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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Piedmont Cartersville Medical Center

Piedmont Healthcare · Cartersville, GA

960 Joe Frank Harris Parkway, Cartersville, GA 30120(770) 387-8182

3 of 5

CMS star rating

141

Beds

8,296

Inpatient discharges a year

$229.2M

Net patient revenue a year

36

In-network payers

About this hospital

Piedmont Cartersville Medical Center is a 141-bed voluntary non-profit - private hospital in Cartersville, GA, affiliated with Piedmont Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 526 disclosed rate categories.

  • Disproportionate share hospital
CCN
110030
NPI
1780638833
Health system
Piedmont Healthcare
Teaching
Teaching hospital
County
Bartow County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction 5, WPS Government Health Administrators (05901)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Piedmont Cartersville Medical Center 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

$9,981 - $10,230

from 4 insurers · median $10,099

Cigna$9,981
Insurer A*$9,983
Insurer B*$10,215
Insurer C*$10,230

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 obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$13,977 - $18,187

from 4 insurers · median $14,674

Cigna$15,342
Insurer A*$13,977
Insurer B*$14,007
Insurer C*$18,187

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 obstetrics / child birth services to CMS

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,330 - $14,890

from 3 insurers · median $9,481

Aetna$7,330
Insurer A*$9,481
Insurer B*$14,890
Medicare $5,812Nearby hospitals $15,02637% below nearby hospitals

56 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$3,632 - $5,229

from 3 insurers · median $3,790

Blue Cross$3,790
Insurer A*$3,632
Insurer B*$5,229
Medicare $872Nearby hospitals $4,57817% below nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Piedmont Cartersville Medical Center

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*24
358%
118
Insurer B*24
250%
713
Insurer C*18
241%
68
Insurer D*7
60%
21

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Cartersville Medical Center, 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

    3 of 5 stars

    • 169 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.32%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • Teaching hospital
    • 31 services, including trauma care
    • 330 affiliated clinicians
    See doctors and services
  • Finances

    $229.2M net patient revenue

    • Operating margin on patient care 12.4%
    • $27.4M unreimbursed and uncompensated care
    • $31.3M net income
    See finances
  • Ownership and leadership

    Owned by Piedmont Cartersville Hospital, Inc.

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-2433438Cartersville Medical Center LLC58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 53 more1780638833 Cartersville Medical Center LLC

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

960 Joe Frank Harris Parkway, Cartersville, GA 30120

(770) 387-8182

Get directions

Frequently asked questions

About Piedmont Cartersville Medical Center's rates and hospital price transparency.

How much does an MRI cost at Piedmont Cartersville Medical Center?

For MRI lumbar spine without contrast (CPT 72148), published negotiated rates at Piedmont Cartersville Medical Center range from $584 to $1,897 across 2 insurers. UnitedHealthcare's rate is $584. The median at nearby comparable hospitals is $706. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Piedmont Cartersville Medical Center?

For CT head or brain without contrast (CPT 70450), published negotiated rates at Piedmont Cartersville Medical Center range from $262 to $1,498 across 2 insurers. UnitedHealthcare's rate is $262. The median at nearby comparable hospitals is $382. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Piedmont Cartersville Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Piedmont Cartersville Medical Center range from $3,632 to $5,229 across 3 insurers. Blue Cross Blue Shield's rate is $4,616. The median at nearby comparable hospitals is $4,819. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Piedmont Cartersville Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Piedmont Cartersville Medical Center range from $9,981 to $10,230 across 4 insurers. Cigna's rate is $9,981. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Piedmont Cartersville Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Piedmont Cartersville Medical Center range from $227 to $276 across 3 insurers. UnitedHealthcare's rate is $227. The median at nearby comparable hospitals is $119. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Piedmont Cartersville Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Piedmont Cartersville Medical Center range from $27,027 to $48,455 across 4 insurers. Aetna's rate is $27,027. The median at nearby comparable hospitals is $42,918. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Piedmont Cartersville Medical Center's CMS star rating?

Piedmont Cartersville Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Piedmont Cartersville Medical Center a teaching hospital?

Yes. CMS counts 0.01 Medicare-funded residents per bed at Piedmont Cartersville Medical Center for fiscal year 2027, so it is a teaching hospital.

Does Medicare penalize Piedmont Cartersville Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Piedmont Cartersville Medical Center's base inpatient payments by an estimated 0.32% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Piedmont Cartersville Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (197 discharges), heart failure and shock with mcc (78 discharges), simple pneumonia and pleurisy with mcc (60 discharges).

For hospital finance and compliance teams

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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.

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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
      }
    ]
  }]
}
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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.

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