Georgia / Piedmont Walton Hospital, Inc
CMS certification 110046 · Monroe, GA · 1 entry in CMS's price-transparency list
Piedmont Walton Hospital, Inc: charges and Medicare payments
Piedmont Walton Hospital, Inc reported 690 Medicare inpatient stays across 22 DRGs in 2024. Across them it charged 5.39 times what it was paid — among the higher ratios in Georgia, number 23 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: 172 stays at an average charge of $74,470, 18% below the national average. It also billed 532 outpatient services, charging 13.28 times what Medicare paid.
- 1Medicare inpatient stays 690
- 2Charge ÷ paid, inpatient 5.39×
- 3Rank in GA (highest ratio = 1) 23 of 74
- 4CMS price-transparency actions 1
Inpatient stays
For the 22 DRGs that can be compared with the national average, Piedmont Walton Hospital, Inc charged more than the national average in 3 (14%). 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 | 172 | $74,470 | -18% | $14,038 |
| 291 Heart Failure and Shock with MCC | 104 | $53,674 | -5% | $10,242 |
| 189 Pulmonary Edema and Respiratory Failure | 48 | $55,173 | -4% | $9,852 |
| 193 Simple Pneumonia and Pleurisy with MCC | 43 | $59,007 | -1% | $10,724 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 27 | $47,826 | -14% | $8,558 |
| 481 Hip and Femur Procedures except Major Joint with CC | 25 | $110,790 | +10% | $15,443 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 25 | $44,732 | -9% | $8,455 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $38,491 | -4% | $7,627 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $69,526 | -2% | $11,640 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $32,945 | -11% | $6,705 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $59,714 | -40% | $15,927 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 17 | $48,612 | -14% | $10,474 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $47,387 | -8% | $9,317 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $57,423 | -5% | $12,739 |
| 313 Chest Pain | 15 | $35,885 | -10% | $6,365 |
| 690 Kidney and Urinary Tract Infections without MCC | 15 | $31,771 | -16% | $6,868 |
| 071 Other Cerebrovascular Disorders with CC | 14 | $45,299 | -10% | $8,477 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $31,732 | -17% | $6,944 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $73,575 | +45% | $8,990 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $38,597 | -21% | $8,962 |
| 683 Renal Failure with CC | 12 | $40,258 | -1% | $8,370 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $121,436 | +19% | $15,854 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 223 | $31,660 | $2,109 |
| Comprehensive Observation Services | 170 | $28,206 | $2,470 |
| Level 2 Upper GI Procedures | 28 | $18,132 | $1,766 |
| Level 5 Musculoskeletal Procedures | 27 | $88,491 | $11,806 |
| Level 2 Musculoskeletal Procedures | 21 | $18,481 | $1,379 |
| Level 3 Musculoskeletal Procedures | 20 | $26,617 | $2,765 |
| Level 1 Laparoscopy and Related Services | 18 | $47,778 | $5,355 |
| Level 6 Musculoskeletal Procedures | 13 | $123,174 | $17,258 |
| Level 4 Musculoskeletal Procedures | 12 | $67,277 | $6,639 |
Against the Georgia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Piedmont Walton Hospital, Inc charged $74,470 on average, 13% less than the Georgia average of $85,396, and was paid $14,038 against a state average of $17,147. For Heart Failure and Shock with MCC (DRG 291), Piedmont Walton Hospital, Inc charged $53,674 on average, 2% more than the Georgia average of $52,781, and was paid $10,242 against a state average of $12,005. For Pulmonary Edema and Respiratory Failure (DRG 189), Piedmont Walton Hospital, Inc charged $55,173 on average, 1% less than the Georgia average of $55,758, and was paid $9,852 against a state average of $11,742. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Piedmont Walton Hospital, Inc charged $59,007 on average, 5% more than the Georgia average of $56,349, and was paid $10,724 against a state average of $12,110. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $31,660 was 75% above the state average of $18,060. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $28,206 was 35% above the state average of $20,900. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $18,132 was 21% above the state average of $14,925. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $88,491 was 9% above the state average of $81,545.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Piedmont Walton Hospital, Inc in Monroe, GA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-08-21 (CMS case 6335)
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.