Piedmont Healthcare · Macon, GA
3 of 5
CMS star rating
271
Beds
9,310
Inpatient discharges a year
$268.4M
Net patient revenue a year
34
In-network payers
Piedmont Macon Medical Center is a 271-bed voluntary non-profit - private hospital in Macon, GA, affiliated with Piedmont Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 525 disclosed rate categories.
The 24 services Piedmont Macon 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
MS-DRG 807
$9,164 - $15,215
from 4 insurers · median $11,147
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
MS-DRG 788
$12,662 - $21,638
from 4 insurers · median $15,218
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
MS-DRG 460
$44,220 - $65,125
from 4 insurers · median $61,537
36 Medicare discharges for this DRG in CMS hospital data
Cardiology and vascular testing
CPT 93306
$2,688 - $3,520
from 3 insurers · median $3,339
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,155 - $11,977
from 3 insurers · median $9,481
83 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$9,164 - $15,215
from 4 insurers · median $11,147
CMS lists this service as CPT 59610, 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
Digestive procedures
CPT 43239
$3,026 - $4,586
from 4 insurers · median $3,960
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,529 - $4,586
from 4 insurers · median $4,333
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,529 - $5,229
from 4 insurers · median $4,397
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$275 - $1,629
from 4 insurers · median $751
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,330 - $8,953
from 3 insurers · median $7,402
83 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 49505
$5,090 - $6,844
from 3 insurers · median $5,416
44 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
CT imaging
CPT 70450
$89 - $1,461
from 4 insurers · median $419
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$223 - $276
from 4 insurers · median $239
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$190 - $1,785
from 4 insurers · median $575
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93971
$306 - $1,254
from 4 insurers · median $1,108
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,265 - $9,401
from 3 insurers · median $8,953
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Urology
CPT 50590
$9,343 - $15,203
from 4 insurers · median $10,425
44 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$3,872 - $5,190
from 3 insurers · median $4,723
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$459 - $2,516
from 4 insurers · median $1,952
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$506 - $2,207
from 4 insurers · median $1,526
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,782 - $4,066
from 4 insurers · median $2,835
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$160 - $1,629
from 4 insurers · median $507
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 64483
$2,232 - $4,842
from 4 insurers · median $2,844
Common here, based on CMS Medicare volume
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 465% | 19 | 1 |
| Insurer B* | 19 | 422% | 11 | 3 |
| Insurer C* | 24 | 263% | 8 | 2 |
| Insurer D* | 23 | 194% | 5 | 9 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 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 Macon Medical Center, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by DNV
Finances
$268.4M net patient revenue
Ownership and leadership
Owned by Piedmont Macon Hospital Inc
The employer identification numbers (EINs) health plans and networks list for Piedmont Macon Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 62-1736983Piedmont Macon Medical Center | 55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more | 1598719643 Coliseum Medical Center LLC1760436810 Coliseum Medical Center LLC1275587263 Coliseum 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.
350 Hospital Drive, Macon, GA 31217
(478) 765-7000
How Piedmont Macon Medical Center compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 2 of 8 measures
1 better, 5 no different, 2 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
2 of 5
Lower than 81% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
66%
Lower than 69% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.99
Higher than 61% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
232 min
Higher than 92% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
57%
Lower than 69% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 1 of 7 measures | |
| Readmissions | Worse on 2 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 2 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 66% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.99 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 232 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 57% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Piedmont Macon Medical Center's inpatient payments for its readmissions, quality and cost results.
