Piedmont Healthcare · Macon, GA
4 of 5
CMS star rating
61
Beds
2,123
Inpatient discharges a year
$73.7M
Net patient revenue a year
33
In-network payers
Piedmont Macon North Hospital is a 61-bed proprietary hospital in Macon, GA, affiliated with Piedmont Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 505 disclosed rate categories.
The 24 services Piedmont Macon North Hospital 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.
Medicine & Surgery · Inpatient
MS-DRG 460
$44,220 - $65,125
from 4 insurers · median $62,082
12 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$935 - $1,629
from 2 insurers · median $1,282
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$271 - $1,461
from 2 insurers · median $866
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,967 - $4,390
from 3 insurers · median $3,529
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,529 - $4,390
from 3 insurers · median $3,776
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,529 - $5,229
from 3 insurers · median $3,910
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$583 - $1,785
from 2 insurers · median $1,184
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$2,963 - $5,229
from 3 insurers · median $3,529
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$2,688
negotiated rate
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 743
$18,453 - $28,000
from 4 insurers · median $22,778
Hospital reports inpatient surgical services to CMS
CT imaging
CPT 71275
$447 - $1,629
from 2 insurers · median $1,038
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$221 - $276
from 3 insurers · median $227
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$7,376 - $11,740
from 3 insurers · median $7,635
17 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$6,155 - $11,958
from 3 insurers · median $9,481
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$3,895 - $5,190
from 3 insurers · median $4,723
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$1,782 - $4,066
from 3 insurers · median $3,156
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,265 - $10,363
from 3 insurers · median $8,953
Typical for a hospital with this service line
MRI imaging
CPT 70551
$583 - $1,897
from 2 insurers · median $1,240
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93970
$505 - $2,207
from 2 insurers · median $1,356
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$786 - $3,281
from 4 insurers · median $1,274
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29848
$6,844 - $12,003
from 3 insurers · median $7,330
25 Medicare claims in Level 2 Musculoskeletal Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93880
$493 - $2,516
from 2 insurers · median $1,505
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$583 - $1,799
from 2 insurers · median $1,191
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$287 - $1,897
from 3 insurers · median $935
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 | 478% | 20 | 2 |
| Insurer B* | 17 | 273% | 10 | 5 |
| Insurer C* | 21 | 254% | 9 | 4 |
| Insurer D* | 3 | 60% | 1 | 1 |
How we chose these services: 3 appear in this hospital's own Medicare claims, 17 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 North Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
4 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$73.7M net patient revenue
Ownership and leadership
Owned by Piedmont Macon North Hospital Inc
The employer identification numbers (EINs) health plans and networks list for Piedmont Macon North Hospital 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 |
|---|---|---|
| 62-1736985Piedmont Macon Northside Hospital | 53Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 48 more | 1811940976 Macon Northside Hospital 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.
400 Charter Boulevard, Macon, GA 31210
(478) 757-8200
How Piedmont Macon North Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
4 of 5
Higher than 58% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 5 measures
1 better, 4 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
3 of 5
Lower than 40% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
72%
Higher than 51% 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)
0.95
Lower than 53% 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
192 min
Higher than 77% 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
61%
Lower than 60% 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 | 4 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Better on 1 of 5 measures | |
| Patient survey ratingCMS: Summary star rating | 3 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 72% | 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) | 0.95 | 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 | 192 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 61% | 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 North Hospital's inpatient payments for its readmissions, quality and cost results.
