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Short Term Acute Care HospitalVoluntary Non-Profit - Other

Piedmont Mountainside Hospital Inc.

Piedmont Healthcare · Jasper, GA

1266 Highway 515 South, Jasper, GA 30143(706) 301-5269

4 of 5

CMS star rating

65

Beds

4,829

Inpatient discharges a year

$164.9M

Net patient revenue a year

35

In-network payers

About this hospital

Piedmont Mountainside Hospital Inc. is a 65-bed voluntary non-profit - other hospital in Jasper, GA, affiliated with Piedmont Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 539 disclosed rate categories.

CCN
110225
NPI
1780643411
Health system
Piedmont Healthcare
Teaching
No Medicare-funded residents
County
Pickens County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
2004
Last CMS survey
2026

Prices for common services

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

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

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$9,983 - $13,078

from 4 insurers · median $11,182

Blue Cross$13,078
Insurer A*$9,983
Insurer B*$10,249
Insurer C*$12,115

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

Hospital reports obstetrics / child birth services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$13,714 - $18,596

from 4 insurers · median $16,160

Blue Cross$18,596
Insurer A*$13,714
Insurer B*$14,314
Insurer C*$18,005

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

Hospital reports obstetrics / child birth services to CMS

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$4,018 - $4,852

from 2 insurers · median $4,435

Aetna$4,852
Insurer A*$4,018
Medicare $3,181Nearby hospitals $7,18938% below nearby hospitals

11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$935 - $1,294

from 2 insurers · median $1,115

Aetna$1,294
Insurer A*$935
Medicare $343Nearby hospitals $75049% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Piedmont Mountainside Hospital Inc.

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

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*24
239%
70
Insurer B*24
162%
1011
Insurer C*6
54%
03
Insurer D*3
-
00

How we chose these services: 6 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 5 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 Mountainside Hospital Inc., or start a free trial.

Insurance Accepted

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

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

More about this hospital

  • Quality

    4 of 5 stars

    • 153 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.21%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 21 services
    • 488 affiliated clinicians
    See doctors and services
  • Finances

    $164.9M net patient revenue

    • Operating margin on patient care 15.9%
    • $14M unreimbursed and uncompensated care
    • $27.4M net income
    See finances
  • Ownership and leadership

    Owned by Piedmont Healthcare Inc

    • Private (not for profit)
    • Denise Ray, chief executive
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
35-2228583Piedmont Mountainside Hospital INC55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 50 more1780643411 Piedmont Mountainside Hospital Inc.1053371138 Piedmont Mountainside Hospital Inc

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

Location

1266 Highway 515 South, Jasper, GA 30143

(706) 301-5269

Get directions

Frequently asked questions

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

How much does an MRI cost at Piedmont Mountainside Hospital Inc.?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Piedmont Mountainside Hospital Inc. range from $935 to $2,365 across 2 insurers. UnitedHealthcare's rate is $935. The median at nearby comparable hospitals is $855. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Piedmont Mountainside Hospital Inc. range from $935 to $1,294 across 2 insurers. Aetna's rate is $1,294. The median at nearby comparable hospitals is $750. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Piedmont Mountainside Hospital Inc. range from $1,806 to $3,000 across 2 insurers. UnitedHealthcare's rate is $3,000. The median at nearby comparable hospitals is $4,148. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Piedmont Mountainside Hospital Inc. range from $9,983 to $13,078 across 4 insurers. Blue Cross Blue Shield's rate is $13,078. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Piedmont Mountainside Hospital Inc. range from $227 to $693 across 2 insurers. UnitedHealthcare's rate is $227. The median at nearby comparable hospitals is $196. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

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

Is Piedmont Mountainside Hospital Inc. a teaching hospital?

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

Does Medicare penalize Piedmont Mountainside Hospital Inc. for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Piedmont Mountainside Hospital Inc.'s base inpatient payments by an estimated 0.21% in fiscal year 2027 for more readmissions than expected.

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

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (324 discharges), heart failure and shock with mcc (99 discharges), septicemia or severe sepsis without mv >96 hours without mcc (65 discharges).

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

Piedmont Mountainside Hospital Inc.'s Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% of hospitals paid under the inpatient prospective payment system.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

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

Compliance MRF

Publish a CMS-compliant machine-readable file

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

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
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