-0.40% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
-0.97% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Piedmont Macon Medical Center, beside the US median and the average of GA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.655 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 2,218 cases | 3.7 | 3.9 | 4.079 | Better than 62% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 151 cases | 12.1 | 11.8 | 12.11 | Worse than 60% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 86 cases | 2.3 | 2.3 | 2.575 | Worse than 48% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 87 cases | 10.5 | 8.5 | 8.691 | Worse than 90% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 176 cases | 13.5 | 11 | 10.84 | Worse than 89% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 274 cases | 16.9 | 15.2 | 15.21 | Worse than 75% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 213 cases | 9.1 | 11.6 | 12.45 | Better than 92% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 3,106 cases | 0.18 | 0.51 | 0.6821 | No Different Than the National Rate | Better than 93% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 47 cases | 171 | 173 | 176 | No Different Than the National Rate | Better than 52% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 3,773 cases | 0.16 | 0.2 | 0.2173 | No Different Than the National Rate | Better than 90% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 4,059 cases | 0.31 | 0.27 | 0.2798 | No Different Than the National Rate | Worse than 84% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 829 cases | 2.41 | 2.29 | 2.356 | No Different Than the National Rate | Worse than 70% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 269 cases | 1.92 | 1.63 | 1.796 | No Different Than the National Rate | Worse than 85% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 281 cases | 10.66 | 8.88 | 10.26 | No Different Than the National Rate | Worse than 73% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 843 cases | 4.73 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 94% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 251 cases | 6.1 | 5.105 | 5.77 | No Different Than the National Rate | Worse than 83% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 224 cases | 1.63 | 1.72 | 1.743 | No Different Than the National Rate | Better than 81% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 627 cases | 0.89 | 1.02 | 1.073 | No Different Than the National Rate | Better than 84% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 149 cases | -34.5 | 4.2 | 5.306 | Better than 97% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 188 cases | 66.6 | 1.25 | 12.52 | Worse than 96% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 289 cases | 46.8 | 3.85 | 12.69 | Worse than 92% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 393 cases | 12.9 | 12.9 | 12.97 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.62 | |||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.229 | |||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 465 cases | 1 | 1 | 0.9723 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 299 cases | 13.4 | 14.4 | 14.35 | Better than 89% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 124 cases | 12.3 | 10.9 | 11.83 | Worse than 81% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 211 cases | 20.3 | 19.8 | 19.84 | Worse than 69% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 446 cases | 21.7 | 21.3 | 21.19 | Worse than 61% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 5.927 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 464 cases | 17.7 | 17.2 | 17.41 | Worse than 67% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.089 | 0.172 | 0.2721 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.957 | 1.504 | 1.762 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 8,146 | 1,370 | 5,571 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 8.536 | 0.9835 | 5.825 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 3.568 | Better than the National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.351 | 0.484 | 0.619 | Better than the National Benchmark | Better than 62% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.007 | 0.138 | 0.1792 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.678 | 1.392 | 1.515 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 5,784 | 1,799 | 4,621 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 7.271 | 1.377 | 6.01 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.317 | Better than the National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.138 | 0.399 | 0.3748 | Better than the National Benchmark | Better than 73% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.873 | 0.2345 | 0.4352 | No Different than National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 6.627 | 2.135 | 2.519 | No Different than National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 51 | 61 | 136 | No Different than National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 1.456 | 1.591 | 3.769 | No Different than National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 4 | 1 | 3.756 | No Different than National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 2.747 | 0.7155 | 0.9605 | No Different than National Benchmark | Worse than 99% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4781 | No Different than National Benchmark | ||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.645 | 3.068 | 3.862 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 202 | 38 | 143 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.821 | 0.328 | 1.256 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 1.77 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 0 | 0.812 | 1.373 | No Different than National Benchmark | The best result, shared by 22% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.092 | 0.193 | 0.2796 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.82 | 1.855 | 1.919 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 50,577 | 14,451 | 48,840 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 3.631 | 0.567 | 3.385 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 2 | 0 | 2.336 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.551 | 0.597 | 0.6352 | No Different than National Benchmark | Better than 55% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.104 | 0.127 | 0.1286 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.47 | 0.747 | 1.104 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 48,484 | 13,646 | 44,552 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 29.43 | 5.683 | 23.39 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 7 | 2 | 6.1 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.238 | 0.279 | 0.2745 | Better than the National Benchmark | Better than 57% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 390 cases | 64 | 73 | 72.27 | Worse than 85% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 390 cases | 14 | 8 | 9.85 | Worse than 86% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 390 cases | 22 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 82 | 87 | 85.97 | Worse than 83% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 390 cases | 2 | 4 | 3.301 | Worse than 83% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 390 cases | 71 | 80 | 78.79 | Worse than 93% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 88 | 91 | 90.82 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 390 cases | 6 | 4 | 4.903 | Worse than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 390 cases | 2 | 3 | 3.204 | Worse than 79% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 390 cases | 23 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 390 cases | 76 | 79 | 79.46 | Worse than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 89 | 91 | 90.77 | Worse than 71% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 390 cases | 7 | 5 | 5.717 | Worse than 72% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 390 cases | 2 | 3 | 3.075 | Worse than 71% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 390 cases | 17 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 390 cases | 56 | 61 | 60.14 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 72 | 77 | 75.68 | Worse than 84% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 390 cases | 25 | 19 | 21.5 | Worse than 84% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 390 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 390 cases | 19 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 84 | 86 | 84.09 | Worse than 66% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 390 cases | 15 | 13 | 14.95 | Worse than 63% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 390 cases | 3 | 3 | 2.935 | Worse than 45% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 390 cases | 85 | 87 | 85.05 | Worse than 63% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 390 cases | 15 | 14 | 17.13 | Worse than 51% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 390 cases | 85 | 86 | 82.87 | Worse than 51% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 71 | 74 | 74.33 | Worse than 68% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 9 | 7 | 7.087 | Worse than 75% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 20 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 73 | 77 | 77.43 | Worse than 77% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 8 | 6 | 6.146 | Worse than 77% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 19 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 84 | 85 | 85.2 | Worse than 57% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 4 | 3 | 3.728 | Worse than 51% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 12 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 390 cases | 12 | 8 | 8.69 | Worse than 81% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 390 cases | 24 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 390 cases | 64 | 72 | 71.31 | Worse than 79% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 85 | 88 | 87.94 | Worse than 78% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 390 cases | 2 | 3 | 3.269 | Worse than 78% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 390 cases | 71 | 74 | 73.43 | Worse than 69% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 390 cases | 11 | 9 | 10.45 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 390 cases | 18 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 67 | 75 | 74.03 | Worse than 91% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 7 | 5 | 6.592 | Worse than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 390 cases | 26 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 67 | 77 | 75.78 | Worse than 94% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 5 | 4 | 5.34 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 390 cases | 28 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 80 | 86 | 84.54 | Worse than 88% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 5 | 3 | 3.437 | Worse than 86% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 390 cases | 15 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 390 cases | 58 | 59 | 63.8 | Worse than 53% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 390 cases | 10 | 9 | 8.469 | Worse than 54% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 390 cases | 32 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 82 | 82 | 83.87 | Better than 48% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 390 cases | 3 | 3 | 3.774 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 390 cases | 8 | 5 | 6.124 | Worse than 76% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 390 cases | 66 | 71 | 70.88 | Worse than 69% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 390 cases | 85 | 87 | 87.15 | Worse than 67% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 390 cases | 26 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 390 cases | 3 | 4 | 3.602 | Worse than 58% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 390 cases | 41 | 47 | 46.49 | Worse than 80% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 390 cases | 38 | 30 | 32.79 | Worse than 87% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 390 cases | 21 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 390 cases | 2 | 3 | 3.151 | Worse than 81% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 390 cases | 15 | 12 | 13.65 | Worse than 73% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 390 cases | 85 | 88 | 86.35 | Worse than 73% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 6.667 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.71 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 5,810 cases | 0 | 0 | 0.08 | The best result, shared by 84% of US hospitals | |
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 1,797 cases | 50 | 79 | 71.13 | Worse than 86% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 412 cases | 240 | 154 | 175 | Worse than 92% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 378 cases | 232 | 148 | 169 | Worse than 92% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 23 cases | 449 | 247 | 348 | Worse than 92% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 11 cases | 420 | 293 | 334 | Worse than 87% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 43,380 cases | 2 | 1 | 1.759 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 13 cases | 92 | 74 | 71.14 | Better than 90% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 45 cases | 96 | 97 | 90.05 | Worse than 54% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 100 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.25 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 2,954 cases | 13 | 15 | 16.89 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 125 cases | 57 | 65 | 58.96 | Worse than 69% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 23 cases | 52 | 73 | 70.15 | Worse than 88% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 | Not Available | 83.53 | |||