-0.37% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.15% 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 North Hospital, 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 · 666 cases | 4.1 | 3.9 | 4.079 | Worse than 57% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.575 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 | Not Available | 8.691 | |||
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 82 cases | 11.2 | 11 | 10.84 | Worse than 54% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 101 cases | 12.1 | 15.2 | 15.21 | Better than 90% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 58 cases | 10.9 | 11.6 | 12.45 | Better than 64% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 629 cases | 0.51 | 0.51 | 0.6821 | No Different Than the National Rate | Better than 49% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 176 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 965 cases | 0.2 | 0.2 | 0.2173 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 900 cases | 0.26 | 0.27 | 0.2798 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 202 cases | 2.28 | 2.29 | 2.356 | No Different Than the National Rate | Better than 51% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 63 cases | 1.67 | 1.63 | 1.796 | No Different Than the National Rate | Worse than 72% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 66 cases | 8.96 | 8.88 | 10.26 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 195 cases | 3.75 | 3.4 | 3.811 | No Different Than the National Rate | Worse than 73% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 47 cases | 5.13 | 5.105 | 5.77 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 37 cases | 1.76 | 1.72 | 1.743 | No Different Than the National Rate | Worse than 71% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 83 cases | 1.05 | 1.02 | 1.073 | No Different Than the National Rate | Worse than 64% 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 | Not Available | 5.306 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 90 cases | 62 | 1.25 | 12.52 | Worse than 95% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 102 cases | -27.2 | 3.85 | 12.69 | Better than 87% 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 · 100 cases | 13.2 | 12.9 | 12.97 | No Different Than the National Rate | Worse than 62% 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 · 128 cases | 1.2 | 1 | 0.9723 | No Different than expected | Worse than 89% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.35 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.83 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 55 cases | 19.4 | 19.8 | 19.84 | Better than 68% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 141 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 · 167 cases | 17.4 | 17.2 | 17.41 | Worse than 55% 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 | Not Available | 0.2721 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.762 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 684 | 1,370 | 5,571 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.537 | 0.9835 | 5.825 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.568 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.619 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1792 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.515 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 679 | 1,799 | 4,621 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.503 | 1.377 | 6.01 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.317 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.3748 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4352 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.519 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 11 | 61 | 136 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.289 | 1.591 | 3.769 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 3.756 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9605 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4781 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.862 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | Not Available | 143 | |||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | Not Available | 1.256 | |||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | Not Available | 1.77 | |||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.373 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2796 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.919 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 7,791 | 14,451 | 48,840 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.188 | 0.567 | 3.385 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.336 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.6352 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1286 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.416 | 0.747 | 1.104 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 7,791 | 13,646 | 44,552 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 2.116 | 5.683 | 23.39 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 6.1 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.2745 | No Different than National Benchmark | The best result, shared by 19% 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 · 297 cases | 73 | 73 | 72.27 | Worse than 49% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 297 cases | 7 | 8 | 9.85 | Better than 56% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 297 cases | 20 | 18 | 17.88 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 88 | 87 | 85.97 | Better than 57% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 297 cases | 4 | 4 | 3.301 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 297 cases | 78 | 80 | 78.79 | Worse than 58% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 91 | 91 | 90.82 | Worse than 49% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 297 cases | 5 | 4 | 4.903 | Worse than 61% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 297 cases | 3 | 3 | 3.204 | Worse than 49% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 297 cases | 17 | 16 | 16.31 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 297 cases | 78 | 79 | 79.46 | Worse than 55% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 90 | 91 | 90.77 | Worse than 55% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 297 cases | 6 | 5 | 5.717 | Worse than 56% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 297 cases | 3 | 3 | 3.075 | Worse than 37% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 297 cases | 16 | 16 | 14.82 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 297 cases | 56 | 61 | 60.14 | Worse than 77% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 