Piedmont Newnan Hospital Inc. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Newnan Hospital Inc., Newnan, GA in 2024, from traditional Medicare claims. Back to the Piedmont Newnan Hospital Inc. profile, with quality ratings, finances and negotiated rates.
1,996
Medicare inpatient discharges
In 58 published DRGs
1.65
Case mix index
IPPS FY 2027
10%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
1,615
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases629 discharges in 5 DRGs
| 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 | 425 | $80,612 | $13,452 | $12,575 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 111 | $48,046 | $6,712 | $7,495 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 55 | $197,341 | $32,971 | $30,785 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 19 | $114,092 | $12,625 | $17,798 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $297,584 | $47,525 | $46,423 | 6.96 |
Circulatory system485 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 189 | $52,932 | $9,260 | $8,257 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 37 | $51,804 | $8,523 | $8,081 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $37,491 | $5,404 | $5,849 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 34 | $74,326 | $11,563 | $11,595 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 30 | $37,966 | $5,984 | $5,923 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $85,166 | $14,286 | $13,286 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $89,575 | $12,962 | $13,974 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $52,955 | $6,503 | $8,261 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $37,942 | $5,184 | $5,919 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $158,088 | $11,365 | $24,662 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 20 | $57,850 | $6,787 | $9,025 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $40,791 | $7,069 | $6,363 | 1.07 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $41,706 | $8,023 | $6,506 | 1.15 |
Kidney and urinary tract204 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 52 | $32,817 | $6,212 | $5,119 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $31,980 | $5,472 | $4,989 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $66,057 | $9,830 | $10,305 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 32 | $59,553 | $10,149 | $9,290 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $39,234 | $8,326 | $6,121 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $64,534 | $9,496 | $10,067 | 1.35 |
Respiratory system180 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $49,461 | $8,841 | $7,716 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $60,045 | $10,653 | $9,367 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $46,264 | $7,748 | $7,217 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $55,392 | $9,043 | $8,641 | 1.33 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $35,037 | $5,226 | $5,466 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $66,216 | $9,279 | $10,330 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $33,555 | $4,856 | $5,235 | 0.82 |
Digestive system130 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 35 | $45,537 | $7,048 | $7,104 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 32 | $43,783 | $5,684 | $6,830 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $69,523 | $11,600 | $10,846 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $41,706 | $5,762 | $6,506 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $50,042 | $8,937 | $7,807 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $31,458 | $6,675 | $4,907 | 0.94 |
Endocrine, nutritional and metabolic108 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 37 | $49,862 | $9,340 | $7,779 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 32 | $33,599 | $5,184 | $5,241 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $61,627 | $10,639 | $9,614 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 13 | $44,838 | $6,127 | $6,995 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 13 | $38,822 | $7,500 | $6,056 | 1.06 |
Musculoskeletal system and connective tissue106 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 31 | $96,381 | $14,097 | $15,035 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $127,047 | $14,623 | $19,819 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 17 | $123,139 | $12,208 | $19,210 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $38,605 | $5,896 | $6,022 | 0.90 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $176,707 | $21,503 | $27,566 | 2.95 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $36,971 | $5,513 | $5,768 | 0.79 |
Nervous system94 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 33 | $50,834 | $7,115 | $7,930 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 24 | $43,453 | $5,771 | $6,779 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 13 | $79,505 | $13,387 | $12,403 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $38,595 | $8,814 | $6,021 | 1.36 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $35,796 | $6,318 | $5,584 | 1.06 |
Liver, gallbladder and pancreas27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 15 | $39,611 | $4,930 | $6,179 | 0.86 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $83,846 | $11,313 | $13,080 | 1.63 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $28,413 | $6,329 | $4,432 | 0.88 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $35,564 | $6,073 | $5,548 | 0.90 |
Factors influencing health status11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 11 | $40,111 | $5,643 | $6,257 | 0.80 |
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.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 210 | 207 | $25,413 | $1,928 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 173 | 167 | $106,154 | $10,382 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 161 | 160 | $26,877 | $2,120 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 135 | 130 | $12,941 | $863 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 100 | 97 | $26,015 | $2,312 | $2,405 |
| Level 1 Intraocular ProceduresAPC 5491 | 97 | 63 | $31,105 | $1,650 | $1,752 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 94 | 94 | $55,580 | $4,173 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 57 | 57 | $23,089 | $1,902 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 57 | 50 | $25,013 | $1,400 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 55 | 54 | $63,419 | $5,097 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 51 | 46 | $45,323 | $3,826 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 48 | 42 | $34,457 | $2,524 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 37 | 33 | $38,575 | $2,323 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 31 | 29 | $134,025 | $15,625 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 31 | 30 | $18,992 | $1,134 | $1,264 |
| Level 2 Upper GI ProceduresAPC 5302 | 29 | 29 | $19,196 | $1,410 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 28 | 28 | $43,231 | $2,551 | $2,636 |
| Level 6 Urology and Related ServicesAPC 5376 | 26 | 26 | $55,915 | $6,906 | $7,291 |
| Level 3 Endovascular ProceduresAPC 5193 | 23 | 21 | $85,628 | $8,569 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 20 | 19 | $7,445 | $1,175 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $17,774 | $1,188 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 19 | 18 | $31,499 | $2,769 | $2,833 |
| Level 4 Vascular ProceduresAPC 5184 | 16 | 16 | $50,421 | $3,809 | $3,946 |
| Level 3 ENT ProceduresAPC 5163 | 15 | 13 | $18,319 | $1,128 | $1,106 |
| Level 5 ENT ProceduresAPC 5165 | 13 | 13 | $45,867 | $4,330 | $4,436 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 13 | $53,579 | $4,226 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 12 | $44,421 | $2,818 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $89,485 | $7,255 | $8,164 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $64,580 | $4,601 | $5,183 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $25,480 | $2,164 | $2,217 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $111,386 | $18,620 | $18,465 |
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.