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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Piedmont Newton Hospital

Piedmont Healthcare · Covington, GA

5126 Hospital Drive, Covington, GA 30014(770) 786-7053

3 of 5

CMS star rating

100

Beds

7,072

Inpatient discharges a year

$215.7M

Net patient revenue a year

34

In-network payers

About this hospital

Piedmont Newton Hospital is a 100-bed voluntary non-profit - private hospital in Covington, GA, affiliated with Piedmont Healthcare. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 479 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
110018
NPI
1760498588
Health system
Piedmont Healthcare
Teaching
No Medicare-funded residents
County
Newton County
Metro area
Atlanta-Sandy Springs-Roswell, GA MSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services Piedmont Newton 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$9,900 - $11,458

from 4 insurers · median $10,436

UnitedHealthcare$10,624
Insurer A*$9,900
Insurer B*$10,249
Insurer C*$11,458

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

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$13,786 - $14,575

from 4 insurers · median $14,181

UnitedHealthcare$14,510
Insurer A*$13,786
Insurer B*$13,852
Insurer C*$14,575

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

Major lower-extremity joint replacement without MCC

MS-DRG 470

$26,924 - $39,494

from 4 insurers · median $31,506

Aetna$26,924
Insurer A*$29,321
Insurer B*$33,690
Insurer C*$39,494
Medicare $12,889Nearby hospitals $37,82617% below nearby hospitals

11 Medicare discharges for this DRG in CMS hospital data

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$875 - $3,391

from 3 insurers · median $3,018

Aetna$875
Insurer A*$3,018
Insurer B*$3,391
Medicare $533Nearby hospitals $1,083179% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Piedmont Newton Hospital

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*18
295%
83
Insurer B*19
271%
510
Insurer C*24
256%
410
Insurer D*24
177%
710

How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 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 Newton Hospital, 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    3 of 5 stars

    • 217 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.27%)
    See quality ratings
  • Doctors and services

    Accredited by DNV

    • No Medicare-funded residents
    • 33 services
    • 434 affiliated clinicians
    See doctors and services
  • Finances

    $215.7M net patient revenue

    • Operating margin on patient care 19.1%
    • $17.7M unreimbursed and uncompensated care
    • $43.6M net income
    See finances
  • Ownership and leadership

    Owned by Piedmont Healthcare Inc

    • Private (not for profit)
    • Ms Lindsey Petrini, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
58-2155150Piedmont Newton Hospital INC55Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 50 more1760498588 Piedmont Newton Hospital Inc.1255891958 Piedmont Newton Ekg Billing LLC1326370305 Newton Medical Family Practice LLCand 3 more

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

5126 Hospital Drive, Covington, GA 30014

(770) 786-7053

Get directions

Frequently asked questions

About Piedmont Newton Hospital's rates and hospital price transparency.

How much does an MRI cost at Piedmont Newton Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Piedmont Newton Hospital range from $819 to $1,105 across 3 insurers. Cigna's rate is $819. The median at nearby comparable hospitals is $955. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Piedmont Newton Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Piedmont Newton Hospital range from $486 to $1,042 across 3 insurers. Cigna's rate is $486. The median at nearby comparable hospitals is $754. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Piedmont Newton Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Piedmont Newton Hospital range from $2,775 to $4,096 across 4 insurers. Blue Cross Blue Shield's rate is $4,096. The median at nearby comparable hospitals is $4,814. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Piedmont Newton Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Piedmont Newton Hospital range from $9,900 to $11,458 across 4 insurers. UnitedHealthcare's rate is $10,624. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Piedmont Newton Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Piedmont Newton Hospital range from $226 to $276 across 4 insurers. Cigna's rate is $252. The median at nearby comparable hospitals is $216. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Piedmont Newton Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Piedmont Newton Hospital range from $26,924 to $39,494 across 4 insurers. Aetna's rate is $26,924. The median at nearby comparable hospitals is $37,826. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Piedmont Newton Hospital's CMS star rating?

Piedmont Newton Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Piedmont Newton Hospital a teaching hospital?

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

Does Medicare penalize Piedmont Newton Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Piedmont Newton Hospital's base inpatient payments by an estimated 0.27% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Piedmont Newton Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (177 discharges), heart failure and shock with mcc (75 discharges), septicemia or severe sepsis without mv >96 hours without mcc (42 discharges).

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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.

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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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