71 | 77 | 75.68 | Worse than 90% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 297 cases | 26 | 19 | 21.5 | Worse than 88% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 297 cases | 2 | 3 | 2.462 | Worse than 53% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 297 cases | 18 | 19 | 18.36 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 82 | 86 | 84.09 | Worse than 82% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 297 cases | 17 | 13 | 14.95 | Worse than 79% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 297 cases | 2 | 3 | 2.935 | Worse than 82% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 297 cases | 83 | 87 | 85.05 | Worse than 79% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 297 cases | 21 | 14 | 17.13 | Worse than 88% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 297 cases | 79 | 86 | 82.87 | Worse than 88% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 297 cases | 74 | 74 | 74.33 | Better than 48% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 297 cases | 7 | 7 | 7.087 | Worse than 47% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 297 cases | 19 | 19 | 18.58 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 297 cases | 75 | 77 | 77.43 | Worse than 64% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 297 cases | 7 | 6 | 6.146 | Worse than 64% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 297 cases | 18 | 17 | 16.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 297 cases | 86 | 85 | 85.2 | Better than 53% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 297 cases | 5 | 3 | 3.728 | Worse than 73% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 297 cases | 9 | 11 | 11.07 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 297 cases | 8 | 8 | 8.69 | Worse than 48% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 297 cases | 22 | 20 | 20 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 297 cases | 70 | 72 | 71.31 | Worse than 55% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 88 | 88 | 87.94 | Worse than 45% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 297 cases | 3 | 3 | 3.269 | Worse than 45% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 297 cases | 72 | 74 | 73.43 | Worse than 62% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 297 cases | 11 | 9 | 10.45 | Worse than 62% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 297 cases | 17 | 16 | 16.13 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 297 cases | 76 | 75 | 74.03 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 297 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 · 297 cases | 17 | 20 | 19.38 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 297 cases | 75 | 77 | 75.78 | Worse than 58% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 297 cases | 5 | 4 | 5.34 | Worse than 55% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 297 cases | 20 | 19 | 18.88 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 297 cases | 82 | 86 | 84.54 | Worse than 78% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 297 cases | 3 | 3 | 3.437 | Worse than 50% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 297 cases | 15 | 11 | 12.02 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 297 cases | 60 | 59 | 63.8 | Better than 51% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 297 cases | 9 | 9 | 8.469 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 297 cases | 31 | 31 | 27.73 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 83 | 82 | 83.87 | Better than 56% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 297 cases | 4 | 3 | 3.774 | Better than 56% 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 · 297 cases | 6 | 5 | 6.124 | Worse than 55% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 297 cases | 72 | 71 | 70.88 | Better than 51% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 297 cases | 88 | 87 | 87.15 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 297 cases | 22 | 23 | 22.99 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 297 cases | 4 | 4 | 3.602 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 297 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 · 297 cases | 41 | 30 | 32.79 | Worse than 94% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 297 cases | 18 | 22 | 20.73 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 297 cases | 3 | 3 | 3.151 | Worse than 40% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 297 cases | 14 | 12 | 13.65 | Worse than 63% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 297 cases | 86 | 88 | 86.35 | Worse than 63% 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 | medium | ||||
| 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 · 662 cases | 1 | 1 | 1.71 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 · 1,086 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 · 358 cases | 52 | 79 | 71.13 | Worse than 85% 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 · 419 cases | 194 | 154 | 175 | Worse than 74% 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 · 397 cases | 192 | 148 | 169 | Worse than 77% 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 | Not Available | 348 | |||
| 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 · 14 cases | 420 | 293 | 334 | Worse than 87% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 38,493 cases | 3 | 1 | 1.759 | Worse than 78% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 | Not Available | 71.14 | |||
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 64 cases | 92 | 97 | 90.05 | Worse than 72% 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 · 690 cases | 15 | 15 | 16.89 | Worse than 48% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 75 cases | 61 | 65 | 58.96 | Worse than 60% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 14 cases | 64 | 73 | 70.15 | Worse than 68% 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 · 75 cases | 75 | 82 | 77.15 | Worse than 73% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 39 cases | 90 | 94 | 90.02 | Worse than 72% 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 | Not Available | 92.46 | |||
| 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 · 293 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 | 4.2 | 5 | 5.623 | Better than 59% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 5.3 | 6.6 | 6.411 | Better than 67% 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 | 0.99 | 0.9648 | Worse than 53% 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 | 25 | 20 | 20.96 | Better than 59% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 6.25 | 5 | 5.347 | Better than 58% 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 | 40 | 34 | 36.51 | Better than 60% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 10 | 8.75 | 9.439 | Better than 60% of US hospitals | |
