30/100
#1,880 nationally
Piedmont Newton Hospital
5126 Hospital Drive Ne, Covington, GA 30014 · (770) 786-7053
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Piedmont Newton Hospital billed $5.54 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.5x
- volume-weighted across all its priced work
- Procedures priced
- 38
- inpatient and outpatient combined
- Rank in GA
- #48
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 35% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 33% of U.S. hospitals.
Better than 36% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
178 | $24,361 | $2,495 | +25% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
177 | $72,279 | $15,129 | +11% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
75 | $45,742 | $10,629 | +5% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
75 | $11,542 | $1,453 | +15% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
61 | $19,210 | $1,719 | +63% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
42 | $43,708 | $9,746 | +11% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
29 | $120,397 | $12,197 | +93% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
28 | $32,407 | $2,918 | +59% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
27 | $58,150 | $13,315 | +20% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
27 | $27,577 | $7,905 | -16% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$120,397 | $12,197 | +93% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$20,347 | $1,703 | +79% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$19,750 | $1,422 | +76% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$67,817 | $6,363 | +70% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$135,915 | $15,001 | +70% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$19,210 | $1,719 | +63% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$32,407 | $2,918 | +59% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$125,565 | $16,166 | +51% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$13,891 | $2,475 | -21% |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$35,712 | $9,117 | -20% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$43,453 | $11,833 | -18% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$27,577 | $7,905 | -16% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$151,907 | $39,458 | -15% |
|
Pulmonary Embolism with Major Complications or Acute Cor Pulmonale
MS-DRG 175 · Inpatient stay |
$47,524 | $10,912 | -13% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$51,500 | $13,016 | -6% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$54,632 | $12,876 | -4% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.