Piedmont Newton Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Newton Hospital, Covington, GA in 2024, from traditional Medicare claims. Back to the Piedmont Newton Hospital profile, with quality ratings, finances and negotiated rates.
700
Medicare inpatient discharges
In 26 published DRGs
1.54
Case mix index
IPPS FY 2027
7%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
496
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases237 discharges in 3 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 | 177 | $72,279 | $13,199 | $11,131 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $43,708 | $6,709 | $6,731 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $151,907 | $31,142 | $23,394 | 5.00 |
Respiratory system110 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 24 | $51,500 | $11,724 | $7,931 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $50,738 | $9,088 | $7,814 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 23 | $52,492 | $9,289 | $8,084 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $41,312 | $8,444 | $6,362 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $47,524 | $9,531 | $7,319 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $34,329 | $6,190 | $5,287 | 0.82 |
Circulatory system107 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 75 | $45,742 | $9,312 | $7,044 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 21 | $65,516 | $10,720 | $10,090 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 11 | $41,596 | $6,792 | $6,406 | 0.86 |
Kidney and urinary tract66 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 27 | $27,577 | $6,636 | $4,247 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $54,632 | $12,060 | $8,413 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $43,453 | $8,455 | $6,692 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $35,116 | $6,084 | $5,408 | 0.81 |
Digestive system55 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $44,787 | $6,793 | $6,897 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $69,219 | $13,221 | $10,660 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 14 | $43,206 | $5,574 | $6,654 | 0.79 |
Endocrine, nutritional and metabolic46 discharges in 2 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 | 27 | $58,150 | $9,007 | $8,955 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $38,933 | $5,493 | $5,996 | 0.78 |
Nervous system35 discharges in 2 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 | 24 | $47,876 | $7,117 | $7,373 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $35,712 | $8,375 | $5,500 | 1.06 |
Musculoskeletal system and connective tissue32 discharges in 2 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 | 20 | $125,565 | $14,697 | $19,337 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $135,915 | $13,505 | $20,931 | 1.88 |
Blood and immune system12 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 | 12 | $37,441 | $6,905 | $5,766 | 0.90 |
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 | 178 | 168 | $24,361 | $1,978 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 75 | 64 | $11,542 | $1,151 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 61 | 60 | $19,210 | $1,367 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 29 | 29 | $120,397 | $10,565 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 27 | $32,407 | $2,308 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 24 | 21 | $67,817 | $5,069 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 23 | 22 | $50,582 | $3,895 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 20 | 19 | $20,784 | $2,357 | $2,405 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $19,749 | $1,118 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 16 | 16 | $20,347 | $1,338 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $13,891 | $1,939 | $2,141 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 12 | $30,005 | $2,818 | $2,930 |
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.