| VBP safety domain scoreFY 2026 | 60 | 40 | 38.57 | Better than 81% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 15 | 10 | 9.691 | Better than 79% of US hospitals | |
| VBP total performance scoreFY 2026 | 31.25 | 29.5 | 31.07 | Better than 57% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 27.5 | 37.5 | 60 | 10 | 10 | 25 |
| VBP clinical outcomes weighted domain score | 9.167 | 9.375 | 15 | 3.333 | 3.333 | 6.25 |
| VBP efficiency and cost reduction domain score | 20 | Not Available | 40 | 0 | 30 | 0 |
| VBP efficiency and cost reduction weighted domain score | 6.667 | Not Available | 10 | 0 | 10 | 0 |
| VBP person and community engagement domain score | 20 | Not Available | Not Available | 9 | 13 | 40 |
| VBP person and community engagement weighted domain score | 6.667 | Not Available | Not Available | 3 | 4.333 | 10 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 60 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 15 |
| VBP total performance score | 22.5 | Not Available | Not Available | 6.333 | 17.67 | 31.25 |
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 | N/A | 1.003 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.027 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 1.012 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 91 cases | 1.074 | 0.9983 | 1.011 | Worse than 87% 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 · 106 cases | 0.957 | 0.9955 | 1.009 | Better than 77% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9874 | 0.9728 | 0.9976 | N/A | N/A | N/A |
| READM-30-HF-HRRP | 1.026 | 1.027 | 1.054 | 1.009 | 1.097 | 1.074 |
| READM-30-HIP-KNEE-HRRP | 1.202 | 0.9995 | 0.9591 | N/A | N/A | N/A |
| READM-30-PN-HRRP | 1.016 | 1.065 | 1.005 | 0.9951 | 0.9287 | 0.957 |
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 | N/A | 0.6612 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.3286 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6574 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8117 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9548 | 0.9628 | 1.068 | Better than 53% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.054 | |||
| Total HAC scoreFY 2026 | -0.8487 | -0.0453 | 0.04361 | Better than 93% 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 | -0.4682 | -1.493 | 0 | -0.9553 | -1.047 | -0.8487 |
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.
The Joint Commission (since 1988)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
103
Medicare-certified beds
75
Registered nurses (full-time equivalent)
1984
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Piedmont Macon North Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
2,123
Inpatient discharges
Medicare 23%, Medicaid 5%
6,880
Inpatient days
31% of available bed days used
251
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 824252). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Piedmont Macon North Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 1,631 | 348 | 4,901 | 6,880 |
| Discharges | 490 | 110 | 1,523 | 2,123 |
| Average length of stay | 3.3 days | 3.2 days | 3.2 days | 3.2 days |
| Average daily census | 4.5 | 1.0 | 13.4 | 18.8 |
2,590
Medicare Advantage days
705 discharges
161
Medicaid managed care days
32 discharges
172
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 57 | 6,044 | 1,478 | 29% |
| Intensive care unit | 4 | 836 | 153 | 57% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824252, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Piedmont Macon North Hospital treats Medicare patients for most often, in 2024. 244 Medicare discharges in 12 published DRGs; 6% surgical; 73% 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 | 51 | $55,624 | $11,484 | $10,068 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 38 | $37,395 | $8,214 | $6,769 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $32,464 | $6,494 | $5,876 | 1.03 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $43,354 | $9,541 | $7,847 | 1.50 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $26,455 | $5,179 | $4,788 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 17 | $29,809 | $8,242 | $5,395 | 1.32 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $98,470 | $12,486 | $17,823 | 2.07 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 13 | $38,150 | $7,486 | $6,905 | 1.33 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $32,235 | $5,386 | $5,835 | 0.79 |
| Renal failure with CCMS-DRG 683, medical | 13 | $31,467 | $5,982 | $5,696 | 0.90 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $33,030 | $5,451 | $5,978 | 0.82 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $40,672 | $5,038 | $7,362 | 0.81 |
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 North Hospital billed Medicare for most in 2024: 418 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 136 | 126 | $23,829 | $1,816 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 65 | 52 | $15,619 | $1,306 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 39 | $37,182 | $3,371 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 39 | 34 | $57,219 | $4,265 | $5,339 |
| Level 2 Intraocular ProceduresAPC 5492 | 39 | 35 | $53,026 | $2,634 | $3,116 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 38 | 37 | $116,663 | $9,400 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 24 | $20,487 | $1,097 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 17 | 17 | $35,633 | $2,084 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 17 | 17 | $153,352 | $14,335 | $15,763 |
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 North Hospital 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 1,008 in 2020 to 995 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 31210 | 272 | 27% | 789 | $13.1M | 15% | 17% |
| 31204 | 230 | 23% | 655 | $10.4M | 11% | 12% |
| 31206 | 98 | 10% | 306 | $4.7M | 6% | 7% |
| 31220 | 86 | 9% | 328 | $5.3M | 12% | 16% |
| 31216 | 66 | 7% | 200 | $3.2M | 7% | 7% |
| 31029 | 53 | 5% | 161 | $3.2M | 7% | 7% |
| 31052 | 37 | 4% | 132 | $2.5M | 7% | 9% |
| 31032 | 36 | 4% | 96 | $1.7M | 5% | 2% |
| 31211 | 27 | 3% | 91 | $1.3M | 3% | 4% |
| 31217 | 21 | 2% | 96 | $1.4M | 2% | 3% |
| 31201 | 17 | 2% | 40 | $533,580 | 3% | 3% |
| 31008 | 14 | 1% | 49 | $744,906 | 1% | 2% |
| 31088 | 14 | 1% | 40 | $1.1M | 1% | 1% |
| 31061 | 12 | 1% | 60 | $947,053 | 1% | 1% |
| 31093 | 12 | 1% | 54 | $998,393 | 1% |
Source: CMS Hospital Service Area file. Shares are of the 995 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 North Hospital reported at its latest Medicare certification survey (1991). Counts are people, not full-time equivalents.
