Piedmont Newton Hospital

5126 Hospital Drive Ne · Covington, GA 30014

🤖AI Overview

⚠️ This hospital charges 5.8x what Medicare pays — significantly above the national average of 5.5x.

Total Charges

$71.8M

Medicare Payments

$12.4M

Discharges

1,213

Avg Length of Stay

4.1 days

Markup Ratio

5.8x

Risk Score

2.26

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Piedmont Newton Hospital charges an average of $59,206 per discharge, but Medicare only pays $10,254 — a markup of 5.8x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio

This Hospital

5.8x

State Avg

6.0x

National Avg

5.3x

Avg Charge per Discharge

This Hospital

$59,206

State Avg

$84,165

National Avg

$69,838

Avg Length of Stay

This Hospital

4.1 days

State Avg

5.7 days

National Avg

4.8 days

Patient Demographics

Age Distribution

Under 65

12.5%

65–74

29.8%

75–84

35.6%

85+

22.1%

Gender

57.9%

Female

42.1%

Male

Dual Eligibility

26.4%

Dual Eligible

73.6%

Non-Dual

Race & Ethnicity

White

72.7%

Black

24.0%

Other

1.8%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension

75.0%

High Cholesterol

75.0%

Arthritis

53.6%

Chronic Kidney Disease

52.9%

Diabetes

50.4%

Heart Failure

45.2%

Ischemic Heart Disease

42.2%

Atrial Fibrillation

37.0%

COPD

35.9%

Mood Disorders

35.1%

Depression

31.9%

Anxiety

30.4%

Stroke/TIA

28.0%

Alzheimer's/Dementia

24.9%

Cancer

20.2%

Tobacco Use

20.1%

Substance Use

16.5%

Osteoporosis

15.5%

Asthma

13.5%

Bipolar Disorder

8.5%

Parkinson's

4.1%

Schizophrenia/Psychosis

3.9%

ADHD/Conduct Disorders

2.0%

PTSD

1.4%

Personality Disorders

1.3%

Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.