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 125 cases | 77 | 82 | 77.15 | Worse than 67% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 70 cases | 81 | 94 | 90.02 | Worse than 91% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.72 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 69.4 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 165 cases | 99 | 94 | 92.46 | Better than 91% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 83.63 | |||
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 985 cases | 99 | 97 | 95.53 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 3.7 | 5 | 5.623 | Better than 66% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 8.9 | 6.6 | 6.411 | Worse than 74% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1.01 | 0.99 | 0.9648 | Worse than 59% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 52.96 | |||
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 | Not Available | 30.16 | |||
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,344 cases | 0.01 | 0.05 | 0.1041 | Worse than 70% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 4,344 cases | 0.01 | 0.03 | 0.08615 | Worse than 55% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 358 cases | 92 | 87 | 68.37 | Better than 63% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 70.53 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 49 cases | 17.2 | 19.1 | 19.96 | No Different Than the National Rate | Better than 80% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 329 cases | 99 | 92 | 78.85 | Better than 80% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 · 70 cases | 97 | 74 | 57.9 | Better than 86% of US hospitals | |
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 · 70 cases | 97 | 81 | 71.62 | Better than 81% of US hospitals | |
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 125 cases | 86 | 77 | 54.17 | Better than 61% of US hospitals | |
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 · 125 cases | 86 | 56 | 44.17 | Better than 73% of US hospitals | |
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 85 cases | 95 | 64 | 52.9 | Better than 86% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 85 cases | 94 | 4 | 25.84 | Better than 97% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 641 cases | 83 | 77 | 63.23 | Better than 56% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 30 | 20 | 20.96 | Better than 68% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 7.5 | 5 | 5.347 | Better than 68% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 26.92 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 7.03 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 20 | 34 | 36.51 | Worse than 78% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 5 | 8.75 | 9.439 | Worse than 78% of US hospitals | |
| VBP safety domain scoreFY 2026 | 10 | 40 | 38.57 | Worse than 95% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 2.5 | 10 | 9.691 | Worse than 95% of US hospitals | |
| VBP total performance scoreFY 2026 | 15 | 29.5 | 31.07 | Worse than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 42.5 | 52 | 15 | 10 | 10 | 30 |
| VBP clinical outcomes weighted domain score | 10.63 | 13 | 3.75 | 2.5 | 2.5 | 7.5 |
| VBP efficiency and cost reduction domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP efficiency and cost reduction weighted domain score | 0 | Not Available | 0 | 0 | 0 | 0 |
| VBP person and community engagement domain score | 28 | Not Available | Not Available | 10 | 14 | 20 |
| VBP person and community engagement weighted domain score | 7 | Not Available | Not Available | 2.5 | 3.5 | 5 |
| VBP safety domain score | 58 | Not Available | Not Available | 28 | 16 | 10 |
| VBP safety weighted domain score | 14.5 | Not Available | Not Available | 7 | 4 | 2.5 |
| VBP total performance score | 32.13 | Not Available | Not Available | 12 | 10 | 15 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 140 cases | 0.9216 | 0.9995 | 1.003 | Better than 89% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 1.04 | 1 | 1.027 | Worse than 66% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 86 cases | 1.003 | 0.9969 | 1.012 | Worse than 55% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 193 cases | 1.051 | 0.9983 | 1.011 | Worse than 79% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.024 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 271 cases | 1.029 | 0.9955 | 1.009 | Worse than 69% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 1.084 | 1.102 | 0.9891 | 0.9246 | 0.9371 | 0.9216 |
| READM-30-CABG-HRRP | 1.267 | 1.428 | 1.352 | 1.079 | 1.009 | 1.04 |
| READM-30-COPD-HRRP | 1.073 | 1.03 | 0.9834 | 0.9717 | 0.9574 | 1.003 |
| READM-30-HF-HRRP | 1.117 | 1.119 | 1.074 | 1.023 | 1.048 | 1.051 |
| READM-30-HIP-KNEE-HRRP | 1.085 | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | 0.9941 | 1.016 | 1.025 | 0.9976 | 1.027 | 1.029 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | GA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.703 | 0.489 | 0.6612 | Worse than 71% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.358 | 0.346 | 0.3286 | Worse than 52% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.893 | 0.559 | 0.6574 | Worse than 77% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.727 | 0.6405 | 0.8117 | Worse than 58% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9872 | 0.9628 | 1.068 | Worse than 61% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 1.065 | 0.7945 | 1.054 | Worse than 68% of US hospitals | |
| Total HAC scoreFY 2026 | 0.231 | -0.0453 | 0.04361 | Worse than 67% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.1808 | -0.7196 | 0 | -0.2924 | 0.0402 | 0.231 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
DNV (since 2026)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
310
Medicare-certified beds
212
Registered nurses (full-time equivalent)
1971
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Piedmont Macon Medical Center reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
9,310
Inpatient discharges
Medicare 20%, Medicaid 10%
45,350
Inpatient days
62% of available bed days used
888
Employees (full-time equivalent)
77
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 824488). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Piedmont Macon Medical Center reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 9,133 | 3,267 | 32,950 | 45,350 |