75
Registered nurses
15
Licensed practical nurses
1
Physicians
3
Pharmacists
9
Respiratory therapists
1
Dietitians
230
Other personnel
Source: CMS Provider of Services file.
212 clinicians who bill Medicare list Piedmont Macon North Hospital 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.Linda 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.Frank Casey, M.D.
Urology Physician
NPI 1174645329
See commercial rates for Frank Casey, 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, MDJames Upshaw, M.D.
Internal Medicine Physician
NPI 1740252170
See commercial rates for James Upshaw, M.D.Premila 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, MDMarcus Simmons, MD
Internal Medicine Physician
NPI 1770511180
See commercial rates for Marcus Simmons, MDWilliam Woods, M.D.
Internal Medicine Physician
NPI 1730117193
See commercial rates for William Woods, M.D.Rahil Kazi, M.D.
Cardiovascular Disease Physician
NPI 1629034079
See commercial rates for Rahil Kazi, M.D.Mary Mckinley, MD
Internal Medicine Physician
NPI 1023003993
See commercial rates for Mary Mckinley, MDRoberta Andrews, M.D.
Internal Medicine Physician
NPI 1659343861
See commercial rates for Roberta Andrews, M.D.Collier Gladin, M.D.
Family Medicine Physician
NPI 1063527430
See commercial rates for Collier Gladin, M.D.Quyen Luu, MD
Infectious Disease Physician
NPI 1558347427
See commercial rates for Quyen Luu, MDLesley Cown, M.D., L.L.C.
Internal Medicine Physician
NPI 1346264702
See commercial rates for Lesley Cown, M.D., L.L.C.Chukwuemeka Nwabuebo, M.D.
Specialist
NPI 1104879782
See commercial rates for Chukwuemeka Nwabuebo, M.D.Freddy Gaton, M.D.
Family Medicine Physician
NPI 1003896416
See commercial rates for Freddy Gaton, 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 North Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $535.8M | 726.6% |
| Inpatient | $116.6M | 158.2% |
| Outpatient | $419.2M | 568.4% |
| Contractual allowances and discounts | -$462.1M | -626.6% |
| Net patient revenue | $73.7M | 100.0% |
| Operating expenses | -$59.8M | -81.1% |
| Operating income from patient care | $13.9M | 18.9% |
| Other income | $1.1M | 1.4% |
| Net income | $15M | 20.3% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $75.4M | 14.1% |
| Medicaid (including managed care) | $34.8M | 6.5% |
| Other payers and self-pay | $425.5M | 79.4% |
| Total charges | $535.8M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824252, 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 North Hospital's latest cost report.
