Piedmont Mountainside Hospital Inc
PIEDMONT MOUNTAINSIDE HOSPITAL INC in Jasper, GA charges 5.2x the Medicare reimbursement rate across 28 analyzed procedures, reflecting the pricing patterns of this nonprofit-private healthcare facility.
Jasper, GA 30143 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.19x
Charge / Medicare rate
Max markup
8.33x
Worst procedure
Procedures analyzed
28
With pricing data
Outlier procedures
0%
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $38,501 | $19,251 | — | 8.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $103,196 | $51,598 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $81,154 | $40,577 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,930 | $15,465 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $47,653 | $23,826 | — | 5.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $31,817 | $15,909 | — | 5.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $38,264 | $19,132 | — | 5.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $27,882 | $13,941 | — | 5.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $43,531 | $21,766 | — | 5.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $79,154 | $39,577 | — | 5.7x |
| CELLULITIS WITHOUT MCC | 603 | $31,311 | $15,655 | — | 5.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $29,390 | $14,695 | — | 5.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,069 | $18,034 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,448 | $14,224 | — | 5.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,274 | $21,137 | — | 4.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $59,038 | $29,519 | — | 4.8x |
| RENAL FAILURE WITH CC | 683 | $27,980 | $13,990 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $18,182 | $9,091 | — | 4.8x |
| SYNCOPE AND COLLAPSE | 312 | $28,652 | $14,326 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $36,544 | $18,272 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $144,254 | $72,127 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $58,691 | $29,346 | — | 4.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $36,796 | $18,398 | — | 4.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,312 | $11,156 | — | 4.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $33,114 | $16,557 | — | 4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $44,775 | $22,387 | — | 3.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $47,082 | $23,541 | — | 3.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $37,568 | $18,784 | — | 3.4x |
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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