24/100
#2,062 nationally
Piedmont Walton Hospital
2151 W Spring Street, Monroe, GA 30655 · (770) 267-8461
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Piedmont Walton Hospital billed $6.41 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
- 6.4x
- volume-weighted across all its priced work
- Procedures priced
- 31
- inpatient and outpatient combined
- Rank in GA
- #60
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 26% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 29% 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 |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
223 | $31,660 | $2,109 | +169% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
172 | $74,470 | $14,038 | +14% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
170 | $28,206 | $2,470 | +45% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
104 | $53,674 | $10,242 | +24% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
48 | $55,173 | $9,852 | +14% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
43 | $59,007 | $10,724 | +27% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
28 | $18,132 | $1,766 | +54% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
27 | $47,826 | $8,558 | +5% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
27 | $88,491 | $11,806 | +42% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
25 | $110,790 | $15,443 | +33% |
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 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$31,660 | $2,109 | +169% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$73,575 | $8,990 | +76% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$67,277 | $6,639 | +69% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$18,481 | $1,379 | +65% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$18,132 | $1,766 | +54% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$123,174 | $17,258 | +48% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$28,206 | $2,470 | +45% |
|
Hip Replacement with Principal Diagnosis of Hip Fracture without Major Complications
MS-DRG 522 · Inpatient stay |
$121,436 | $15,854 | +42% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$59,714 | $15,927 | -22% |
|
Gastrointestinal Bleeding (with complications)
MS-DRG 378 · Inpatient stay |
$38,597 | $8,962 | -7% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$31,732 | $6,944 | about average |
|
Other Cerebrovascular Disorders with Complications
MS-DRG 071 · Inpatient stay |
$45,299 | $8,477 | about average |
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$48,612 | $10,474 | about average |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$47,826 | $8,558 | +5% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$35,885 | $6,365 | +6% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$31,771 | $6,868 | +7% |
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.