18.9%
Operating margin
Operating income from patient care / net patient revenue
20.0%
Total margin
Net income / net patient revenue plus other income
25.6%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
37% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$40.44
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
32.8%
Return on assets
Net income for a year / total assets
23.4%
Return on equity
Net income for a year / fund balance
-0.66
Current ratio
Current assets / current liabilities
-0.54
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
53 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-132 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.64
Asset turnover
Total revenue for a year / total assets
2.1 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 824252, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Piedmont Macon North Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $45.7M in total assets and a $64.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $72,471 | 0.2% |
| Patient receivables, net | $10.8M | 23.6% |
| Inventory | $1.9M | 4.2% |
| Total current assets | $13.3M | 29.2% |
| Property and equipment, net of depreciation | $26.8M | 58.7% |
| Investments and other assets | $5.5M | 12.1% |
| Total assets | $45.7M | 100.0% |
| Current liabilities | -$20.2M | -44.2% |
| Total liabilities | -$18.4M | -40.3% |
| Fund balance (net assets) | $64.1M | 140.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 824252, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Piedmont Macon North Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$9.8M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$6.6M
Bad debt
Patient bills written off as uncollectible, at charges
-$1.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$2
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$10.5M
Total unreimbursed and uncompensated care
17.6% 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 824252, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Piedmont Macon North Hospital'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 | $57.9M | $50.9M | $59.2M | $59.1M | $68.7M | $73.7M |
| Operating expenses | $57.8M | $50M | $59.7M | $62.5M | $60.5M | $59.8M |
| Operating margin | 0.2% | 1.8% | -0.7% | -5.7% | 11.9% | 18.9% |
| Net income | $2.5M | $1.9M | $436,163 | -$2.6M | $9M | $15M |
| Total assets | $29.3M | $32.2M | $40.5M | $45.4M | $41M | $45.7M |
| Discharges | 2,651 | 2,724 | 2,938 | 2,050 | 2,108 | 2,123 |
| Inpatient days | 8,562 | 8,126 | 9,346 | 5,764 | 6,220 | 6,880 |
| Medicare Advantage days | 2,285 | 2,769 | 2,757 | 1,857 | 2,155 | 2,590 |
| Beds | 85 | 79 | 79 | 79 | 61 | 61 |
| Employees (FTE) | 209 | 175 | 197 | 200 | 204 | 251 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824252, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Piedmont Macon North Hospital 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 |
|---|---|---|---|---|---|
| Operating room | $1.9M | $12.1M | $64.8M | 0.19 | 25,723 |
| Emergency | $3.8M | $9.2M | $101M | 0.09 | 9,833 |
| Impl. dev. charged to patients | $3.6M | $24.3M | 0.15 | ||
| Drugs charged to patients | $833,275 | $3.5M | $48.7M | 0.07 | 3,275 |
| Laboratory | $994,072 | $3.3M | $53.2M | 0.06 | 2,573 |
| Radiology-diagnostic | $1M | $2.7M | $24.2M | 0.11 | 7,563 |
| Respiratory therapy | $953,261 | $1.8M | $6.3M | 0.28 | 1,358 |
| Ct scan | $450,580 | $1.1M | $115M | 0.01 | 631 |
| Physical therapy | $302,796 | $1M | $2.4M | 0.43 | 5,313 |
| Medical supplies charged to patient | $909,890 | $18M | 0.05 | 1,062 | |
| Mri | $248,911 | $674,800 | $14.2M | 0.05 | 1,869 |
| Recovery room | $296,552 | $632,758 | $13.5M | 0.05 | 1,027 |
| Anesthesiology | $53,246 | $309,085 | $7.7M | 0.04 | 435 |
| Electrocardiology | $41,969 | $303,065 | $11.3M | 0.03 | 296 |
| Whole blood & packed red blood cell | $287,749 | $10M | 0.03 | 224 | |
| Observation beds (non-distinct part | $240,150 | $2.1M | 0.11 | ||
| Renal dialysis | $221,070 | $1.4M | 0.16 | 413 | |
| Radioisotope | $18,917 | $124,097 | $516,001 | 0.24 | 330 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.6M | $8.7M | $12.4M | 0.70 | 27,760 |
| Intensive care unit | $1.1M | $2.7M | $4.6M | 0.59 | 5,308 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1.4M | $9.5M | 47,733 | $28.82 | 14,281 |
| Employee benefits department | $62,338 | $5.3M | 1,598 | ||
| Maintenance & repairs | $661,418 | $2.9M | 24,475 | $27.02 | 75,860 |
| Cap rel costs-mvble equip | $2.5M | ||||
| Cap rel costs-bldg & fixt | $1.7M | 198,611 | |||
| Dietary | $1M | 2,817 | |||
| Housekeeping | $1M | 2,013 | |||
| Nursing administration | $634,264 | $657,149 | 11,728 | $60.08 | 1,933 |
| Medical records & library | $402,566 | 2,120 | |||
| Laundry & linen service | $276,359 | 292 |
Source: CMS cost report (HCRIS, Form 2552-10), report 824252, 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 North Hospital for an inpatient stay.
