PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Short Term Acute Care HospitalVoluntary Non-Profit - Other

Piedmont Athens Regional Medical Ce

Piedmont Healthcare · Athens, GA

1199 Prince Avenue, Athens, GA 30606(706) 475-7000

4 of 5

CMS star rating

407

Beds

25,460

Inpatient discharges a year

$920.5M

Net patient revenue a year

37

In-network payers

About this hospital

Piedmont Athens Regional Medical Ce is a 407-bed voluntary non-profit - other hospital in Athens, GA, affiliated with Piedmont Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 491 disclosed rate categories.

  • Rural referral center
  • Reclassified as rural
  • Disproportionate share hospital
CCN
110074
NPI
1437186111
Health system
Piedmont Healthcare
Teaching
Teaching hospital
County
Clarke County
Metro area
Athens-Clarke County, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2025

Prices for common services

The 24 services Piedmont Athens Regional Medical Ce most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,238 - $15,503

from 4 insurers · median $10,688

Cigna$10,249
Insurer A*$10,238
Insurer B*$11,127
Insurer C*$15,503

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$14,012 - $19,355

from 4 insurers · median $15,353

Cigna$14,575
Insurer A*$14,012
Insurer B*$16,131
Insurer C*$19,355

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$44,307 - $84,534

from 4 insurers · median $62,816

Aetna$50,014
Insurer A*$44,307
Insurer B*$75,618
Insurer C*$84,534
Medicare $25,716Nearby hospitals $65,925In line with nearby hospitals

33 Medicare discharges for this DRG in CMS hospital data

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$10,993 - $13,726

from 3 insurers · median $12,651

Aetna$12,651
Insurer A*$10,993
Insurer B*$13,726
Medicare $10,028Nearby hospitals $9,07939% above nearby hospitals

135 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at Piedmont Athens Regional Medical Ce

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*20
338%
97
Insurer B*24
325%
162
Insurer C*24
248%
133
Insurer D*5
50%
02

How we chose these services: 8 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Piedmont Athens Regional Medical Ce, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Alliant Health PlansAmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner Health

More about this hospital

  • Quality

    4 of 5 stars

    • 183 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.31%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 25 services
    • 876 affiliated clinicians
    See doctors and services
  • Finances

    $920.5M net patient revenue

    • Operating margin on patient care 6.1%
    • $56.9M unreimbursed and uncompensated care
    • $122.5M net income
    See finances
  • Ownership and leadership

    Owned by Piedmont Healthcare Inc

    • Other
    • James Burnett, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Piedmont Athens Regional Medical Ce in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-2179986Piedmont Athens Regional Medical Center INC60Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 55 more1437186111 Piedmont Athens Regional Medical Center Inc.1053306191 Piedmont Athens Regional Medical Center Inc.1003801184 Piedmont Athens Regional Medical Center Inc.and 5 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1199 Prince Avenue, Athens, GA 30606

(706) 475-7000

Get directions

Frequently asked questions

About Piedmont Athens Regional Medical Ce's rates and hospital price transparency.

How much does an MRI cost at Piedmont Athens Regional Medical Ce?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Piedmont Athens Regional Medical Ce range from $916 to $985 across 2 insurers. UnitedHealthcare's rate is $916. The median at nearby comparable hospitals is $989. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Piedmont Athens Regional Medical Ce?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Piedmont Athens Regional Medical Ce range from $916 to $928 across 2 insurers. UnitedHealthcare's rate is $916. The median at nearby comparable hospitals is $854. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Piedmont Athens Regional Medical Ce?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Piedmont Athens Regional Medical Ce range from $3,663 to $4,717 across 3 insurers. Blue Cross Blue Shield's rate is $4,717. The median at nearby comparable hospitals is $4,144. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Piedmont Athens Regional Medical Ce?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Piedmont Athens Regional Medical Ce range from $10,238 to $15,503 across 4 insurers. Cigna's rate is $10,249. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Piedmont Athens Regional Medical Ce?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Piedmont Athens Regional Medical Ce range from $227 to $276 across 3 insurers. UnitedHealthcare's rate is $227. The median at nearby comparable hospitals is $203. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Piedmont Athens Regional Medical Ce's CMS star rating?

Piedmont Athens Regional Medical Ce has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Piedmont Athens Regional Medical Ce a teaching hospital?

Yes. CMS counts 0.18 Medicare-funded residents per bed at Piedmont Athens Regional Medical Ce for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Piedmont Athens Regional Medical Ce for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Piedmont Athens Regional Medical Ce's base inpatient payments by an estimated 0.31% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Piedmont Athens Regional Medical Ce?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (690 discharges), heart failure and shock with mcc (378 discharges), septicemia or severe sepsis without mv >96 hours without mcc (152 discharges).

What is Piedmont Athens Regional Medical Ce's case mix index?

Piedmont Athens Regional Medical Ce's Medicare case mix index is 1.96 for fiscal year 2027, higher than 75% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster