CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Piedmont Newton Hospital

Billing Code: 322 (MS-DRG)

The BaseRate · fair price high confidence

A fair price for this

$22,836

about 1.8× the $12,807 Medicare rate · typically $14,631–$28,191

modeled estimate · not a bill or quote

What this hospital charges insurers

$26,602

Above the fair price

about $3,766 over the fair price · 2.1× Medicare

Medicare pays $12,807 Fair price $22,836 This hospital $26,602 Cash price $38,557 Hospital's list price $128,524

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 $10,641 Priciest $26,602

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

A fair price for a Heart stent placement (inpatient stay) is about $22,836 (about 1.8× the $12,807 Medicare rate). Piedmont Newton Hospital charges insurers about $26,602, or about $38,557 in cash — above the fair price. Located in Covington, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $22,836. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$15,704 - $39,479	123%
Blue Cross Blue Shieldmajor	$37,736 - $39,474	295%
Aetnamajor	$26,602	208%
Cignamajor	$28,210 - $41,882	220%
Ambetter (Centene)	$25,471	199%
CareSource	$32,310	252%
+ 2 smaller / regional plans	$15,929 - $16,080

Government programs also on file: Medicare.

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 38,557), 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: 322.

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 322.
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: Heart stent placement (inpatient stay) at other GA hospitals

Coffee Regional Medical Center, Inc · Douglas $10,641
Bacon County Hospital · Alma $11,647
Phoebe Putney Memorial Hospital · Albany $13,546
Wellstar Paulding Medical Center · Hiram $13,737
Wellstar North Fulton Medical Center · Roswell $13,837
Doctors Hospital · Augusta $14,113
Fairview Park Hospital · Dublin $14,148
Memorial Health Meadows Hospital · Vidalia $14,323

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