| Discharges | 1,893 | 972 | 6,445 | 9,310 |
| Average length of stay | 4.8 days | 3.4 days | 5.1 days | 4.9 days |
| Average daily census | 25.0 | 9.0 | 90.3 | 124.2 |
17,705
Medicare Advantage days
3,390 discharges
3,174
Medicaid managed care days
898 discharges
4,433
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 158 | 37,241 | 7,856 | 65% |
| Intensive care unit | 28 | 5,843 | 1,277 | 57% |
| Other special care | 13 | 891 | 19% | |
| Nursery | 1,375 | |||
| Subprovider - ipf | 42 | 4,746 | 235 | 31% |
| Subprovider - irf | 30 | 7,554 | 3,927 | 69% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824488, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Piedmont Macon Medical Center treats Medicare patients for most often, in 2024. 1,217 Medicare discharges in 42 published DRGs; 14% surgical; 71% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 263 | $87,627 | $13,395 | $12,706 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 62 | $65,455 | $9,210 | $9,491 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $47,512 | $7,341 | $6,889 | 1.03 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 41 | $52,674 | $10,641 | $7,638 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 39 | $50,239 | $8,873 | $7,285 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $50,740 | $8,884 | $7,357 | 1.33 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $51,142 | $8,322 | $7,416 | 1.17 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $58,167 | $7,176 | $8,434 | 1.10 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 32 | $61,938 | $6,398 | $8,981 | 1.02 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 32 | $70,521 | $9,659 | $10,226 | 1.32 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 28 | $182,491 | $23,951 | $26,461 | 3.24 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 27 | $34,585 | $4,761 | $5,015 | 0.79 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $55,312 | $10,431 | $8,020 | 1.50 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $162,569 | $35,651 | $23,573 | 5.00 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $73,140 | $8,418 | $10,605 | 1.20 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $45,523 | $6,866 | $6,601 | 0.98 |
| Renal failure with CCMS-DRG 683, medical | 25 | $37,182 | $6,417 | $5,391 | 0.90 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $97,048 | $11,296 | $14,072 | 1.59 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $76,750 | $11,093 | $11,129 | 1.65 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $38,039 | $5,062 | $5,516 | 0.74 |
See all 42 Medicare inpatient DRGs at Piedmont Macon Medical Center
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Piedmont Macon Medical Center billed Medicare for most in 2024: 1,381 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 187 | 178 | $25,302 | $1,782 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 160 | 160 | $28,561 | $1,933 | $2,208 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 117 | 117 | $76,075 | $7,530 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 100 | 100 | $173,893 | $18,420 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 85 | 81 | $34,465 | $2,024 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 84 | 79 | $12,093 | $1,064 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 83 | 81 | $40,979 | $3,804 | $4,358 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 55 | 55 | $168,641 | $26,048 | $29,375 |
| Level 3 Endovascular ProceduresAPC 5193 | 53 | 52 | $81,091 | $7,660 | $8,874 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 49 | 49 | $44,770 | $5,807 | $6,514 |
See all 26 Medicare outpatient services at Piedmont Macon Medical Center
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Piedmont Macon Medical Center in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 6,188 in 2020 to 4,948 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 31217 | 548 | 11% | 2,637 | $47M | 42% | 56% |
| 31204 | 478 | 10% | 2,475 | $44.1M | 23% | 30% |
| 31206 | 390 | 8% | 1,709 | $30.2M | 24% | 33% |
| 31210 | 379 | 8% | 1,798 | $34.5M | 21% | 33% |
| 31211 | 374 | 8% | 1,838 | $30.1M | 37% | 53% |
| 31032 | 294 | 6% | 1,353 | $24.8M | 38% | 51% |
| 31061 | 238 | 5% | 1,339 | $22.6M | 12% | 13% |
| 31216 | 200 | 4% | 874 | $17.3M | 21% | 34% |
| 31220 | 157 | 3% | 786 | $16M | 22% | 28% |
| 31008 | 125 | 3% | 591 | $13.2M | 10% | 14% |
| 31029 | 124 | 3% | 516 | $10.9M | 16% | 24% |
| 31031 | 116 | 2% | 541 | $11.9M | 31% | 42% |
| 31052 | 112 | 2% | 534 | $10.9M | 21% | 35% |
| 31201 | 110 | 2% | 614 | $10M | 21% | 33% |
| 31088 | 98 | 2% | 438 | $10.5M | 4% | 7% |
| 31020 | 84 | 2% | 471 | $7.9M | 53% | 47% |
| 31021 | 80 | 2% | 438 | $12.2M | 5% | 5% |
| 31014 | 70 | 1% | 398 | $10M | 11% | 17% |
| 31044 | 70 | 1% | 275 | $5.4M | 29% | 41% |
| 31024 | 66 | 1% | 410 | $7.4M | 6% | 7% |
| 31030 | 65 | 1% | 294 | $6.5M | 7% | 10% |
| 31093 | 58 | 1% | 232 | $7.3M | 4% | 5% |
| 31036 | 47 | 1% | 214 | $5.5M | 11% | 13% |
| 31069 | 46 | 1% | 241 | $5.8M | 4% | 6% |
| 31208 | 36 | 1% | 194 | $3M | 60% | 40% |
Source: CMS Hospital Service Area file. Shares are of the 4,948 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Piedmont Macon Medical Center reported at its latest Medicare certification survey (2026). Counts are people, not full-time equivalents.
13
Operating rooms
3
Endoscopy rooms
3
Cardiac catheterization rooms
42
Psychiatric unit beds
29
Rehabilitation unit beds
212
Registered nurses
15
Licensed practical nurses
18
Physicians
87
Resident physicians
14
Physician assistants
3
Nurse anesthetists (CRNAs)
16
Pharmacists
18
Respiratory therapists
6
Physical therapists
3
Occupational therapists
1
Speech pathologists and audiologists
11
Radiology technicians
1
Nuclear medicine technicians
2
Laboratory technicians
16
Medical technologists
8
Social workers
3
Psychologists
358
Other personnel
Source: CMS Provider of Services file.
454 clinicians who bill Medicare list Piedmont Macon Medical Center as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Harry Moore, M.D.
Medical Oncology Physician
NPI 1699096388
See commercial rates for Harry Moore, M.D.Rana Adeel, MD
Infectious Disease Physician
NPI 1528435724
See commercial rates for Rana Adeel, MDLinda Hendricks, M.D.
Specialist
NPI 1881639821
See commercial rates for Linda Hendricks, M.D.Marcus Weldon, MD
Hematology & Oncology Physician
NPI 1942689286
See commercial rates for Marcus Weldon, MDBradley Sumrall, MD
Medical Oncology Physician
NPI 1679689301
See commercial rates for Bradley Sumrall, MDAlan Justice, M.D.
Internal Medicine Physician
NPI 1114955572
See commercial rates for Alan Justice, M.D.Mary Bell Vaughn, M.D.
Internal Medicine Physician
NPI 1497710750
See commercial rates for Mary Bell Vaughn, M.D.Mohammad Al Shroof, M.D.
