Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at Emory Saint Joseph's Hospital
5665 Peachtree Dunwoody Road, Atlanta, GA · Emoryhealthcare · · NPI 1679664395
$16,328.00
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.
$16,328.00
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.
$6,580.16 with Bcbs vs $67,590.03 with Ambetter Health — 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 | $6,580.16 | ↓ -60% |
| Aetna | Exchange | $8,192.00 | ↓ -50% |
| Oscar Health | Exchange | $8,645.00 | ↓ -47% |
| Bcbs | Hpn Other Commercial Plan | $9,413.46 | ↓ -42% |
| Aetna | Hpn Whole Health Other Commercial Plan | $9,512.00 | ↓ -42% |
| Bcbs | Hmo | $10,674.37 | ↓ -35% |
| Humana | Hmo/Pos | $11,403.39 | ↓ -30% |
| Humana | Medicare Managed Care Plan | $11,403.39 | ↓ -30% |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $18,067.00 | ↑ +11% |
| Unitedhealthcare | Hmo/Pos | $21,254.00 | ↑ +30% |
| Devoted Health | Medicare Managed Care Plan | $31,882.09 | ↑ +95% |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $32,200.91 | ↑ +97% |
| Aetna | Medicare Managed Care Plan | $32,519.73 | ↑ +99% |
| Cigna | Healthspring Medicare Managed Care Plan | $32,838.55 | ↑ +101% |
| Clover Health | Medicare Managed Care Plan | $33,476.19 | ↑ +105% |
| Wellcare | Medicare Managed Care Plan | $33,795.02 | ↑ +107% |
| Ambetter Health | Peach State Exchange | $67,590.03 | ↑ +314% |
Visitor-reported prices
Comments
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Rehabilitation Hospital | Atlanta | $16,328.00 | $6,580.16 – $31,028.13 |
| Emory University Hospital Midtown | Atlanta | $16,328.00 | $6,580.16 – $67,590.03 |
| Wellstar Cobb Hospital | Austell | $29,042.52 | $9,000.00 – $70,119.00 |
| Wellstar Douglas Hospital | Douglasville | $29,042.52 | $9,000.00 – $70,119.00 |
| Wellstar Kennestone Hospital | Marietta | $29,042.52 | $9,000.00 – $70,119.00 |
| Wellstar MCG Health | Augusta | $29,042.52 | $4,035.00 – $86,151.00 |
| Wellstar North Fulton Hospital | Roswell | $29,042.52 | $9,000.00 – $70,119.00 |
| Wellstar Paulding Hospital | Hiram | $29,042.52 | $9,000.00 – $70,119.00 |