Piedmont Hospital, Inc
PIEDMONT HOSPITAL, INC in Atlanta, GA charges 8.6x the Medicare reimbursement rate across 154 analyzed procedures, making it a federally-owned facility with pricing above the Medicare benchmark.
Atlanta, GA 30309 · Acute Care Hospitals · CMS Rating: 4/5
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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Billing patterns — government-federal
Federal Government Hospitals (VA/DoD) in our dataset show distinct billing patterns compared to other ownership types. These 14 facilities demonstrate an average markup of 4.1x Medicare rates, which falls within the mid-range compared to other hospital categories. VA and DoD hospitals typically operate under federal pricing structures that may differ significantly from private healthcare facilities. Patients should be aware that while these hospitals serve specific populations (veterans and military families), their charge patterns can still vary considerably from Medicare benchmarks. The billing structure at federal facilities often reflects government healthcare pricing models, which may include different cost accounting methods and reimbursement frameworks. Veterans eligible for VA care and military beneficiaries using DoD facilities should verify their coverage status and understand any potential differences between posted charges and their actual financial responsibility under federal healthcare programs.
Pricing grade
F
Very high
Avg markup vs Medicare
8.56x
Charge / Medicare rate
Max markup
24.95x
Worst procedure
Procedures analyzed
154
With pricing data
Outlier procedures
1.3%
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $371,228 | $185,614 | — | 25x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $463,609 | $231,804 | — | 14.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $142,334 | $71,167 | — | 13.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $142,081 | $71,040 | — | 13.3x |
| CHEST PAIN | 313 | $39,129 | $19,565 | — | 13.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $96,232 | $48,116 | — | 13x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $66,737 | $33,369 | — | 12.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $35,544 | $17,772 | — | 11.5x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $43,208 | $21,604 | — | 11.4x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $161,537 | $80,769 | — | 11.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $47,661 | $23,830 | — | 11.2x |
| DYSEQUILIBRIUM | 149 | $39,050 | $19,525 | — | 11x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $41,608 | $20,804 | — | 11x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $64,197 | $32,099 | — | 10.8x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $27,656 | $13,828 | — | 10.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $65,437 | $32,718 | — | 10.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $55,494 | $27,747 | — | 10.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $121,062 | $60,531 | — | 10.5x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $64,118 | $32,059 | — | 10.5x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $73,082 | $36,541 | — | 10.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | 659 | $208,134 | $104,067 | — | 10.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $98,763 | $49,381 | — | 10.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $44,325 | $22,163 | — | 10.3x |
| LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | 005 | $639,625 | $319,813 | — | 10.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $71,193 | $35,597 | — | 10.2x |
| SYNCOPE AND COLLAPSE | 312 | $42,290 | $21,145 | — | 10.2x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $92,549 | $46,274 | — | 10.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $21,521 | $10,761 | — | 10x |
| HYPERTENSION WITH MCC | 304 | $56,645 | $28,323 | — | 10x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $88,769 | $44,385 | — | 10x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $34,880 | $17,440 | — | 9.9x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $76,534 | $38,267 | — | 9.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $36,678 | $18,339 | — | 9.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $50,712 | $25,356 | — | 9.8x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $234,008 | $117,004 | — | 9.7x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $35,618 | $17,809 | — | 9.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $42,173 | $21,086 | — | 9.6x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $44,590 | $22,295 | — | 9.6x |
| DIABETES WITH MCC | 637 | $90,969 | $45,484 | — | 9.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $325,923 | $162,962 | — | 9.6x |
| MAJOR BLADDER PROCEDURES WITH CC | 654 | $149,891 | $74,945 | — | 9.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $46,084 | $23,042 | — | 9.6x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $89,889 | $44,945 | — | 9.5x |
| SEIZURES WITH MCC | 100 | $109,558 | $54,779 | — | 9.5x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $73,081 | $36,541 | — | 9.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $185,820 | $92,910 | — | 9.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $114,928 | $57,464 | — | 9.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $43,354 | $21,677 | — | 9.4x |
| VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | 033 | $84,460 | $42,230 | — | 9.2x |
| CERVICAL SPINAL FUSION WITHOUT CC/MCC | 473 | $125,668 | $62,834 | — | 9.2x |
Showing 50 of 154 procedures
How PIEDMONT HOSPITAL, INC compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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.
FAQ — government-federal hospital billing
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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