Internal Medicine Physician
NPI 1578519286
See commercial rates for Mohammad Al Shroof, M.D.Christina Peppers, FNP
Family Nurse Practitioner
NPI 1558883637
See commercial rates for Christina Peppers, FNPSabry Gabriel, MD
Family Medicine Physician
NPI 1730288424
See commercial rates for Sabry Gabriel, MDCharles Ogburn, M.D.
Internal Medicine Physician
NPI 1356312979
See commercial rates for Charles Ogburn, M.D.Wood Pope, M.D.
Orthopaedic Surgery Physician
NPI 1689697856
See commercial rates for Wood Pope, M.D.James Upshaw, M.D.
Internal Medicine Physician
NPI 1740252170
See commercial rates for James Upshaw, M.D.Arvind Aggarwal, M.D.
Hematology & Oncology Physician
NPI 1154330090
See commercial rates for Arvind Aggarwal, M.D.Waldo Floyd, MD
Orthopaedic Hand Surgery Physician
NPI 1013027267
See commercial rates for Waldo Floyd, MDPremila Malhotra, MD
Hematology & Oncology Physician
NPI 1285848689
See commercial rates for Premila Malhotra, MDEvelyn Bickley, M.D.
Internal Medicine Physician
NPI 1437248697
See commercial rates for Evelyn Bickley, M.D.Swathi Singanamala, MD
Nephrology Physician
NPI 1023275617
See commercial rates for Swathi Singanamala, MDAhmad Kabbani, MD
Nephrology Physician
NPI 1528328796
See commercial rates for Ahmad Kabbani, MDCarmine Oddis, M.D.
Cardiovascular Disease Physician
NPI 1659315737
See commercial rates for Carmine Oddis, M.D.Marcus Simmons, MD
Internal Medicine Physician
NPI 1770511180
See commercial rates for Marcus Simmons, MDNasser Tehrani, MD
Interventional Cardiology Physician
NPI 1831185388
See commercial rates for Nasser Tehrani, MDFrank Young, M.D.
Internal Medicine Physician
NPI 1861464091
See commercial rates for Frank Young, M.D.William Woods, M.D.
Internal Medicine Physician
NPI 1730117193
See commercial rates for William Woods, M.D.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Piedmont Macon Medical Center reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $1.7B | 619.3% |
| Inpatient | $948.1M | 353.2% |
| Outpatient | $714.1M | 266.0% |
| Contractual allowances and discounts | -$1.4B | -519.3% |
| Net patient revenue | $268.4M | 100.0% |
| Operating expenses | -$273.1M | -101.7% |
| Operating income from patient care | -$4.7M | -1.7% |
| Other income | $17.5M | 6.5% |
| Contributions and donations | $150 | 0.0% |
| Other | $17.5M | 6.5% |
| Net income | $12.8M | 4.8% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $279.4M | 16.8% |
| Medicaid (including managed care) | $126.4M | 7.6% |
| Other payers and self-pay | $1.3B | 75.6% |
| Total charges | $1.7B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824488, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Piedmont Macon Medical Center's latest cost report.
-1.7%
Operating margin
Operating income from patient care / net patient revenue
4.5%
Total margin
Net income / net patient revenue plus other income
6.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
36% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$39.72
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
3.9%
Return on assets
Net income for a year / total assets
5.8%
Return on equity
Net income for a year / fund balance
0.48
Current ratio
Current assets / current liabilities
0.38
Quick ratio
Cash, temporary investments and net receivables / current liabilities
4 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
49 days
Days in patient receivables
Net patient receivables / daily net patient revenue
139 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.87
Asset turnover
Total revenue for a year / total assets
3.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 824488, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Piedmont Macon Medical Center owned and owed at the end of its reporting period (Jun 2025), across all fund types: $329M in total assets and a $220M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $2.6M | 0.8% |
| Patient receivables, net | $36.2M | 11.0% |
| Inventory | $7M | 2.1% |
| Total current assets | $48.7M | 14.8% |
| Property and equipment, net of depreciation | $52.3M | 15.9% |
| Investments and other assets | $228M | 69.3% |
| Total assets | $329M | 100.0% |
| Current liabilities | $101.7M | 30.9% |
| Total liabilities | $109M | 33.1% |
| Fund balance (net assets) | $220M | 66.9% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824488, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Piedmont Macon Medical Center provided without full payment, as reported on Worksheet S-10 of its cost report.
