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

Piedmont Fayette Hospital Inc.

Piedmont Healthcare · Fayetteville, GA

1255 Highway 54 West, Fayetteville, GA 30214(770) 719-7000

3 of 5

CMS star rating

299

Beds

21,367

Inpatient discharges a year

$620.2M

Net patient revenue a year

39

In-network payers

About this hospital

Piedmont Fayette Hospital Inc. is a 299-bed voluntary non-profit - private hospital in Fayetteville, GA, affiliated with Piedmont Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 39 in-network payers and 486 disclosed rate categories.

  • Disproportionate share hospital
  • Helipad
CCN
110215
NPI
1528027240
Health system
Piedmont Healthcare
Teaching
No Medicare-funded residents
County
Fayette County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1997
Last CMS survey
2026

Prices for common services

The 24 services Piedmont Fayette Hospital Inc. 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

$10,005 - $13,941

from 4 insurers · median $10,394

UnitedHealthcare$10,539
Insurer A*$10,005
Insurer B*$10,249
Insurer C*$13,941

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

$14,009 - $21,060

from 4 insurers · median $14,598

UnitedHealthcare$14,621
Insurer A*$14,009
Insurer B*$14,575
Insurer C*$21,060

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

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$864 - $3,391

from 3 insurers · median $3,018

Cigna$3,018
Insurer A*$864
Insurer B*$3,391
Medicare $537Nearby hospitals $828265% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,330 - $14,545

from 3 insurers · median $7,819

Aetna$7,330
Insurer A*$7,819
Insurer B*$14,545
Medicare $5,945Nearby hospitals $7,502In line with nearby hospitals

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

How the insurers pay at Piedmont Fayette Hospital Inc.

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*17
336%
68
Insurer B*24
244%
74
Insurer C*19
214%
112
Insurer D*24
171%
136

How we chose these services: 9 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 4 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 Fayette Hospital Inc., 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

    • 286 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.57%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 36 services
    • 931 affiliated clinicians
    See doctors and services
  • Finances

    $620.2M net patient revenue

    • Operating margin on patient care 19.8%
    • $36.9M unreimbursed and uncompensated care
    • $133.2M net income
    See finances
  • Ownership and leadership

    Owned by Piedmont Healthcare Inc

    • Private (not for profit)
    • Stephen D Porter, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-2322328Fayette Community Hospital INC62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 57 more1528027240 Fayette Community Hospital Inc.

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

1255 Highway 54 West, Fayetteville, GA 30214

(770) 719-7000

Get directions

Frequently asked questions

About Piedmont Fayette Hospital Inc.'s rates and hospital price transparency.

How much does a CT scan cost at Piedmont Fayette Hospital Inc.?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Piedmont Fayette Hospital Inc. range from $486 to $964 across 3 insurers. Cigna's rate is $486. The median at nearby comparable hospitals is $746. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Piedmont Fayette Hospital Inc.?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Piedmont Fayette Hospital Inc. range from $1,860 to $4,586 across 4 insurers. Blue Cross Blue Shield's rate is $4,416. The median at nearby comparable hospitals is $2,728. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Piedmont Fayette Hospital Inc.?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Piedmont Fayette Hospital Inc. range from $10,005 to $13,941 across 4 insurers. UnitedHealthcare's rate is $10,539. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Piedmont Fayette Hospital Inc.?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Piedmont Fayette Hospital Inc. range from $227 to $276 across 4 insurers. Blue Cross Blue Shield's rate is $262. The median at nearby comparable hospitals is $191. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Piedmont Fayette Hospital Inc.?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Piedmont Fayette Hospital Inc. range from $25,907 to $47,348 across 4 insurers. Aetna's rate is $26,384. The median at nearby comparable hospitals is $33,607. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Piedmont Fayette Hospital Inc.'s CMS star rating?

Piedmont Fayette Hospital Inc. 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 Fayette Hospital Inc. a teaching hospital?

CMS reports no Medicare-funded interns or residents at Piedmont Fayette Hospital Inc. for fiscal year 2027.

Does Medicare penalize Piedmont Fayette Hospital Inc. for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Piedmont Fayette Hospital Inc.'s base inpatient payments by an estimated 0.57% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Piedmont Fayette Hospital Inc.?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (659 discharges), heart failure and shock with mcc (290 discharges), septicemia or severe sepsis without mv >96 hours without mcc (170 discharges).

What is Piedmont Fayette Hospital Inc.'s case mix index?

Piedmont Fayette Hospital Inc.'s Medicare case mix index is 1.73 for fiscal year 2027, higher than 55% 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