CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Piedmont Newton Hospital

Billing Code: 392 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$11,611

about 2.0× the $5,676 Medicare rate · typically $6,716–$12,873

modeled estimate · not a bill or quote

What this hospital charges insurers

$11,763

About the fair price

about $152 over the fair price · 2.1× Medicare

Medicare pays $5,676 Fair price $11,611 This hospital $11,763 Cash price $11,214 Hospital's list price $37,381

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $4,585 Priciest $11,763

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Digestive disorders treatment (inpatient stay) is about $11,611 (about 2.0× the $5,676 Medicare rate). Piedmont Newton Hospital charges insurers about $11,763, or about $11,214 in cash — about the fair price. Located in Covington, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$8,200 - $14,930	144%
Blue Cross Blue Shieldmajor	$16,687 - $17,456	294%
Aetnamajor	$11,763	207%
Cignamajor	$12,474 - $18,520	220%
Ambetter (Centene)	$11,263	198%
CareSource	$16,871	297%
+ 2 smaller / regional plans	$8,318 - $8,396

Government programs also on file: Medicare.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 11,214), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the MS-DRG code on your bill matches exactly: 392.

Insurance Before you use insurance

Call your insurance company to confirm Piedmont Newton Hospital is in-network.
Ask your insurer whether prior approval is required for MS-DRG code 392.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Piedmont Newton Hospital

Compare: Digestive disorders treatment (inpatient stay) at other GA hospitals

Coffee Regional Medical Center, Inc · Douglas $4,585
Bacon County Hospital · Alma $5,150
Northside Hospital Forsyth · Cumming $5,767
Phoebe Putney Memorial Hospital · Albany $5,990
Wellstar Paulding Medical Center · Hiram $6,074
Wellstar North Fulton Medical Center · Roswell $6,119
Doctors Hospital · Augusta $7,387
Navicent Health Baldwin · Milledgeville $7,406

Insurance negotiated median for the same procedure, sorted lowest first.