1.50
Case mix index
Higher than 27% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
14.0%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
440
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 | 1.76 | 1.76 | 1.61 | 1.63 | 1.53 | 1.43 | 1.50 |
| Wage index | 0.910 | 0.890 | 0.884 | 0.860 | 0.817 | 0.795 | 0.830 |
| Readmissions adjustment | -1.47% | -2.02% | -0.47% | -0.14% | -0.05% | -0.41% | -0.37% |
| Value-based purchasing adjustment | -0.83% | -0.56% | -0.56% | +0.30% | -1.40% | -0.42% | +0.15% |
| Medicare inpatient stays | 1,067 | 1,067 | 672 | 517 | 492 | 535 | 440 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Piedmont Macon North Hospital reports to Medicare as owners or with operational control.
Piedmont Healthcare Inc
Operational/managerial control, 100%, since 2021
Piedmont Macon North Hospital Inc
5% or greater direct ownership interest, 100%, since 2021
Sources: CMS Hospital All Owners.
The officers and board members on Piedmont Macon North Hospital'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.
About Piedmont Macon North Hospital's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Piedmont Macon North Hospital range from $583 to $1,897 across 2 insurers. UnitedHealthcare's rate is $583. The median at nearby comparable hospitals is $542. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Piedmont Macon North Hospital range from $935 to $1,629 across 2 insurers. UnitedHealthcare's rate is $935. The median at nearby comparable hospitals is $951. 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 North Hospital range from $3,529 to $4,390 across 3 insurers. Blue Cross Blue Shield's rate is $3,776. The median at nearby comparable hospitals is $3,224. 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 North Hospital range from $221 to $276 across 3 insurers. Aetna's rate is $276. The median at nearby comparable hospitals is $217. What a patient pays depends on their plan's deductible, coinsurance and network status.
Piedmont Macon North Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.
CMS reports no Medicare-funded interns or residents at Piedmont Macon North Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Piedmont Macon North Hospital's base inpatient payments by an estimated 0.37% 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 (51 discharges), heart failure and shock with mcc (38 discharges), septicemia or severe sepsis without mv >96 hours without mcc (21 discharges).
Piedmont Macon North Hospital's Medicare case mix index is 1.50 for fiscal year 2027, higher than 27% of hospitals paid under the inpatient prospective payment system.
Piedmont Macon North Hospital reported 2,123 inpatient discharges and 6,880 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Piedmont Macon North Hospital reported 251 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Piedmont Macon North Hospital reported $73.7M in net patient revenue on $535.8M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 18.9%, and net income of $15M.
Piedmont Macon North Hospital reported $10.5M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $9.8M of charity care at cost.
Insurers' price transparency files list Piedmont Macon North Hospital under employer identification number 62-1736985 (Piedmont Macon Northside Hospital). 53 health plans and networks list 62-1736985 for it.
212 clinicians who bill Medicare list Piedmont Macon North Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (32), diagnostic radiology physician (27), certified registered nurse anesthetist (16).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Piedmont Macon North Hospital, effective 1988.
In its Medicare enrollment, Piedmont Macon North Hospital reports Piedmont Macon North Hospital Inc as 5% or greater direct ownership interest (100%).
CMS lists 18 services at Piedmont Macon North Hospital, 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 North Hospital came from ZIP codes 31210 (272), 31204 (230), 31206 (98).
Piedmont Macon North Hospital has 61 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 103 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Piedmont Macon North Hospital is located at 400 Charter Boulevard, Macon, GA 31210. Its main phone number is (478) 757-8200.
Piedmont Macon North Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 110201.
The National Provider Identifier (NPI) on file for Piedmont Macon North Hospital is 1811940976.
Piedmont Macon North Hospital is affiliated with Piedmont Healthcare.
Piedmont Macon North Hospital lists 33 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.
505 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