Egd/remov tum/polyp/hot bx forcep 43250 at Emory Saint Joseph's Hospital
5665 Peachtree Dunwoody Road, Atlanta, GA · Emoryhealthcare · · NPI 1679664395
$2,670.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$2,670.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$1,949.06 with Devoted Health vs $5,345.54 with Humana — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Devoted Health | Medicare Managed Care Plan | $1,949.06 | ↓ -27% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $1,968.55 | ↓ -26% |
| Aetna | Medicare Managed Care Plan | $1,988.04 | ↓ -26% |
| Cigna | Healthspring Medicare Managed Care Plan | $2,007.53 | ↓ -25% |
| Clover Health | Medicare Managed Care Plan | $2,046.51 | ↓ -23% |
| Wellcare | Medicare Managed Care Plan | $2,066.00 | ↓ -23% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $2,912.00 | ↑ +9% |
| Bcbs | Blue Pathways Exchange | $3,011.79 | ↑ +13% |
| Kaiser | Hmo | $3,051.00 | ↑ +14% |
| Aetna | Exchange | $3,295.00 | ↑ +23% |
| Unitedhealthcare | Hmo/Pos | $3,425.00 | ↑ +28% |
| Aetna | Hpn Whole Health Other Commercial Plan | $3,826.00 | ↑ +43% |
| Ambetter Health | Peach State Exchange | $4,132.01 | ↑ +55% |
| Oscar Health | Exchange | $4,249.00 | ↑ +59% |
| Bcbs | Hpn Other Commercial Plan | $4,454.79 | ↑ +67% |
| Cigna | Hmo/Pos | $4,797.00 | ↑ +80% |
| Bcbs | Hmo | $5,051.48 | ↑ +89% |
| Humana | Medicare Managed Care Plan | $5,345.54 | ↑ +100% |
| Humana | Hmo/Pos | $5,345.54 | ↑ +100% |
Visitor-reported prices
Comments
Egd/remov tum/polyp/hot bx forcep 43250 at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Rehabilitation Hospital | Atlanta | $2,670.00 | $1,794.61 – $5,345.54 |
| Emory University Hospital Midtown | Atlanta | $2,670.00 | $1,949.06 – $5,345.54 |
| Emory Johns Creek Hospital | Johns Creek | $2,670.00 | $1,949.06 – $5,345.54 |
| Emory University Hospital | Ne | $2,670.00 | $1,924.71 – $5,345.54 |
| Emory Decatur Hospital | Decatur | $2,670.00 | $1,924.71 – $5,345.54 |
| Emory Long-Term Acute Care Hospital | Decatur | $2,670.00 | $4,249.00 – $4,249.00 |
| Emory Hillandale Hospital | Lithonia | $2,670.00 | $1,924.71 – $5,345.54 |
| Wellstar Cobb Hospital | Austell | not published | $1,694.00 – $5,272.00 |