Piedmont Newnan Hospital, Inc
PIEDMONT NEWNAN HOSPITAL, INC in Newnan, GA charges 7.0x the Medicare reimbursement rate across 48 analyzed procedures, positioning it among Georgia's nonprofit hospitals with significant price variations.
Newnan, GA 30265 · Acute Care Hospitals · CMS Rating: 2/5
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
7.03x
Charge / Medicare rate
Max markup
9.9x
Worst procedure
Procedures analyzed
48
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $125,544 | $62,772 | — | 9.9x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $66,461 | $33,231 | — | 9.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $180,940 | $90,470 | — | 9.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $62,669 | $31,334 | — | 9.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $56,763 | $28,381 | — | 9.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $76,625 | $38,313 | — | 9.1x |
| DIABETES WITH CC | 638 | $46,789 | $23,395 | — | 8.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $96,350 | $48,175 | — | 8.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $78,320 | $39,160 | — | 8.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $117,046 | $58,523 | — | 8.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $61,487 | $30,744 | — | 8.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,370 | $27,185 | — | 8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $38,420 | $19,210 | — | 7.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $107,533 | $53,767 | — | 7.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $101,524 | $50,762 | — | 7.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $68,271 | $34,136 | — | 7.7x |
| RENAL FAILURE WITH MCC | 682 | $79,662 | $39,831 | — | 7.6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $167,045 | $83,522 | — | 7.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $136,212 | $68,106 | — | 7.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $92,623 | $46,311 | — | 7.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $61,896 | $30,948 | — | 7.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $128,665 | $64,332 | — | 7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $47,162 | $23,581 | — | 7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $37,382 | $18,691 | — | 6.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $227,157 | $113,578 | — | 6.9x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $34,129 | $17,065 | — | 6.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $56,003 | $28,001 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $35,810 | $17,905 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $34,503 | $17,252 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,720 | $27,860 | — | 6.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $59,126 | $29,563 | — | 6.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $39,476 | $19,738 | — | 6.4x |
| SYNCOPE AND COLLAPSE | 312 | $38,432 | $19,216 | — | 6.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $81,533 | $40,767 | — | 6.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $87,662 | $43,831 | — | 6.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $68,608 | $34,304 | — | 6.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $39,340 | $19,670 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $38,267 | $19,134 | — | 5.9x |
| CELLULITIS WITHOUT MCC | 603 | $34,352 | $17,176 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $272,358 | $136,179 | — | 5.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $80,884 | $40,442 | — | 5.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $32,560 | $16,280 | — | 5.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $54,744 | $27,372 | — | 5.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $59,685 | $29,843 | — | 5.5x |
| RENAL FAILURE WITH CC | 683 | $33,507 | $16,754 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $66,413 | $33,207 | — | 5.1x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $59,828 | $29,914 | — | 4.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $33,144 | $16,572 | — | 4.4x |
How PIEDMONT NEWNAN 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.
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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