$18.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$10.4M
Bad debt
Patient bills written off as uncollectible, at charges
$2.5M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1,420
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$20.2M
Total unreimbursed and uncompensated care
7.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 824488, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Piedmont Macon Medical Center's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $216.5M | $236.8M | $234.3M | $209.7M | $249.4M | $268.4M |
| Operating expenses | $193M | $206.2M | $228.2M | $248.2M | $255.1M | $273.1M |
| Operating margin | 10.9% | 12.9% | 2.6% | -18.4% | -2.3% | -1.7% |
| Net income | $26.5M | $41.6M | $13.2M | -$29.1M | $10.2M | $12.8M |
| Total assets | $192.4M | $191M | $276.3M | $390.5M | $299.9M | $329M |
| Discharges | 11,707 | 12,338 | 10,653 | 8,878 | 9,600 | 9,310 |
| Inpatient days | 54,573 | 62,451 | 52,336 | 43,011 | 45,031 | 45,350 |
| Medicare Advantage days | 14,012 | 18,414 | 18,267 | 15,202 | 16,838 | 17,705 |
| Beds | 272 | 257 | 257 | 257 | 271 | 271 |
| Employees (FTE) | 814 | 813 | 803 | 795 | 847 | 888 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824488, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Piedmont Macon Medical Center reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $28.1M | $135.9M | 0.21 | ||
| Operating room | $4.4M | $19.8M | $214.3M | 0.09 | 48,393 |
| Medical supplies charged to patient | $19.2M | $82.2M | 0.23 | ||
| Drugs charged to patients | $15.3M | $80.6M | 0.19 | ||
| Emergency | $5.7M | $14.4M | $128.1M | 0.11 | 20,032 |
| Laboratory | $2.5M | $9.9M | $193.3M | 0.05 | 6,044 |
| Radiology-diagnostic | $2M | $5.9M | $49M | 0.12 | 13,260 |
| Cardiac catheterization | $2.2M | $5.6M | $55.3M | 0.10 | 10,751 |
| Respiratory therapy | $2.9M | $5.6M | $39M | 0.14 | 2,252 |
| Delivery room & labor room | $1.9M | $4.9M | $19.8M | 0.25 | 11,453 |
| Observation beds (non-distinct part | $4.3M | $7.9M | 0.54 | ||
| Physical therapy | $1.6M | $3M | $15.2M | 0.20 | 1,939 |
| Ct scan | $959,756 | $2.6M | $197.5M | 0.01 | 2,141 |
| Other imaging | $860,431 | $2.4M | $30.3M | 0.08 | 4,274 |
| Occupational therapy | $1.2M | $2.3M | $13.6M | 0.17 | 1,577 |
| Blood storing processing & trans. | $2.2M | $13.6M | 0.16 | 286 | |
| Renal dialysis | $2.1M | $18.4M | 0.11 | 1,913 | |
| Recovery room | $819,336 | $1.9M | $33.4M | 0.06 | 2,214 |
| Electrocardiology | $770,956 | $1.7M | $49.8M | 0.03 | 1,102 |
| Radioisotope | $174,669 | $1.5M | $4.2M | 0.37 | 1,270 |
| Op php | $479,134 | $1.3M | $5.2M | 0.26 | 5,614 |
| Anesthesiology | $117,636 | $1.1M | $22.3M | 0.05 | 836 |
| Mri | $344,287 | $991,655 | $23.4M | 0.04 | 3,265 |
| Speech pathology | $327,564 | $604,307 | $3.8M | 0.16 | 391 |
| Op infusion | $171,383 | $337,534 | $5.5M | 0.06 | 132 |
| Electroencephalography | $108,671 | $212,853 | $461,829 | 0.46 | 276 |
| Intravenous therapy | $7,006 | $126,893 | $48.7M | 0.00 | 382 |
| Pulmonary function testing | $56,399 | $107,394 | $610,326 | 0.18 | 96 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $14.8M | $40M | $90.2M | 0.44 | 67,500 |
| Intensive care unit | $4.5M | $10.9M | $37M | 0.29 | 17,956 |
| Subprovider - irf | $2.5M | $7.2M | $14.8M | 0.49 | 16,905 |
| Subprovider - ipf | $2.4M | $6.7M | $18.7M | 0.36 | 23,881 |
| Neonatal intensive care unit | $1M | $2.7M | $4.3M | 0.64 | 3,183 |
| Nursery | $1.1M | $2.4M | $6M | 0.41 | 1,199 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $8.4M | $49.5M | 162,509 | $52.90 | 16,321 |
| Employee benefits department | $484,493 | $23.1M | 2,044 | ||
| Operation of plant | $2.1M | $8.8M | 77,021 | $26.73 | 133,876 |
| Cap rel costs-mvble equip | $8M | ||||
| I&r services-salary & fringes apprv | $5.7M | $6.1M | |||
| Pharmacy | $3.5M | $4.6M | 66,785 | $53.12 | 5,126 |
| Housekeeping | $4.1M | 4,179 | |||
| Dietary | $3.9M | 8,144 | |||
| I&r services-other prgm costs apprv | $2.4M | 10,438 | |||
| Cap rel costs-bldg & fixt | $2M | 480,783 | |||
| Central services & supply | $203,414 | $1.9M | 11,029 | $18.44 | 7,422 |
| Nursing administration | $1.9M | $1.7M | 36,177 | $52.40 | 1,068 |
| Medical records & library | $1.4M | ||||
| Laundry & linen service | $839,609 | 2,065 | |||
| Inservice education | $441,209 | $441,851 | 9,958 | $44.31 | 7,004 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824488, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Piedmont Macon Medical Center for an inpatient stay.
