Fragmenting of kidney stone at Emory Saint Joseph's Hospital
5665 Peachtree Dunwoody Road, Atlanta, GA · Emoryhealthcare · · NPI 1679664395
$13,791.00
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.
$13,791.00
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.
$3,514.53 with Bcbs vs $11,403.39 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 |
|---|---|---|---|
| Bcbs | Blue Pathways Exchange | $3,514.53 | ↓ -75% |
| Devoted Health | Medicare Managed Care Plan | $3,580.37 | ↓ -74% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $3,616.17 | ↓ -74% |
| Aetna | Medicare Managed Care Plan | $3,651.98 | ↓ -74% |
| Cigna | Healthspring Medicare Managed Care Plan | $3,687.78 | ↓ -73% |
| Clover Health | Medicare Managed Care Plan | $3,759.39 | ↓ -73% |
| Wellcare | Medicare Managed Care Plan | $3,795.19 | ↓ -72% |
| Kaiser | Hmo | $5,087.00 | ↓ -63% |
| Bcbs | Hpn Other Commercial Plan | $5,153.08 | ↓ -63% |
| Bcbs | Hmo | $5,843.31 | ↓ -58% |
| Oscar Health | Exchange | $7,118.00 | ↓ -48% |
| Ambetter Health | Peach State Exchange | $7,590.38 | ↓ -45% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $7,797.00 | ↓ -43% |
| Unitedhealthcare | Hmo/Pos | $9,172.00 | ↓ -33% |
| Aetna | Exchange | $9,343.00 | ↓ -32% |
| Aetna | Hpn Whole Health Other Commercial Plan | $10,850.00 | ↓ -21% |
| Cigna | Hmo/Pos | $11,385.00 | ↓ -17% |
| Humana | Medicare Managed Care Plan | $11,403.39 | ↓ -17% |
| Humana | Hmo/Pos | $11,403.39 | ↓ -17% |
Visitor-reported prices
Comments
Fragmenting of kidney stone at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Rehabilitation Hospital | Atlanta | $13,791.00 | $3,287.90 – $11,403.39 |
| Emory University Hospital Midtown | Atlanta | $13,791.00 | $3,514.53 – $11,403.39 |
| Wellstar Cobb Hospital | Austell | $22,809.54 | $3,580.37 – $15,026.00 |
| Wellstar Douglas Hospital | Douglasville | $22,809.54 | $3,548.17 – $15,026.00 |
| Wellstar Kennestone Hospital | Marietta | $22,809.54 | $3,580.37 – $15,026.00 |
| Wellstar MCG Health | Augusta | $22,809.54 | $3,089.00 – $11,282.00 |
| Wellstar North Fulton Hospital | Roswell | $22,809.54 | $3,580.37 – $15,026.00 |
| Wellstar Paulding Hospital | Hiram | $22,809.54 | $3,580.37 – $15,026.00 |