Lumbar Spinal Fusion (single level) at Emory University Hospital Midtown
550 Peachtree St Ne, Atlanta, GA · Emoryhealthcare · · NPI 1144203563
not published by hospital
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.
not published by hospital
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.
$6,309.89 with Bcbs vs $37,755.79 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 | $6,309.89 | — |
| Aetna | Exchange | $7,045.00 | — |
| Oscar Health | Exchange | $7,118.00 | — |
| Humana | Medicare Managed Care Plan | $7,175.28 | — |
| Humana | Hmo/Pos | $7,175.28 | — |
| Unitedhealthcare | Core/Charter/Nexus Other Commercial Plan | $7,797.00 | — |
| Aetna | Hpn Whole Health Other Commercial Plan | $8,180.00 | — |
| Bcbs | Hpn Other Commercial Plan | $9,038.79 | — |
| Unitedhealthcare | Hmo/Pos | $9,172.00 | — |
| Bcbs | Hmo | $10,249.52 | — |
| Devoted Health | Medicare Managed Care Plan | $17,809.33 | — |
| Bcbs | Blue Value Secure Medicare Managed Care Plan | $17,987.43 | — |
| Aetna | Medicare Managed Care Plan | $18,165.52 | — |
| Cigna | Healthspring Medicare Managed Care Plan | $18,343.61 | — |
| Clover Health | Medicare Managed Care Plan | $18,699.80 | — |
| Wellcare | Medicare Managed Care Plan | $18,877.89 | — |
| Ambetter Health | Peach State Exchange | $37,755.79 | — |
Visitor-reported prices
Comments
Lumbar Spinal Fusion (single level) at other Georgia hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Emory Rehabilitation Hospital | Atlanta | not published | $6,309.89 – $17,576.23 |
| Emory Saint Joseph's Hospital | Atlanta | not published | $6,309.89 – $37,755.79 |
| Wellstar Cobb Hospital | Austell | not published | $8,245.00 – $32,947.27 |
| Wellstar Douglas Hospital | Douglasville | not published | $8,245.00 – $32,650.99 |
| Wellstar Kennestone Hospital | Marietta | not published | $8,245.00 – $32,947.27 |
| Wellstar MCG Health | Augusta | not published | $3,498.86 – $30,115.80 |
| Wellstar North Fulton Hospital | Roswell | not published | $8,245.00 – $32,947.27 |
| Wellstar Paulding Hospital | Hiram | not published | $8,245.00 – $32,947.27 |