2.07
Case mix index
Higher than 83% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Major teaching hospital
Teaching status
0.38 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
25.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
1,853
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.91 | 1.92 | 1.96 | 1.84 | 1.92 | 1.94 | 2.07 |
| Wage index | 0.910 | 0.890 | 0.884 | 0.860 | 0.817 | 0.776 | 0.968 |
| Readmissions adjustment | -1.14% | -2.17% | -3.00% | -1.48% | -0.30% | -0.29% | -0.40% |
| Value-based purchasing adjustment | -0.56% | +0.06% | +0.06% | -0.91% | -0.86% | -1.11% | -0.97% |
| Medicare inpatient stays | 3,400 | 3,400 | 2,645 | 2,084 | 2,103 | 2,018 | 1,853 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Piedmont Macon Medical Center reports to Medicare as owners or with operational control.
Piedmont Macon Hospital Inc
5% or greater direct ownership interest, 100%, since 2021
Piedmont Healthcare Inc
Operational/managerial control, since 2021
Sources: CMS Hospital All Owners.
The officers and board members on Piedmont Macon Medical Center's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
340B drug pricing program
Not participating
340B ID DSH110164, registered as a disproportionate share hospital. Authorizing official: Alisha R Neal, Chief Financial Officer Pmm & Pmn.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Piedmont macon medical center psych
CCN 11S164, certified 2014, Medicare prospective payment
Piedmont macon medical center rehab
CCN 11T164, certified 1994, Medicare prospective payment
Source: Worksheet S-2 Part I of Piedmont Macon Medical Center's latest Medicare cost report (HCRIS).
About Piedmont Macon Medical Center's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Piedmont Macon Medical Center range from $275 to $1,629 across 4 insurers. UnitedHealthcare's rate is $935. The median at nearby comparable hospitals is $763. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Piedmont Macon Medical Center range from $3,529 to $4,586 across 4 insurers. Blue Cross Blue Shield's rate is $4,277. The median at nearby comparable hospitals is $3,144. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Piedmont Macon Medical Center range from $9,164 to $15,215 across 4 insurers. Aetna's rate is $9,164. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Piedmont Macon Medical Center range from $223 to $276 across 4 insurers. Blue Cross Blue Shield's rate is $223. The median at nearby comparable hospitals is $205. What a patient pays depends on their plan's deductible, coinsurance and network status.
Piedmont Macon 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.
Yes. CMS counts 0.38 Medicare-funded residents per bed at Piedmont Macon Medical Center for fiscal year 2027, so it is a major teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Piedmont Macon Medical Center's base inpatient payments by an estimated 0.40% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (263 discharges), heart failure and shock with mcc (62 discharges), septicemia or severe sepsis without mv >96 hours without mcc (45 discharges).
Piedmont Macon Medical Center's Medicare case mix index is 2.07 for fiscal year 2027, higher than 83% of hospitals paid under the inpatient prospective payment system.
Piedmont Macon Medical Center reported 9,310 inpatient discharges and 45,350 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Piedmont Macon Medical Center reported 888 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Piedmont Macon Medical Center reported $268.4M in net patient revenue on $1.7B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -1.7%, and net income of $12.8M.
Piedmont Macon Medical Center reported $20.2M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $18.7M of charity care at cost.
Insurers' price transparency files list Piedmont Macon Medical Center under employer identification number 62-1736983 (Piedmont Macon Medical Center). 55 health plans and networks list 62-1736983 for it.
HRSA's 340B database lists Piedmont Macon Medical Center (340B ID DSH110164) as no longer participating since 2025.
454 clinicians who bill Medicare list Piedmont Macon Medical Center as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (66), diagnostic radiology physician (34), family medicine physician (31).
Yes. CMS's Provider of Services file lists DNV as the accrediting organization for Piedmont Macon Medical Center, effective 2026.
In its Medicare enrollment, Piedmont Macon Medical Center reports Piedmont Macon Hospital Inc as 5% or greater direct ownership interest (100%).
CMS lists 25 services at Piedmont Macon Medical Center, including Acute Renal Dialysis, Anesthesia, Clinical Laboratory, Coronary Care Unit, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Piedmont Macon Medical Center came from ZIP codes 31217 (548), 31204 (478), 31206 (390).
Piedmont Macon Medical Center has 271 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 310 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Piedmont Macon Medical Center is located at 350 Hospital Drive, Macon, GA 31217. Its main phone number is (478) 765-7000.
Piedmont Macon Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 110164.
The National Provider Identifier (NPI) on file for Piedmont Macon Medical Center is 1598719643.
Piedmont Macon Medical Center is affiliated with Piedmont Healthcare.
Piedmont Macon Medical Center lists 34 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
525 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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