ paid, inpatient 4.78×
- 3Rank in GA (highest ratio = 1) 32 of 74
- 4CMS price-transparency actions 1
Inpatient stays
For the 26 DRGs that can be compared with the national average, Piedmont Newton Hospital charged more than the national average in 4 (15%). 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 | 177 | $72,279 | -20% | $15,129 |
| 291 Heart Failure and Shock with MCC | 75 | $45,742 | -19% | $10,629 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $43,708 | -11% | $9,746 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $58,150 | -4% | $13,315 |
| 683 Renal Failure with CC | 27 | $27,577 | -32% | $7,905 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $47,876 | -14% | $8,544 |
| 177 Respiratory Infections and Inflammations with MCC | 24 | $51,500 | -27% | $13,016 |
| 189 Pulmonary Edema and Respiratory Failure | 24 | $50,738 | -12% | $10,278 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $44,787 | -8% | $8,966 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $52,492 | -12% | $10,637 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 21 | $65,516 | -14% | $12,214 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $125,565 | +25% | $16,166 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $38,933 | +5% | $7,230 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $151,907 | -34% | $39,458 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $69,219 | -19% | $13,989 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $54,632 | -26% | $12,876 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $41,312 | -18% | $9,423 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $43,206 | +8% | $7,868 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $47,524 | -27% | $10,912 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $135,915 | +46% | $15,001 |
| 682 Renal Failure with MCC | 12 | $43,453 | -34% | $11,833 |
| 812 Red Blood Cell Disorders without MCC | 12 | $37,440 | -16% | $8,803 |
| 071 Other Cerebrovascular Disorders with CC | 11 | $35,712 | -29% | $9,117 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $34,329 | -11% | $7,526 |
| 312 Syncope and Collapse | 11 | $41,596 | -9% | $7,831 |
| 690 Kidney and Urinary Tract Infections without MCC | 11 | $35,116 | -7% | $7,420 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 178 | $24,361 | $2,495 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 75 | $11,542 | $1,453 |
| Level 2 Upper GI Procedures | 61 | $19,210 | $1,719 |
| Level 5 Musculoskeletal Procedures | 29 | $120,397 | $12,197 |
| Level 3 Musculoskeletal Procedures | 28 | $32,407 | $2,918 |
| Level 4 Musculoskeletal Procedures | 24 | $67,817 | $6,363 |
| Level 1 Laparoscopy and Related Services | 23 | $50,582 | $4,984 |
| Level 3 Vascular Procedures | 20 | $20,784 | $2,958 |
| Level 2 Musculoskeletal Procedures | 17 | $19,749 | $1,422 |
| Level 1 Nerve Procedures | 16 | $20,347 | $1,703 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 13 | $13,891 | $2,475 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 12 | $30,005 | $3,537 |
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Piedmont Newton Hospital charged $72,279 on average, 15% less than the Georgia average of $85,396, and was paid $15,129 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Piedmont Newton Hospital charged $45,742 on average, 13% less than the Georgia average of $52,781, and was paid $10,629 against a state average of $12,005. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Piedmont Newton Hospital charged $43,708 on average, 0% less than the Georgia average of $43,563, and was paid $9,746 against a state average of $9,785. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Piedmont Newton Hospital charged $58,150 on average, 3% more than the Georgia average of $56,443, and was paid $13,315 against a state average of $12,676. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,361 was 17% above the state average of $20,900. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,542 was 11% below the state average of $12,974. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $19,210 was 29% above the state average of $14,925. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $120,397 was 48% above the state average of $81,545.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Piedmont Newton Hospital in Covington, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-19 (CMS case 6317)
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.