Piedmont Cartersville Medical Center
PIEDMONT CARTERSVILLE MEDICAL CENTER in Cartersville, GA charges 10.3x the Medicare reimbursement rate on average, based on analysis of 35 common procedures at this nonprofit facility.
Cartersville, GA 30120 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
F
Very high
Avg markup vs Medicare
10.35x
Charge / Medicare rate
Max markup
14x
Worst procedure
Procedures analyzed
35
With pricing data
Outlier procedures
5.7%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $82,540 | $41,270 | — | 14x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $153,018 | $76,509 | — | 13.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $68,296 | $34,148 | — | 13.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $82,052 | $41,026 | — | 13.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $54,948 | $27,474 | — | 12.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $81,160 | $40,580 | — | 12.1x |
| CHEST PAIN | 313 | $54,144 | $27,072 | — | 12x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $147,002 | $73,501 | — | 11.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $92,141 | $46,071 | — | 11.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $153,090 | $76,545 | — | 11.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $108,657 | $54,328 | — | 11.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $85,404 | $42,702 | — | 11.3x |
| SYNCOPE AND COLLAPSE | 312 | $59,161 | $29,580 | — | 11.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $59,160 | $29,580 | — | 10.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $88,899 | $44,450 | — | 10.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $138,819 | $69,409 | — | 10.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $211,323 | $105,661 | — | 10.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $49,852 | $24,926 | — | 10.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $52,200 | $26,100 | — | 10.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $73,360 | $36,680 | — | 9.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $58,672 | $29,336 | — | 9.8x |
| RENAL FAILURE WITH MCC | 682 | $82,375 | $41,188 | — | 9.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $50,458 | $25,229 | — | 9.4x |
| RENAL FAILURE WITH CC | 683 | $54,089 | $27,044 | — | 9.3x |
| CELLULITIS WITHOUT MCC | 603 | $45,702 | $22,851 | — | 9.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $99,616 | $49,808 | — | 9.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $111,093 | $55,546 | — | 9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $45,367 | $22,683 | — | 8.9x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $42,050 | $21,025 | — | 8.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $72,769 | $36,384 | — | 8.6x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $63,610 | $31,805 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $56,810 | $28,405 | — | 8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $84,770 | $42,385 | — | 7.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $228,324 | $114,162 | — | 7.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $83,885 | $41,943 | — | 7.1x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use